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剖宫产术后常规尿液培养。一项成本效益分析。

Routine postcesarean urine culture. A cost-effectiveness analysis.

作者信息

Sakala E P, Fillmore K, Murray R D

机构信息

Department of Gynecology and Obstetrics, Loma Linda University Medical Center, California 92350.

出版信息

J Reprod Med. 1990 Apr;35(4):373-4.

PMID:2112604
Abstract

Paired urinalysis and urine culture reports on 302 postcesarean patients were studied to determine whether screening postcesarean urinalyses could be useful in predicting positive urine cultures. A positive culture was predicted with a specificity of 97.5% and a sensitivity of 90.4%. The screening urinalysis had a positive predictive value of 73.1% and a negative predictive value of 99.3%. Routine postcesarean urine cultures were not found to be cost effective.

摘要

对302名剖宫产术后患者的配对尿液分析和尿培养报告进行了研究,以确定剖宫产术后尿液分析筛查是否有助于预测尿培养阳性。预测阳性培养的特异性为97.5%,敏感性为90.4%。筛查尿液分析的阳性预测值为73.1%,阴性预测值为99.3%。未发现常规剖宫产术后尿培养具有成本效益。

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