title: Performance of the Sysmex UF-1000i urine analyser in the rapid diagnosis of urinary tract infections in hospitalized patients.
abstract: BACKGROUND
  Urinary tract infections (UTIs) are the second most frequently encountered nosocomial infectious diseases, and they greatly increase the cost of medical care and prolong the duration of hospital stays.
  
  
  OBJECTIVE
  We aimed to evaluate the performance of the Sysmex UF-1000i analyser for the rapid prediction of UTIs in hospitalized patients with or without indwelling catheters at a comprehensive teaching hospital that encounters complex disease types.
  
  
  METHODS
  Urine specimens (n = 1016) were cultured and examined for WBC, RBC, bacteria (BACT) and yeast-like cell (YLC) count using the Sysmex UF-1000i. The results were compared with the urine culture results. Receiver operating characteristic curve analysis was applied to determine BACT and YLC cutoff values for bacterial and fungal UTIs independently. The diagnostic ability of the UF-1000i was also compared for patients with and without indwelling catheters.
  
  
  RESULTS
  A cutoff value of 38.7/μL was acceptable for ruling out bacterial UTIs. In this setting, we achieved a sensitivity of 90%, a negative predictive value of 94.5%, a false negative rate of 2.85% (29 cases), and avoided culturing in 52% of the samples. The BACT count presented a larger area under the curve for patients with indwelling catheters than for those without (0.939 vs. 0.861); however, no significant difference in the diagnostic ability of the two curves was found.
  
  
  CONCLUSIONS
  The Sysmex UF-1000i analyser could be a reliable method for excluding bacterial UTIs in hospitalized patients with or without urinary catheters and could help clinicians determine whether antibiotic therapy is necessary.
authors.affiliation: Clinical Laboratory, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China.
authors.forename: Zhian
authors.initials: Z
authors.lastname: Le
authors.affiliation: Clinical Laboratory, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China.
authors.forename: Fengying
authors.initials: F
authors.lastname: Li
authors.affiliation: Clinical Laboratory, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China.
authors.forename: Chunrong
authors.initials: C
authors.lastname: Fei
authors.affiliation: Clinical Laboratory, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China.
authors.forename: Aiqing
authors.initials: A
authors.lastname: Ye
authors.affiliation: Clinical Laboratory, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China.
authors.forename: Xinyou
authors.initials: X
authors.lastname: Xie
authors.affiliation: Clinical Laboratory, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang 310016, China. Electronic address: jameszhang2000@163.com.
authors.forename: Jun
authors.initials: J
authors.lastname: Zhang
mesh_terms: D002408:Catheters, Indwelling; D005260:Female; D005434:Flow Cytometry / Q000295:instrumentation*; D006760:Hospitalization; D006801:Humans; D008297:Male; D013997:Time Factors; D014552:Urinary Tract Infections / Q000175:diagnosis*; D014556:Urine / Q000382:microbiology*; D014572:Urology / Q000295:instrumentation*
keywords: Nosocomial infections; Pathogen diagnostics; UF-1000i; Urinary tract infections