Role of dipstick testing in the evaluation of urinary tract infection in nursing home residents

Role of dipstick testing in the evaluation of urinary tract infection in nursing home residents
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DOI:
10.1086/518752
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发表时间:
2007-07-01
影响因子:
4.5
通讯作者:
Quagliarello, Vincent
Quagliarello, Vincent
中科院分区:
医学4区
文献类型:
--
作者:
Juthani-Mehta, Manisha;Tinetti, Mary;Quagliarello, Vincent

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在 101 名疑似尿路感染 (UTI) 的疗养院居民中,与 UTI 的实验室证据(尿液分析大于 10 个白细胞/mm(3),尿培养大于 100,000 个菌落形成单位/mL)相比,我们确定白细胞酯酶和亚硝酸盐试纸检测的阴性预测值为 100%(95% 置信区间,74%-100%)。疗养院试纸测试有效排除了尿路感染的可能性。
Among 101 nursing home residents with suspected urinary tract infection (UTI), we determined the negative predictive value of dipstick testing for leukocyte esterase and nitrite to be 100% (95% confidence interval, 74%-100%), compared with laboratory evidence of UTI (greater than 10 white blood cells/ mm(3) on urinalysis and greater than 100,000 colony forming units/ mL on urine culture). Nursing home dipstick testing effectively excluded the possibility of UTI.