Title: Staphylococcus Saprophyticus - an overview | ScienceDirect Topics
Headings: Staphylococcus Saprophyticus
Staphylococcus Saprophyticus
Urinary Tract Infections
Bacteria
Non-Neoplastic Diseases of the Urinary Bladder
BACTERIAL CYSTITIS
Bacterial Infections
Infectious Agents
Urinary Tract Infections in Adults
Etiologic Agents
Urinary Tract Infection, Lower (Cystitis), Uncomplicated
What Not To Do:
Cystitis
Etiology
Cystitis and Urethral Syndromes
Infecting Organisms
Immuno-Biosensor
5.5 Urinary Tract Infection Diagnosis
Staphylococcal Infections
Coagulase-Negative Staphylococci
Urinary Tract Infection, Pyelonephritis, and Reflux Nephropathy
Bacterial Pathogens

Content: Do not use the single-dose or 3-day regimens for a possible upper UTI or pyelonephritis (see Chapter 86 ). Do not rely on gross inspection of the urine sample. Cloudiness is usually caused by crystals, and odors can result from diet or medication. Do not request a follow-up visit or culture after therapy unless symptoms persist or recur. Discussion
Lower UTI or cystitis is a superficial bacterial infection of the bladder or urethra. Most of these infections involve Escherichia coli, Staphylococcus saprophyticus, or enterococci. The urine dipstick is a reasonable screening measure that can direct therapy if results are positive. Under the microscope in a clean sediment (free of epithelial cells), one WBC per 400 field suggests significant pyuria, although clinicians accustomed to imperfect samples usually set a threshold of 3 to 5 WBCs per field. In addition, Trichomonas organisms may be appreciated swimming in the urinary sediment, indicating a different cause for urinary symptoms or associated vaginitis. In a straightforward lower UTI, urine culture may be reserved for cases that fail to resolve with single-dose or 3-day therapy.