To the Editor: In their excellent review of the management of urinary tract infections in adults (Oct. 28 issue),1 Stamm and Hooton comment that pyuria is “usually” present in patients with cystitis. Our experience is that pyuria is always present in adults with symptomatic bacterial cystitis. Is it not incorrect to diagnose a bacterial urinary tract infection in the absence of concomitant pyuria (generally defined as more than 10 neutrophils per high-power field of centrifuged urinary sediment)? To the Editor: Stamm and Hooton list trimethoprim-sulfamethoxazole as an option for the treatment of asymptomatic bacteriuria during the first trimester of pregnancy,.
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