Predicting urinary tract infections in a urogynecology population.
A retrospective chart review was performed on all new patients presenting to a urogynecology clinic. Urine dipsticks, symptoms, and cultures were evaluated to identify urinary tract infections. The most sensitive result was for the combination of nitrites or leukocytes (59%) without significant change in specificity (95%) for either result individually. The addition of the statistically significant symptoms did not improve the outcome. Based on these findings, it was determined that no combination of dipstick and/or symptoms adequately predicted an infection to the point that a recommendation to dispense with the need for a culture in this urogynecology population could be made.
Kuklinski
Deborah
D
Urogynecology Center, Medical College of Wisconsin, Milwaukee, WI, USA.
Koduri
Sumana
S
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002265:Carboxylic Ester Hydrolases / Q000652:urine; D005260:Female; D006801:Humans; D016015:Logistic Models; D008403:Mass Screening / Q000379:methods*; D008875:Middle Aged; D015999:Multivariate Analysis; D009573:Nitrites / Q000652:urine; D011237:Predictive Value of Tests; D012189:Retrospective Studies; D018570:Risk Assessment; D012680:Sensitivity and Specificity; D014552:Urinary Tract Infections / Q000150:complications / Q000517:prevention & control* / Q000652:urine; D014555:Urination Disorders / Q000209:etiology
D009573:Nitrites; C021443:leukocyte esterase; D002265:Carboxylic Ester Hydrolases