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在筛查幼儿尿路感染时,我们应该摒弃标准显微镜检查法吗?

Should we abandon standard microscopy when screening for urinary tract infections in young children?

作者信息

Armengol C E, Hendley J O, Schlager T A

机构信息

Department of Pediatrics, University of Virginia, Charlottesville, VA, USA.

出版信息

Pediatr Infect Dis J. 2001 Dec;20(12):1176-7. doi: 10.1097/00006454-200112000-00018.

DOI:10.1097/00006454-200112000-00018
PMID:11740329
Abstract

Dipstick analysis is a screening test for urinary tract infection (UTI) in office practice. Standard urine microscopy is available offsite. We evaluated the usefulness of these tests on consecutive urine samples obtained by bladder catheterization in young children with a possible UTI. Thirty of 230 children had positive cultures. Dipstick analysis was specific (98%) but not sensitive (70%). Standard microscopy was not specific. Dipstick analysis and urine culture are useful tests for the diagnosis of UTI.

摘要

试纸分析是门诊实践中用于筛查尿路感染(UTI)的一项检查。标准尿液显微镜检查可在外部机构进行。我们评估了这些检查对通过膀胱导尿获取的连续尿液样本在可能患有UTI的幼儿中的实用性。230名儿童中有30名培养结果呈阳性。试纸分析特异性高(98%)但敏感性低(70%)。标准显微镜检查特异性不强。试纸分析和尿培养是诊断UTI的有用检查。

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