Evaluation of Pyuria and Gram Stain as a Test for Significant Bacteriuria at Rims Hospital, Raichur
Journal Title: Indian Journal of Pathology: Research and Practice - Year 2018, Vol 7, Issue 11
Abstract
Introduction: Urinary tract infections have been described since ancient times with the documented description in the Eber papyrus dated to C. 1550 BC. It was described by the Egyptians as “Sending forth heat from the bladder”. Effective treatment did not occur until the development and availability of the antibiotics in 1930s before which time herbs, blood testing and rest were recommended. Methodology: This study was conducted to evaluate the utility of urine microscopy that is pyuria & gram stain in predicting significant bacteriuria. At the same time helping to selectively culture only those samples which are positive for microscopy hence making urine culture a cost effective diagnostic method. Hence with the advantage of greater rapidity and simplicity of urine analysis with the above mentioned methods will help to screen for significant bacteriuria and guide the clinicians to a start an empirical treatment in UTI. If urine samples are not processed immediately the samples were kept in the refrigerator at 4oc till it is processed. All the samples were processed within 6hrs of collection. Results: Out of 100 cases, 66 were of females and 34 were of males. The present study indicates that 65 (65%) samples were of patient aged 20-30 years. 20 (20%) samples were of the patient aged 30-40 years. 15 (15%) samples were of patient aged 40-60 years respectively. This shows that maximum patients were aged between 20-30 years. Conclusion: Urine analysis by gram stain and microscopic examination as a initial diagnostic tool both in symptomatic and asymptomatic cases has high sensitivity and specificity rates.
Authors and Affiliations
Priyanka S. Sangurmath
Keywords
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- EP ID EP529987
- DOI 10.21088/ijprp.2278.148X.71118.2
- Views 66
- Downloads 0
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