Streptococcus agalactiae as a urinary tract pathogen in males and non-pregnant females

Int Urol Nephrol. 1991;23(4):365-9. doi: 10.1007/BF02549609.

Abstract

The role of Streptococcus agalactiae (group B streptococci, GBS) was investigated for a period of one year in different clinical forms of urinary tract infection in males and non-pregnant females over 14 years of age. The pathogen has been isolated in quantities of greater than or equal to 10(5) cfu/ml in midstream voided urine from 32 patients with clinical signs of urinary tract infection and pathologic urinary sediment. In every group of B isolates the antibiotic sensitivity to antimicrobial agents was determined by the single disk method of Kirby-Bauer. GBS with the same characteristics were established in urethral specimens of 4 males as well as in the vagina and faeces of 11 females. As a rule, peroral treatment with ampicillin proceeded successfully. In addition, women with streptococcal vaginitis were treated topically with 2% solution of chlorhexidine. Our results have demonstrated that GBS might cause urinary tract infection, but the evaluation of GBS isolated in urine specimens is complex.

MeSH terms

  • Bacteriuria
  • Diabetes Mellitus / microbiology
  • Female
  • Humans
  • Male
  • Microbial Sensitivity Tests
  • Postoperative Complications / microbiology
  • Streptococcal Infections* / diagnosis
  • Streptococcal Infections* / drug therapy
  • Streptococcus agalactiae / drug effects
  • Streptococcus agalactiae / isolation & purification*
  • Urethra / microbiology
  • Urinary Tract Infections / diagnosis
  • Urinary Tract Infections / drug therapy
  • Urinary Tract Infections / microbiology*