Gram Staining As a Predictor of Urinary Tract Infection.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 12
Abstract
Introduction: Urinary tract infection is one of the most common bacterial infection encountered in clinical practices both in community as well as in hospital settings. UTIs are the second most frequently occurring infections in the general populations after upper respiratory infections. Gram staining of the uncentrifuged urine is a useful guide tool to avoid undue delay for starting empiric therapy for suspected patients of urinary tract infection thus helping to decrease the burden of morbidity caused by chronic UTIs. Material and Methods: This prospective study was conducted in bacteriology section of the Department of Microbiology, Rajendra Institute of Medical Sciences, (RIMS) Ranchi, from September 2017 to January 2018. After taking permission from ethical committee from RIMS, Ranchi a total of 100 uncentrifuged mid-stream urine samples within one hour of collection, were processed for wet mount direct microscopy, gram staining and subsequently semi quantitative culture. Results: During the study period a total of 100 urine samples were submitted to the bacteriology section and processed In the present study, gram staining PPV was 100% and NPV 83.20% which proves that the GS is very reliable in interpretation of urine cultures and superior to wet mount direct microscopy. Discussion and Conclusion: Due to its nonspecific clinical presentation, early diagnosis is important to prevent the complications of UTI. Urine culture and sensitivity is the gold standard test for detecting Urinary tract infection. Gram stain of uncentrifuged urine is a very sensitive and specific screening test for diagnosis of UTI. Presence of pus cells in urine gives the clue and supportive evidence of UTI. GS is a quick and reliable substitute to culture report and superior to direct urine microscopy.
Authors and Affiliations
Dr. Manoj Kumar, Dr. Bhagan Hembram, Dr. Ashok Kumar Sharma, Dr. Amber Prasad
Keywords
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- EP ID EP428605
- DOI 10.9790/0853-1712100104.
- Views 151
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