Limited usefulness of urinary dipsticks to screen out catheter-associated bacteriuria in ICU patients.
The use of urinary dipsticks to screen out sterile urine specimens was investigated in catheterized ICU patients. During a three-month period, each urine sample quantitatively cultured was concurrently tested at the bedside with a dipstick. A total of 102 urine samples taken from 43 patients were analysed. Thirty-eight of them showed bacterial or yeast growths (incidence rate, 37%). The negative predictive value of the leukocyte esterase pad and/or the nitrate test pad to screen out sterile urine samples was 81%, indicating that dipsticks cannot routinely be proposed to select catheterized ICU patients for quantitative culture of urine.
Mimoz
O
O
Service d'Anesthésie Réanimation Chirurgicale, Hôpital Bicêtre, France.
Bouchet
E
E
Edouard
A
A
Costa
Y
Y
Samii
K
K
D001419:Bacteria / Q000302:isolation & purification; D001437:Bacteriuria / Q000175:diagnosis* / Q000382:microbiology / Q000652:urine; D002175:Candida / Q000302:isolation & purification; D002265:Carboxylic Ester Hydrolases / Q000652:urine; D002408:Catheters, Indwelling / Q000009:adverse effects; D015169:Colony Count, Microbial; D003422:Critical Care; D016983:Enterococcus / Q000302:isolation & purification; D004926:Escherichia coli / Q000302:isolation & purification; D005260:Female; D006801:Humans; D007709:Klebsiella / Q000302:isolation & purification; D008297:Male; D008875:Middle Aged; D009566:Nitrates / Q000652:urine; D010362:Patients' Rooms; D011237:Predictive Value of Tests; D011549:Pseudomonas / Q000302:isolation & purification; D011934:Reagent Strips; D012680:Sensitivity and Specificity; D013210:Staphylococcus / Q000302:isolation & purification; D014546:Urinary Catheterization / Q000009:adverse effects* / Q000295:instrumentation
D009566:Nitrates; D011934:Reagent Strips; C021443:leukocyte esterase; D002265:Carboxylic Ester Hydrolases