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John W. Bachman, MD
Mayo Clinic Rochester, Minn

JAMA. 1994;271(18):1399-1400.

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

In Reply.

—Our study reaffirms the value of Gram's stain. It is still the preferred test for same-day results in diagnosing AUTIs.

We did not present data about low leukocyte counts and UTIs. In our preliminary analysis, we found that in our patient population even leukocyte counts less than 4 cells per high-power field were not discriminatory.

The cost of a urine dipstick was 26 cents. It can be performed easily during the patient's visit and recorded directly in the medical record. In our practice, the price has been absorbed. A central laboratory that charges $11 does so to include the cost of such things as transport, laboratory personnel, paperwork, and pathologist supervision. A clinician may choose a less expensive and simpler approach. Another advantage is that the US Preventive Guidelines¹ call for urine dipstick testing for protein and glucose at each prenatal visit. If one adds the nitrite . . . [Full Text PDF of this Article]

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