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Louis L. Keeler, Jr, MD
Haddon Heights, NJ

JAMA. 1994;271(18):1399.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—I was pleased to see the article by Bachman et al¹ regarding the various tests to detect asymptomatic urinary tract infections (AUTIs). I have long been a proponent of Gram's stain of the spun urinary sediment as the prime method for diagnosing UTI. It is inexpensive and fast and can be done in the office as part of the office visit. It saves the health care system a lot of money, and I am suspicious that this is the reason that it has not succeeded.

There is little need for performing urine cultures in the office. If Gram's stain of the spun urinary sediment is positive, the patient can be treated 98% of the time with an inexpensive drug such as trimethoprim in combination with a sulfa drug or nitrofurantoin, since practically all organisms seen in outpatients are easily treated. If Gram's stain of the spun . . . [Full Text PDF of this Article]

Footnotes
Edited by Drummond Rennie, MD, Deputy Editor (West), and Margaret A. Winker, MD, Senior Editor.

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