LA DYSURIE CHEZ LES FEMMES: EVALUATION BACTERIOLOGIQUE ET CORRELATION ENTRE LES CULTURES URINAIRES ET LA COLONISATION VAGINALE

Ninety-five women, average age 37.7 years, who complained of dysuria, were examined in our clinic. After urinary and vaginal swab cultures were taken, results were compared. In 36 women (37.9%) a significant bacterial growth was found on urinary culture (more than 100,000 colonies per ml). Among women with sterile urinary cultures, we found 8 (8.4%) who had a bacterial growth on vaginal swab culture and 13 (13.7%) who had a Candida growth. Escherichia coli was the most common pathogen, both in the urinary and in the vaginal cultures. We found 38 women (40%) complaining of dysuria who had sterile cultures. Of the 32 women with bacterial growth on vaginal swab cultures, we found 24 women (75%) who had significant bacteriuria, while in 63 women without bacterial growths in vaginal swab cultures we found significant bacteriuria in only 12 cases (19%) (p < 0.001; x 2 = 28,23; odds ratio = 12.75). In conclusion, our work emphasizes the probable causal link between bacterial vaginal infections and bacterial urinary tract infection in women complaining of dysuria.