Paper I
2021 May (Supplementary) (2010 Scheme) · 40 marks · 120 min

Question

Define significant bacteriuria. Two examples of bacteria causing UTI

Q92 marksShort Notes

Answer

Significant bacteriuria (Kass’s criterion) is defined as the presence of ≥10⁵ colony-forming units (CFU) per mL of a single bacterial species in a properly collected, clean-catch midstream urine sample — this threshold distinguishes true urinary tract infection from contamination by periurethral/perineal flora. (Lower counts, e.g., ≥10²–10³ CFU/mL, may still be considered significant in symptomatic patients, in suprapubic aspirate samples, or with certain fastidious organisms.)

Two examples of bacteria causing UTI: Escherichia coli (the commonest cause) and Klebsiella pneumoniae.

(Other valid examples: Proteus mirabilis, Staphylococcus saprophyticus, Enterococcus faecalis, Pseudomonas aeruginosa.)

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