Kan man stole på urinmikroskopi og dyrkning, der er udført i almen praksis?

作者: Per Grinsted , Lars Bjerrum , Per Søgaard

DOI:

关键词:

摘要: Introduction Urinary tract infections (UTI) account for 2-5% of consultations in general practice, but only about half the patients with dysuria have significant bacteriuria (> 100,000 bacteria per ml). A microbiological diagnosis can be made by examination a urine sample, and Danish family practice UTI is often reached microscopic analysis or dip-slide culture test. These methods high validity when performed hospital, we need knowledge examinations practice. The aim this study was to validate detection microscopy Material Urine specimens artificially produced adding known quantity (Escherichia coli, Proteus mirabilis, Enterobacter cloacae, Staphylococcus epidermidis Enterococcus faecalis) sterile were sent 25 practices culture. No prior instruction testing procedure given. As gold standard, results standardised method skilled laboratory technicians at Department Microbiology, University Southern Denmark, used. Results Significant identified sensitivity 95% specificity 83%. corresponding figures 96%. morphology interpreted correctly 80% examinations, 60% strains classified terms their motility. Discussion are relied on.

参考文章(18)
Timo T Kouri, Vanya A Gant, Giovanni B Fogazzi, Walter Hofmann, Hans O Hallander, Walter G Guder, Towards European urinalysis guidelines Clinica Chimica Acta. ,vol. 297, pp. 305- 311 ,(2000) , 10.1016/S0009-8981(00)00256-4
N F Lightfoot, H Yoxall, D Greig, C Hiscoke, Validation of a method for the rapid diagnosis of urinary tract infection suitable for use in general practice. British Journal of General Practice. ,vol. 40, pp. 403- 405 ,(1990)
J S Ditchburn, R K Ditchburn, A study of microscopical and chemical tests for the rapid diagnosis of urinary tract infections in general practice. British Journal of General Practice. ,vol. 40, pp. 406- 408 ,(1990)
D. Vickers, T. Ahmad, M.G. Coulthard, Diagnosis of urinary tract infection in children: fresh urine microscopy or culture? The Lancet. ,vol. 338, pp. 767- 770 ,(1991) , 10.1016/0140-6736(91)90662-9
Ron AG Winkens, Pieter Leffers, Thera AM Trienekens, Ellen E Stobberingh, The validity of urine examination for urinary tract infections in daily practice. Family Practice. ,vol. 12, pp. 290- 293 ,(1995) , 10.1093/FAMPRA/12.3.290
Sven Ferry, Lars G. Burman, Bengt Mattsson, Urinary Tract Infection in Primary Health Care in Northern Sweden: I. Epidemiology Scandinavian Journal of Primary Health Care. ,vol. 5, pp. 123- 128 ,(1987) , 10.3109/02813438709013988
M. G. Morgan, H. McKenzie, Controversies in the laboratory diagnosis of community-acquired urinary tract infection. European Journal of Clinical Microbiology & Infectious Diseases. ,vol. 12, pp. 491- 504 ,(1993) , 10.1007/BF01970954
Ronald D. Jenkins, Review of Urine Microscopy for Bacteriuria JAMA: The Journal of the American Medical Association. ,vol. 255, pp. 3397- 3403 ,(1986) , 10.1001/JAMA.1986.03370240067039
U. Larinkari, M. Rautio, Evaluation of a new dipslide with a selective medium for the rapid detection of beta-glucuronidase-positive Escherichia coli. European Journal of Clinical Microbiology & Infectious Diseases. ,vol. 14, pp. 606- 609 ,(1995) , 10.1007/BF01690735