Diagnostic criteria for urinary tract infection in hospitalized elderly patients over 75 years of age: A multicenter cross-sectional study

Objective: Urolithiasis could be caused by urinary tract infection (UTI). UTI in patients with urolithiasis need to be diagnose and manage as soon as possible. This study was aim to determine the diagnostic value of urinalysis examination to diagnose urinary tract infection (UTI) in patients with urolithiasis.Material & method: This study was an observational analytic with cross sectional study design, comparing one diagnostic tool with the gold standard tool to diagnose UTI. Total samples collected were 186 patients at Sardjito General Hospital, Yogyakarta. Urine culture and urinalysis were performed in patients with urinalysis and UTI. The results of urine culture and urinalysis were then compared by 2x2 table.Results: The sensitivity results on leukocyte esterase, eritrocyturia, bacteriuria, and nitrite respectively were 82.7%, 57.14%, 37.59%, and 13.53%. The specificity results on nitrite, bacteriuria, eritrocyturia, and leukocyte esterase respectively were 63.26%, 56.60%, 50.94%, and 33.96%. The highest level of accuracy was leukocyte esterase with 68.81% accuracy.Conclusion: This study showed that leukocyte esterase had good sensitivity with an accuracy of 68.81%. Examination of nitrite had the highest specificity compared to the other variables in urinalysis examination.

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Association Between Urine pH and Urinary Tract Infection in Children - A Hospital Based Cross Sectional Study

Chettinad Health City Medical Journal ◽

10.36503/chcmj5(2)-02 ◽

2016 ◽

Vol 5 (2) ◽

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Cross Sectional Study ◽

Sectional Study ◽

Urine Ph ◽

Cross Sectional

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Antibiotic treatment of urinary tract infection by community pharmacists: a cross-sectional study

British Journal of General Practice ◽

10.3399/bjgp13x665206 ◽

2013 ◽

Vol 63 (609) ◽

pp. e244-e249 ◽

Cited By ~ 23

Author(s):

Jill L Booth ◽

Alexander B Mullen ◽

David AM Thomson ◽

Christopher Johnstone ◽

Susan J Galbraith ◽

...

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Antibiotic Treatment ◽

Community Pharmacists ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional

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Urinary tract infection in patients with acute non-gonococcal urethritis

International Journal of STD & AIDS ◽

10.1258/095646202321020035 ◽

2002 ◽

Vol 13 (12) ◽

pp. 801-804 ◽

Cited By ~ 7

Author(s):

Andrew Leung ◽

Shaw Taylor ◽

Angela Smith ◽

Robert Spencer ◽

Paddy Horner

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Cross Sectional Study ◽

Urine Specimen ◽

Sexually Active ◽

Sectional Study ◽

Cross Sectional ◽

Gonococcal Urethritis ◽

Male Patients

In young sexually active male patients, clinical differentiation between non-gonococcal urethritis (NGU) and urinary tract infection (UTI) can be difficult. UTI as a cause of NGU has been suggested before, but the prevalence of UTI among acute NGU patients has not been evaluated. We conducted a prospective cross-sectional study of 156 male patients with clinical features of acute urethritis. The prevalence of UTI among acute NGU patients was 6.4% (CI: 1.5–11.3%). There was a possible association between UTI and NGU but this was not statistically significant. The sensitivity and specificity for combining leucocyte esterase and nitrite tests were 83.3% and 89.8% respectively, with a negative predictive value of 98.8%. We conclude that a mid-stream urine specimen should routinely be collected in patients with symptoms of urethritis. This should be analysed by dipsticks incorporating nitrite and leucocyte esterase tests. Those with a positive dipstick should then be confirmed by culture.

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