title: Evaluation of a new rapid urine screening analyser: CellFacts.
abstract: The aim of this study was to evaluate a new urine screening analyser in a Hospital Bacteriology Laboratory: the Cellfacts Urine Screening Analyser (Microbial Systems Limited (MSL), Coventry, England). A cohort of 1036 urine specimens were analysed by both the CellFacts and routine traditional methods. Using the CDC urinary tract infection decision levels, and compared to reference methods, the sensitivity and specificity were respectively 88.9% and 76.2%, and the predictive negative value and predictive positive value respectively 93.3% and 64.8%. Compared to the microscopy, the correlations of white blood cell count and red blood cell count were good, respectively (r = 0.8, p < 0.0001) and (r = 0.6, p < 0.0001). These results indicate that, although several positive samples were not reported, CellFacts facilitates efficient, rapid screening of infected urine specimens. This leads to perform a cytobacteriological analysis only on those results screened as positive by the automatic analysis system.
authors.affiliation: Department of Bacteriology, CHU Bellevue Hospital, 42055 Saint-Etienne, France.
authors.forename: H
authors.initials: H
authors.lastname: Gentelet
authors.forename: A
authors.initials: A
authors.lastname: Carricajo
authors.forename: P
authors.initials: P
authors.lastname: Rusch
authors.forename: C
authors.initials: C
authors.lastname: Dow
authors.forename: G
authors.initials: G
authors.lastname: Aubert
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001331:Automation; D001437:Bacteriuria / Q000175:diagnosis / Q000652:urine; D002648:Child; D002675:Child, Preschool; D005188:False Negative Reactions; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015203:Reproducibility of Results; D013997:Time Factors; D016482:Urinalysis / Q000295:instrumentation*; D014552:Urinary Tract Infections / Q000175:diagnosis* / Q000382:microbiology; D014556:Urine / Q000382:microbiology