Utility of simple urinary screening tests to rule out UTI in Pediatric population
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 17, Issue 2
Abstract
Context: UTI is one of the important infection among pediatric population. Rapid screening test to rule out UTI can save time and it is very useful in areas where laboratory facilities are lacking. Aims: The study was carried out to find out the prevalent bacteria causing pediatric UTI and utility of different screening tests to rule out UTI in this population. Settings and Design: It was a hospital based, observational and cross sectional study. Methods and Materials: For every cases of suspected UTI, urine culture was done by standard protocol. Uncentrifused urine samples were examined by wet mount microscopy for pus cells per high power field of microscope. All the samples were screened by dipstick for detection of leukocyte esterase and presence of nitrite in them. Combur 10 Test UX test strips from Roche Diagnostics was used to screen the urine samples. Result: Culture positivity rate was found to be 17.5%. E. coli was the commonest uropathogen isolated from this population. UTI was found to be more common in Hindus. Negative predictive value of Microscopic pyuria, Leucocyte esterase, Nitrite tests were 89.4%, 91.6%, 88.7% respectively to rule out UTI. Conclusion Using different screening methods (microscopic pyuria, dipstick leukocyte esterase, nitrite test) with either of them found positive, seems to be a effective, cost saving method to rule out UTI
Authors and Affiliations
Soma Mondal, Avijit Mondal, Kuhu Pal3, Indira Paul
Keywords
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- EP ID EP362414
- DOI 10.9790/0853-1702072428
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