| Bedside diagnosis of outpatient childhood urinary tract infection using three-media dipslide culture test. | |
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MedLine Citation:
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PMID: 19495802 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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To determine the accuracy of a three-media dipslide test, the Uricult Trio, for the diagnosis of childhood urinary tract infections (UTIs), we collected urine specimens from children at the outpatient department. Two hundred consecutive patients presenting with symptoms of UTI were examined. Randomly voided, midstream, clean-catch and catheterized samples were used. Each was tested by routine laboratory culture and the dipslide test. The subjects' ages ranged from 4 months to 7 years, with a median age of 5 years. There were 112 (56%) boys and 86 (43%) girls. Of the subjects, 98 (49%) showed urine culture results indicating significant bacteriuria. There was complete agreement in 70 cases (35%). The sensitivity and specificity of the dipslide were 68% and 82%, respectively. The positive and negative predictive values were 81% and 71%, respectively. The likelihood ratio for a positive test was 3.7, while for a negative test it was 0.39. The specificity, using Escherichia coli special agar, increased to 85% and the negative predictive value to 93%. The Uricult Trio dipslide method was technically simple and could be applied in the outpatient setting. Further studies are required, however, before it can be recommended as a routine diagnostic tool. |
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Authors:
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Francisco E Anacleto; Lourdes P Resontoc; Grace H Padilla |
Publication Detail:
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Type: Journal Article Date: 2009-06-03 |
Journal Detail:
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Title: Pediatric nephrology (Berlin, Germany) Volume: 24 ISSN: 1432-198X ISO Abbreviation: Pediatr. Nephrol. Publication Date: 2009 Aug |
Date Detail:
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Created Date: 2009-06-17 Completed Date: 2009-08-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8708728 Medline TA: Pediatr Nephrol Country: Germany |
Other Details:
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Languages: eng Pagination: 1539-43 Citation Subset: IM |
Affiliation:
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Section of Pediatric Nephrology, Department of Pediatrics, Philippine General Hospital-College of Medicine, University of the Philippines Manila, Manila, Philippines. anacletomd@gmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Bacteriological Techniques Child Child, Preschool Culture Media Female Humans Infant Male Point-of-Care Systems* Prospective Studies Reproducibility of Results Urinary Tract Infections / diagnosis*, microbiology*, urine |
| Chemical | |
Reg. No./Substance:
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0/Culture Media |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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