[Evaluation of the urinalysis of the diabetic patient in primary care].
OBJECTIVE
To study the level of concordance between the reactive strip, urine sediment and culture, and their sensitivity, specificity and predictive values.


METHODS
Crossover study.


METHODS
Sotrondio and Laviana Health Centres, Asturias.


METHODS
Diabetics of 14 or over included in the procedure.


RESULTS
A total of 165 analytical samples of blood and urine were studied. The variables were: age, sex, reactive strip (RS) of urine, sediment (S), binomial concordance of reactive strip-sediment (RS-S), culture (C) and metabolic control. The level of concordance between the variables was found through the Kappa index. Very high concordance was obtained in the RS-S and C comparisons (K = 0.49). The analysis of the variable RS-S displayed sensitivity of 66% and specificity of 87%.


CONCLUSIONS
Finding a low concordance between reactive strip, sediment and culture suggests their non-exclusive character. The importance of requesting urine sediment instead of the reactive strip for diabetics is indicated. Urine culture could well be included in the diabetic protocol.
Piedra de la Llana
F
F
Centro de Salud de Sotrondio, Unidad Docente de MFyC de Asturias.
Fernández Menéndez
M J
MJ
Quirós Infiesta
A
A
Muriel Velasco
A I
AI
D000293:Adolescent; D000328:Adult; D001437:Bacteriuria / Q000382:microbiology; D016009:Chi-Square Distribution; D003430:Cross-Sectional Studies; D003920:Diabetes Mellitus / Q000382:microbiology / Q000652:urine*; D005260:Female; D006801:Humans; D008297:Male; D011320:Primary Health Care; D011379:Prognosis; D012680:Sensitivity and Specificity; D013030:Spain; D016482:Urinalysis / Q000706:statistics & numerical data
Evaluación del uroanálisis del diabético en atencion primaria.