title: Bacteriuria detection with a urine dipstick applied to incontinence pads of nursing home residents.
abstract: The purpose of this study was to evaluate a new method of initial on-site evaluation of bacteriuria in an incontinent nursing home population. Nitrite and a composite of nitrite and/or leukocyte esterase results of the new method were compared with clean-catch urine culture results of each participant to determine sensitivity, specificity, positive and negative predictive values, and efficiency. These findings were compared with results of the traditional dipstick urinalysis for bacteriuria assessment. The new method was as effective as the traditional method in assessing both the presence and absence of bacteriuria. Results of this study indicate the new dipstick/pad method may assist in the assessment of bacteriuria in incontinent nursing home residents.
authors.affiliation: University of North Dakota College of Nursing, USA.
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Midthun
authors.forename: Ruth A
authors.initials: RA
authors.lastname: Paur
authors.forename: Glenda
authors.initials: G
authors.lastname: Lindseth
authors.forename: Serge P
authors.initials: SP
authors.lastname: Von Duvillard
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001437:Bacteriuria / Q000150:complications / Q000175:diagnosis* / Q000378:metabolism; D002265:Carboxylic Ester Hydrolases / Q000652:urine; D005260:Female; D006801:Humans; D016496:Incontinence Pads; D008297:Male; D008403:Mass Screening / Q000379:methods; D008875:Middle Aged; D009573:Nitrites / Q000652:urine; D009730:Nursing Assessment / Q000379:methods; D009735:Nursing Homes; D011934:Reagent Strips / Q000592:standards*; D012680:Sensitivity and Specificity; D013048:Specimen Handling / Q000379:methods; D016482:Urinalysis / Q000295:instrumentation*; D014549:Urinary Incontinence / Q000150:complications
chemical_list: D009573:Nitrites; D011934:Reagent Strips; C021443:leukocyte esterase; D002265:Carboxylic Ester Hydrolases