UNASSIGNED: We used multinomial logistic regression to analyze 9,650 encounters of female patients who were aged ≥18 years and who underwent testing for STIs. The ED encounters took place from April 18, 2014-March 7, 2017. We used a multivariable regression analysis to account for patient demographics, urinalysis findings, vaginal wet-mount results, and positive or negative (or no) findings from the urine culture and testing for Neisseria gonorrhoeae, Chlamydia trachomatis, or Trichomonas vaginalis.
UNASSIGNED: In multivariable analysis, infection with T vaginalis, N gonorrhoeae, or C trachomatis was not associated with having a urine culture yielding 10,000 or more colony-forming units per mililiter (CFU/mL) of bacteria compared with a urine culture yielding less than 10,000 CFU/mL or no urine culture obtained. The diagnosis of a UTI in the ED was not associated with having a urine culture yielding 10,000 or more CFU/mL compared with a urine culture yielding less than 10,000 CFU/mL.
UNASSIGNED: After adjusting for covariates, no association was observed between urine culture results and testing positive for trichomoniasis, gonorrhea, or chlamydia. Our results suggest that having a concurrent STI and bacterial UTI is unlikely.
■我们使用多项逻辑回归分析了9650例年龄≥18岁并接受性传播感染检测的女性患者。ED相遇发生在2014年4月18日至2017年3月7日。我们使用多变量回归分析来解释患者的人口统计学,尿液分析结果,阴道湿装结果,尿液培养和淋病奈瑟菌检测结果呈阳性或阴性(或无),沙眼衣原体,或者阴道毛滴虫.
■在多变量分析中,阴道T细胞感染,淋病N,或沙眼衣原体与尿培养物产生10,000或更多菌落形成单位/毫升(CFU/mL)细菌的尿培养物无关,而尿培养物产生少于10,000CFU/mL或未获得尿培养物。ED中UTI的诊断与尿培养物产生10,000或更高的CFU/mL无关,而尿培养物产生少于10,000CFU/mL。
■调整协变量后,尿培养结果与滴虫检测阳性之间未观察到关联,淋病,或者衣原体.我们的结果表明,并发STI和细菌UTI不太可能。