Tuesday, May 5, 2015

Historical Contribution: 1969, Schwarz, et al., UTI Correlation to Fecal Bacteria


1969

Schwarz H, Schirmer HKA, Ehlers B, Post B. Urinary Tract Infections: Correlation between Organisms Obtained Simultaneously from the Urine and Feces of Patients with Bacteriuria and Pyuria. J Urol. 1969. 101:765-767.

 

It was well established that gram-negative bacteria caused approximately 80% of UTI (urinary tract infections) and the colon was believed to be the source of most of these bacteria. In a study of 148 hospitalized individuals with bacteria in their urine, researchers from Johns Hopkins correlated the urinary organism with stool cultures from the same patients. Limited by difficulties in bacterial culture and identification of the time period, Dr. Schwarz and colleagues were able to demonstrate that urinary and fecal organisms were correlated in 60% to 100% of cases, depending on the bacteria. The authors then postulated that the colon was the most likely source of urinary bacteria, and perhaps, treating colonic flora could control the spread of infectious urinary organisms.

 

While we now know that the relationship between the colon, urinary bacteria and antimicrobial agents is more complex than a simple causal relationshipWe now understand that each patient has risk factors for infection, each bacteria has different methods for causing infection and there is certainly a difference between bacteruria (bacteria in the urine) and a UTI. However , manuscripts like this 1969 historical contribution, paved the way for a better understanding of UTI.

 

Visit the Centennial Website or click here to see more about the first 100 years at the Brady.

 


HISTORICAL CONTRIBUTIONS highlight the greatest academic manuscripts from the Brady Urological Institute over the past 100 years.  As the Brady Urological Institute approaches its centennial, we will present a HISTORICAL CONTRIBUTION from each of the past 100 years.  In the most recent experience, the most highly cited article from each year is selected; older manuscripts were selected based on their perceived impact on the field.  We hope you enjoy! 

34 comments:


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  2. I agree - we definitely need more studies like this and Mike/Dick continue to guide us all with excellent editorials. Nice to move beyond partial lunar cycle durations. The one thing I wish these "boring" studies would add are pre/post treatment surveillance cultures for resistant pathogens. It is unclear to me if "shorter" duration is always associated with lower risk of MDRO acquisition. It is possible that longer or even double/triple coverage might be associated with lower resistance. I would like to see surveillance cultures included so we can eventually understand the epidemiology of resistance and move beyond the dogma of shorter always equals better or "narrow" is always better than broad-spectrum. And maybe the dogma is correct, I just want data to prove it. However, I do agree that reducing exposure does lead to lower CDI risk, which is excellent. - See more at: http://haicontroversies.blogspot.in/2015/06/this-study-is-boring-and-we-need-more.html#comment-form

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  8. إذا كنت ترغب في الحصول على مياه نقية افضل شركة كشف تسربات المياه بالقصيم و خالية من الجراثيم و الميكروبات فلابد ان تقوم بتوفير افضل شركة عزل خزانات بالقصيم أجود خامات العزل على الخزان و التي يتم تركيبها في الجدرا و في قاع الخزان و ذلك من اجل المحافظة افضل شركة اسطح خزانات بالقصيم على منع تعرض أشعة الشمس بشكل مباشر على المياه و تسلطها بشكل افضل شركة مكافحة حشرات بالقصيم دائم مما يؤدي إلى التغيير في الخواص الفيزيائية في مكونات المياه

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  9. لدى الصراصير جهاز استشعار شركة تنظيف بالبخار بجدة حساس جدًا موجود في قرونها مع العلم أنها شركة مكافحة حشرات بجدة لا عين لها ولا تستطيع الرؤية لكنها إن دخلت شركة تنظيف خزانات بجدة في منزل فإنها سرعان ما تهاجمه وبالتالي يصعب السيطرة شركة تنظيف شقق بجدة عليها حيث أنها تتكاثر بسرعة وبأعداد كبيرة فإذا كان منزلك به صراصير شركة مكافحة البق بجدة فمن الأفضل الاتصال بشركة متخصصة للقضاء عليها في الحال.

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  10. في البداية نحرص عبلي شركة تنظيف بالبخار بجدة ان يتم تفريغ الخزان من المياه شركة تنظيف خزانات بجدة و من بعدها نقوم بتوفير النظافة الدقيقة شركة مكافحة العتة بجدة لجميع اجزاءه الداخلية و الخارجية و من شركة مكافحة حشرات بجدة بعدها نحرص علي ان يتم اتباع افضل مواد العزل الامنة و التي شركة مكافحة النمل الابيض بجدة لا يمكن ان تلحث اي نوع من الضرر بالانسان و لهذا تواصل معنا عزيزي العميل لتجد شركة مكافحة العتة بجدةخدمة تنظيف للخزان الخاص بالمنزل

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  11. من الممكن أن يحصل العملاء شركة تجهيز ملاعب على أفضل أنواع النجيل الصناعي التي يرغبون شركة نجيل صناعي بها و التي تتنوع بين أكثر من شكل مختلف حيث يوجد النجيل المتداخل ، النحيف و العريض شركة تنسيق حدائق أيضا و جميع تلك الأنواع متوفرة في شركة لاندسكيب بالقاهرة من أجل أن تحقق إليكم الخدمات التي ترغبون شركة تجهيزات حمامات سباحة في الحصول عليها و ذلك لأننا متميزون في نجيل صناعى للحدائق مجال تركيب النجيل الصناعي و نحاول أن نلبي جميع احتياجات عملائنا

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  12. إن عرقلة الأنابيب والصرف الصحي هي تسليك مجاري بالكويت واحدة من أسوأ المشاكل التي يواجهها تسليك مجاري الكويت رب البيت ويمكن الآن حلها بسهولة من قبل أفضل الشركات لتنظيف المجاري في الكويت تسليك مجاري على أعلى مستوى ، لأن مشكلة انسداد المجاري تؤثر على وجود روائح كريهة تسليك مجاري بالكويت لا تحظى بشعبية لجميع أعضاء المنزل وتؤثر على الناس

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  13. تعتبر الواجهات شركة تنظيف بدبي من أهم الأماكن التي يجب تنظيفها على أكمل وجه، حيث أن نظافة شركة تنظيف بالشارقة الواجهات هي دليل على نظافة المنزل؛ لهذا شركة تنظيف بدبي يجب الاهتمام بها بشكل كبير وذلك من خلال شركة تنظيف فى دبي التواصل مع شركة تنظيف واجهات منازل في الشارقة شركة تنظيف بعجمان فإن الشركة سوف تتمكن من القيام بهذه المهمة مع اختلاف أنواع المنظفات

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  14. عندما يكون هناك ارتباط بين عملية التنظيف شركة تنظيف شقق بمكة وانتشار الأمراض والجراثيم شركة مكافحة حشرات بمكة يجب ان يتم التخلص من جميع الأتربة والأوساخ في المكان مثل الشقة او الفيلا او المنزل الذي نعيش بداخله شركة مكافحة حشرات بالطائف حتى يتم حماية أطفالنا من خطر الإصابة بالأمراض وتوفر شركة تنظيف منازل بمكة جميع خدمات شركة تنظيف خزانات بالطائف التنظيف سواء التنظيف العادي او خدمات غسيل شقق بمكة او غسيل منازل بمكة شركة تنظيف خزانات بمكة ومن أهم ما يتم القيام به لخروج الخدمة بصورة مشرفة أمام العملاء

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  15. نحن متخصصون في مجال التنظيف بالبخار لثقتنا شركة تنظيف بالبخار بجدة الدائمة في أن النظافة وحدها لا تكفى ويجب أن نوفر التعقيم شركة تنظيف بالبخار بمكة والتطهير معها لضمان مكان نظيف وصحي شركة تنظيف بجدة خالي تماماً من البكتريا والجراثيم خاصة شركة نقل عفش بمكة في وجود الأطفال فالبخار تقنية شديدة التأثير في قتل البكتريا والجراثيم لذلك نحرص على استخدامه ونوفر شركة تنظيف سجاد بالبخار بجدة أحدث التقنيات التي تعمل بالبخار لتقديم خدمات على مستوى عالي من الدقة والإتقان وتقوم

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  16. وقد اثبتت الدراسة والابحاث ان تلوث مياه الخزان شركة نقل عفش بجدة نتيجة المواد المصنوع منها الخزان ويعتبرافضل انواع الخزانات المصنوعة شركة تنظيف بالبخار بجدة من الحديد المجلفن او المصنوع من الزجاج وهم واقل عرضه للتلوث واغلاقه بطريقة جيدة فحرصا منا نحن شركة غسيل خزانات بالطائف شركة مكافحة حشرات بمكة على صحتنا وصحة اطفالنا يجب شركة تنظيف خزانات بالطائف تنظيف خزان المياه بصفة دورية حتى نتفادى جميع الامراض شركة تنظيف كنب بدبي ونقي اولادنا وانفسنا منها ونستخدم الخزان المصنوع من الصلب الغير قابل للصدا والمصرح به من وزارة الصحة.

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  17. عملية النظافة يجب ان تكون سلوك لدي المتواجدين شركة تنظيف بمكة في المكان فلا يمكن ان يتم إجبار فرد على التنظيف شركة مكافحة حشرات بمكة والعيش في مكان خالي من الأتربة اذا لم يكن لدية ذلم السلوك الحضاري الراقي شركة تنظيف بالبخار بمكة وعليه يجب على الأفراد دائما مساعدة شركة نقل عفش بمكة افراد العائلة أثناء عميلة التنظيف وزرع ورح شركة تنظيف خزانات بمكة النظافة داخل أبنائنا وأسرنا وعندما تتعرض إلى الاوساخ الصعبة فان في الجوار

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  18. يمكنك التواصل مع شركة تنظيف بدبي في أي وقت من أجل أن يقوم فريق العمال شركة تنظيف بالشارقة و الخبراء بالحضور إلى المنزل في الميعاد الذي تقوم شركة تنظيف بعجمان بتحديده حيث أن الفريق معروف بمدى التزامه بالمواعيد و الاتقان شركة تنظيف بابو ظبي في العمل فنحن نرغب في توفير الخدمة المثالية التي تمكنا من الحصول شركة تنظيف كنب بدبي على ثقة العميل الكبيرة بنا فنحن نجتهد لكي نستحق تلك الثقة بشكل مستمر

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  19. يعمل فريق الخبراء على تقديم التصاميم حجر هاشمى هيصم المختلفة الخاصة بالمطابخ أو الحمامات شركة تنظيف بدبي و يمكنك الاختيار فيما بينها و هذا من خلال حجر مايكا تسليك مجاري بالكويت الذي يعمل على توفير الدعم و القوة على الغرف الموجودة في المنزل و تتعامل الشركة رقم صباغ رخيص بالكويت معكم بأقل الاسعار و التكاليف التي فني كهرباء منازل بالكويت لا مثيل لها في أي مكان آخر

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    Herpes virus
    Cancer
    Hsv
    Chronic venous disease
    and others

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  24. I am 29 years old and I was diagnosis of Breast cancer, easy well and have a similar story except my first acceptance as a Herbal medicine denials. I wasn’t into the movement Perseid and didn’t establish connections with any of them really, just had faith in believing how they work. I say this because it was during using Dr Itua herbal medicine i now then testify herbal medicine is real, Dr Itua herbal medicine cure my breast cancer I was suffering from for 2 years. Dr Itua herbal medicine is made of natural herbs which has no side effect and is easy to drink as well. Contact Dr Itua herbal Center if you are suffering from the same Breast Cancer or any kind of human Diseases including....HIV/AIDS, HERPES COLORECTAL CANCER, BLADDER CANCER, PROSTATE CANCER, KIDNEY CANCER, LUNG CANCER, SKIN CANCER, UTERINE CANCER, LEUKEMIA, VIRUS, HEPATITIS, WOMEN/MEN INFERTILITY, LOVE SPELL,LOTTERY SPELL. HIS CONTACT EMAIL/WHATSAPP: drituaherbalcenter@gmail.com/+2348149277967

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