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abnormalities acute cystitis acute pyelonephritis adherence adhesins ampicillin antibacterial antibiotic antibody antigen antimicrobial antimicrobial therapy arrows associated asymptomatic bacteriuria bacte bacteremia bacteriuria bacteriuric bladder calculi catheter-associated catheterized patients cause cent Clin clinical collecting system colonization complications cystitis demonstrated detection diagnosis drainage dysuria elderly Engl episodes epithelial cells Escherichia coli evaluation factors focal bacterial nephritis frequency gram-negative hemolysin indwelling Infect Immun Infectious Diseases inflammatory isolated Kass EH kidney Lancet lesions long-term mass Medicine methenamine nephritis nitrofurantoin normal obstruction organisms parenchymal pathogenesis pathogens perinephric abscess periurethral present prostatic fluid prostatic secretions Proteus pyelonephritis pyonephrosis pyuria receptors recurrent urinary tract reflux reinfection renal carbuncle renal infection renal parenchyma renal scarring screening sonography specimens Stamey strains studies suprapubic susceptibility Svanborg symptomatic urinary tract symptoms teriuria tion trimethoprim upper tract urethral catheter urethral catheterization urinary infection urinary tract infection urine urine culture uroepithelial cells Urol Urology uropathogens vaginal virulence