Monday, June 15, 2015

Loyola Study Debunks Common Myth That Urine is Sterile

Research challenges misconception among doctors

MAYWOOD, Ill. -- Researchers have determined that bacteria are present in the bladders of some healthy women, which discredits the common belief that normal urine is sterile. These findings were published in the April issue of the Journal of Clinical Microbiology by researchers at Loyola University Chicago Stritch School of Medicine (SSOM).

“Doctors have been trained to believe that urine is germ-free,” said Linda Brubaker, MD, MS, dean, SSOM. “However, these findings challenge this notion, so this research may have positive implications for how we treat patients with urinary tract conditions in the future.”

This study evaluated urine specimens of women who had symptoms consistent with a urinary tract infection (UTI), but were free of known UTIs. Urine samples were collected from standard urination, through a catheter, or from a thin needle inserted into the abdomen while the women were under anesthesia for gynecologic surgery. The urine was analyzed using advanced DNA-based detection methods. These tests determined that the adult female bladder can contain certain forms of bacteria that are not identified by urine culture techniques that are typically used to diagnose UTIs.

“While urine cultures have been the gold standard to identify UTIs in the past, they have limited utility,” said Alan Wolfe, PhD, co-author and professor of Microbiology and Immunology, SSOM. “They are not as effective as the DNA-based detection measures used in this study.”

This study also looked at collection methods to test urine for bacteria. The results revealed that the standard method to catch urine in a cup poses problems, because bacteria from the vagina often contaminate these specimens. In contrast, urine collection using a catheter or a needle was effective and comparable between tests.

Loyola researchers now plan to determine which bacteria in the bladder are helpful and which are harmful. They also will look at how these bacteria interact with each other and with their host, and how we can use this information to help patients. This research is in line with a larger international effort that is underway to identify the core bacterial composition of a healthy human body. Researchers strive to correlate changes in the composition of bacterial communities in and on the body with certain diseases.

“Further studies are needed to determine if the bacteria found in the bladders of women in this study are relevant to urinary tract conditions,” Dr. Brubaker said. “If that is the case, these studies could make it possible to identify women who are at-risk for these conditions, which may change how we manage patients.”

About Loyola University Health System

Loyola University Health System (LUHS) is part of Trinity Health. Based in the western suburbs of Chicago, LUHS is a quaternary care system with a 61-acre main medical center campus, the 36-acre Gottlieb Memorial Hospital campus and more than 30 primary and specialty care facilities in Cook, Will and DuPage counties. Loyola University Medical Center’s campus is conveniently located in Maywood, 13 miles west of Chicago’s Loop and 8 miles east of Oak Brook, Ill. At the heart of the medical center campus is a 559-licensed-bed hospital that houses a Level 1 Trauma Center, a Burn Center and the Ronald McDonald® Children's Hospital of Loyola University Medical Center. Also on campus are the Cardinal Bernardin Cancer Center, Loyola Outpatient Center, Center for Heart & Vascular Medicine and Loyola Oral Health Center as well as Loyola University Chicago Stritch School of Medicine, Loyola University Chicago Marcella Niehoff School of Nursing and the Loyola Center for Fitness. Loyola's Gottlieb campus in Melrose Park includes the 255-licensed-bed community hospital, the Professional Office Building housing 150 private practice clinics, the Adult Day Care, the Gottlieb Center for Fitness, Loyola Center for Metabolic Surgery and Bariatric Care and the Loyola Cancer Care & Research at the Marjorie G. Weinberg Cancer Center at Melrose Park.

Trinity Health is a national Catholic health system with an enduring legacy and a steadfast mission to be a transforming and healing presence within the communities we serve. Trinity is committed to being a people-centered health care system that enables better health, better care and lower costs. Trinity Health has 88 hospitals and hundreds of continuing care facilities, home care agencies and outpatient centers in 21 states and 119,000 employees.