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January 2, 1981

Pathogenesis and Treatment of Urinary Tract Infections

Author Affiliations

Albany Medical College Albany, NY


by Thomas Stamey, 612 pp, with illus, $54, Baltimore, Williams & Wilkins Co, 1980.

JAMA. 1981;245(1):77. doi:10.1001/jama.1981.03310260055035

This monograph thoroughly updates the author's previous work on the same subject published in 1972, entitled Urinary Infections. Dr Stamey has devoted more than 25 years to a careful analysis of the causes and cures of urinary tract infections in both men and women, and his clinical experience and research as well as the important work of others are systematically expounded in this volume.

I cannot argue with Dr Stamey for leaving chapter 3 intact as it is indeed an "in-depth" clinical-pathological study of pyelonephritis, which has no match.

Dr Stamey develops the important concept that 20% of symptomatic patients will have fewer than 100,000 bacteria per milliliter in their bladder urine and that physicians should not withhold treatment because the culture results show fewer than the "standard" 100,000 bacteria per milliliter. In the chapter "Urinary Tract Infections in Women," he further emphasizes that pathogenic bacteria present in low counts