Table 1.
Term | Description | Definition | Details |
---|---|---|---|
Bacteriuria | Presence of bacteria in urine; density is expressed as colony forming units (cfu) organism per millilitre (mL) | Presence or absence of symptoms must be determined | Variables for the definition: method of sampling number of specimens cfu organism /mL gender |
Asymptomatic bacteriuria | Isolation of a specified quantitative count of bacteria in an appropriately collected urine specimen obtained from a person without symptoms or signs referable to urinary infection | ≥105 cfu of the same organism/mL in 2 consecutive clean voided urine specimens (midstream) for women, or 1 specimen (midstream) for men | If urine is obtained via catheterization, definition includes ≥102 cfu organism/mL in 1 specimen. In persons with indwelling urinary catheter, ≥103 cfu organism/mL in 1 specimen. |
Pyuria | Presence of increased numbers of PMN* leukocytes in urine | No uniformly accepted definition (e.g., ≥103 WBC*/mL in non-centrifuged urine). Often referred to as marked leukocyturia | Terms pyuria and leukocyturia often used interchangeably |
Leukocyturia | Presence of (undifferentiated) leukocytes in urine | ≥10 leukocytes per microscopic field or positive leukocyte esterase result in a reagent strip test | The cut-off (number of leukocytes per microscopic field) can vary between laboratories |
Acute uncomplicated urinary tract infection in women | A symptomatic bladder infection characterized by frequency, urgency, dysuria or suprapubic pain in a woman with a normal urinary tract |
≥102 cfu/mL organism in voided urine or via catheterization obtained in urine from 1 specimen. In persons with indwelling urinary catheter, ≥103 cfu organism/mL in 1 specimen. | Absence of pain and tenderness in the costovertebral angle, no fever, no bacteraemia, no functional or structural abnormalities of the genitourinary tract |
* PMN, polymorphonuclear; WBC, white blood cells