Clinical evaluation of a rapid diagnostic screen (URISCREEN) for bacteriuria in children.
OBJECTIVE
We assessed clinical use of the URISCREEN test for detecting significant bacteriuria in children and compared it to standard quantitative culture.


METHODS
URISCREEN detects catalase in urine samples, reflecting the presence of at least 50,000 colony-forming units per ml. or 10 somatic cell per high power field. Catheterized urine specimens from 200 consecutive children scheduled to undergo urodynamic evaluation were tested by URISCREEN and quantitative culture methods. Sensitivity, specificity, positive and negative predictive values, and accuracy were determined.


RESULTS
Of these specimens there were 22 false-positive and 16 false-negative URISCREEN results. Sensitivity was 65.2%, specificity 85.7%, positive predictive value 57.7%, negative predictive value 89.2% and overall accuracy 81%.


CONCLUSIONS
URISCREEN is a rapid screen for bacteriuria. However, the high false-negative rate limits clinical use in the pediatric urological patient for whom detecting infection is essential.
Palmer
L S
LS
Division of Urology, Children's Memorial Hospital, Northwestern University Medical School, Chicago, Illinois, USA.
Richards
I
I
Kaplan
W E
WE
D000293:Adolescent; D001431:Bacteriological Techniques; D001437:Bacteriuria / Q000175:diagnosis* / Q000652:urine; D002648:Child; D002675:Child, Preschool; D005188:False Negative Reactions; D005189:False Positive Reactions; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D012680:Sensitivity and Specificity; D013997:Time Factors