Routine postcesarean urine culture. A cost-effectiveness analysis.
Paired urinalysis and urine culture reports on 302 postcesarean patients were studied to determine whether screening postcesarean urinalyses could be useful in predicting positive urine cultures. A positive culture was predicted with a specificity of 97.5% and a sensitivity of 90.4%. The screening urinalysis had a positive predictive value of 73.1% and a negative predictive value of 99.3%. Routine postcesarean urine cultures were not found to be cost effective.
Sakala
E P
EP
Department of Gynecology and Obstetrics, Loma Linda University Medical Center, California 92350.
Fillmore
K
K
Murray
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RD
D002140:California; D002585:Cesarean Section; D003362:Cost-Benefit Analysis; D003955:Diagnostic Tests, Routine / Q000191:economics*; D005260:Female; D006801:Humans; D011184:Postoperative Period; D011247:Pregnancy; D011645:Puerperal Infection / Q000175:diagnosis; D012680:Sensitivity and Specificity; D014552:Urinary Tract Infections / Q000175:diagnosis; D014556:Urine / Q000032:analysis / Q000382:microbiology*