Risk of Contamination of Voided Urine Specimen in Women With Pelvic Organ Prolapse.
Risk of Contamination of Voided Urine Specimen in Women With Pelvic Organ Prolapse.
复制标题
盆腔器官脱垂女性排空尿液样本污染的风险。
DOI：
10.1097/spv.0000000000000760
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发表时间：
2020
影响因子：
1.6
通讯作者：
Andy,Uduak
中科院分区：
文献类型：
--
作者：
Soriano,Alex;Sansone,Stephanie;Arora,Ena;Arya,Lily;Andy,Uduak
目的本研究的主要目的是确定尿培养是否更容易在女性盆腔器官脱垂（POP）污染。次要目的是评估POP.MethodsA回顾性队列研究的妇女谁提出了2017年9月1日和2018年8月31日之间的泌尿妇科诊所的尿液试纸的测试特性。使用单变量和多变量分析估计POP的存在和污染的尿培养结果之间的关联。尿试纸的敏感性和特异性的妇女与POP.ResultsWe包括351名妇女（143和208没有POP）。POP患者年龄较大（65.4± 15.8vs60.7 ±11.0，P< 0.01），体重指数较低（26.6± 4.8vs29.2 ± 7.7kg/m2，P< 0.01），复发性尿路感染的可能性较低（3.5%vs9.6%，P= 0.03）。POP组尿培养阳性率为55.9%，高于非POP组的40.9%（P< 0.01）。3期和4期脱垂患者尿培养污染率高于2期脱垂患者（59.6%比41.0%，P< 0.01）。在多变量分析中，POP女性患者尿培养污染的几率仍然较高（比值比，1.89; 95%置信区间，1.20-2.99）。在妇女与POP，敏感性（23.5%）和阳性预测值（66.7%）的尿dipstick是穷人。ConclusionsWomen与POP更有可能提供一个污染的尿培养时，收集中段尿标本。
ObjectivesThe primary aim of this study was to determine if urine cultures are more likely to be contaminated in women with pelvic organ prolapse (POP). The secondary aim was to evaluate the test characteristics of a urine dipstick in women with POP.MethodsA retrospective cohort study was conducted of women who presented to the urogynecology clinic between September 1, 2017, and August 31, 2018. Associations between the presence of POP and contaminated urine culture results were estimated using univariable and multivariable analyses. The sensitivity and specificity of a urine dipstick in women with POP were calculated.ResultsWe included 351 women (143 with and 208 without POP). Women with POP were older (65.4±15.8 vs 60.7±11.0 years, P< 0.01), had a lower body mass index (26.6±4.8 vs 29.2±7.7 kg/m 2, P< 0.01), and were less likely to have recurrent urinary tract infections (3.5% vs 9.6%, P= 0.03). Women with POP were more likely to have a contaminated urine culture than women without POP (55.9% vs 40.9%, P< 0.01). Rates of contaminated urine culture were higher in women with stage 3 and 4 prolapse than in women with stage 2 prolapse (59.6% vs 41.0%, P< 0.01). On multivariate analysis, the odds of contaminated urine culture remained higher in women with POP (odds ratio, 1.89; 95% confidence interval, 1.20–2.99). In women with POP, the sensitivity (23.5%) and positive predictive value (66.7%) of a urine dipstick were poor.ConclusionsWomen with POP are more likely to provide a contaminated urine culture when collecting a midstream urine specimen.
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影响因子：
120.7
作者：
Mody, Lona;Juthani-Mehta, Manisha
通讯作者：
Juthani-Mehta, Manisha
盆腔器官脱垂患者无症状镜下血尿的频率是否增加？
影响因子：
2.1
作者：
H. Brazell;D. O’Sullivan;A. Steinberg
通讯作者：
A. Steinberg
尿培养污染：美国病理学家学院 Q-Probes 对 906 家机构的受污染尿培养进行的研究。
影响因子：
4.6
作者：
P. Valenstein;F. Meier
通讯作者：
F. Meier
影响因子：
9.8
作者：
Ellerkmann, RM;Cundiff, GW;Bent, AE
通讯作者：
Bent, AE
DOI：
10.1056/nejmoa1302186
发表时间：
2013-11-14
期刊：
The New England journal of medicine
影响因子：
--
作者：
Hooton TM;Roberts PL;Cox ME;Stapleton AE
通讯作者：
Stapleton AE