title: Is a dipstick test sufficient to exclude urinary tract infection in women with overactive bladder?
abstract: OBJECTIVE
  A dipstick test is recommended to screen for urinary tract infection in patients with overactive bladder (OAB). It was the aim of this study to test if a dipstick test is sufficient to identify patients with urinary tract infection attending a urological private practice because of OAB.
  
  
  METHODS
  All patients who attended the practice because of OAB symptoms were routinely catheterized; a urine specimen was tested with dipstick, the spun sediment was examined microscopically, and the specimen was sent for microbiological examination.
  
  
  RESULTS
  Two thousand two hundred fifty-two patients were examined. Of 1,754 patients with negative dipstick screening, 353 patients (20.1%) had growth of ≥10(3) colony forming units. The dipstick test had a sensitivity of 0.442 and a specificity of 0.865 for the correct identification of urinary tract infection.
  
  
  CONCLUSIONS
  Dipstick screening is not sufficient to identify patients with urinary tract infection and symptoms of OAB.
authors.affiliation: Frauenklinik der Ludwig-Maximilians-Universität Muenchen, Munich, Germany.
authors.forename: Elke
authors.initials: E
authors.lastname: Hessdoerfer
authors.forename: Katharina
authors.initials: K
authors.lastname: Jundt
authors.forename: Ursula
authors.initials: U
authors.lastname: Peschers
mesh_terms: D005260:Female; D006801:Humans; D011237:Predictive Value of Tests; D011934:Reagent Strips; D053201:Urinary Bladder, Overactive / Q000150:complications*; D014552:Urinary Tract Infections / Q000150:complications / Q000175:diagnosis*
chemical_list: D011934:Reagent Strips