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1
Reincubation of culture-negative urines for an additional 20 hours does not identify additional UTI cases.将培养阴性的尿液再孵育 20 小时不会发现更多的尿路感染病例。
J Med Microbiol. 2020 Jan;69(1):46-48. doi: 10.1099/jmm.0.001104.
2
The Clinical Urine Culture: Enhanced Techniques Improve Detection of Clinically Relevant Microorganisms.临床尿培养:改进技术提高临床相关微生物的检测率
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Cost-effectiveness of a new system in ruling out negative urine cultures on the day of administration.一种新系统在给药当天排除阴性尿培养结果方面的成本效益。
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Evaluation of BacterioScan 216Dx in Comparison to Urinalysis as a Screening Tool for Diagnosis of Urinary Tract Infections in Children.评估 BacterioScan 216Dx 与尿液分析作为儿童尿路感染筛查工具的比较。
J Clin Microbiol. 2019 Aug 26;57(9). doi: 10.1128/JCM.00571-19. Print 2019 Sep.
5
Improving the diagnosis of urinary tract infections by the use of enriched media and a 48-hour incubation period.通过使用增菌培养基和 48 小时孵育期来提高尿路感染的诊断。
J Med Microbiol. 2024 Jun;73(6). doi: 10.1099/jmm.0.001846.
6
Rapid Screening of Urinary Tract Infection and Discrimination of Gram-Positive and Gram-Negative Bacteria by Automated Flow Cytometric Analysis Using Sysmex UF-5000.Sysmex UF-5000 自动化流式细胞术快速筛选尿路感染及区分革兰阳性菌和革兰阴性菌
J Clin Microbiol. 2018 Jul 26;56(8). doi: 10.1128/JCM.02004-17. Print 2018 Aug.
7
Screening of urine samples by flow cytometry reduces the need for culture.流式细胞术筛选尿液样本可减少培养需求。
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8
Can routine automated urinalysis reduce culture requests?常规自动化尿液分析能否减少培养物的需求?
Clin Biochem. 2013 Sep;46(13-14):1285-9. doi: 10.1016/j.clinbiochem.2013.06.015. Epub 2013 Jun 25.
9
Use of flow cytometry (Sysmex) UF-100) to screen for positive urine cultures: in search for the ideal cut-off.使用流式细胞术(Sysmex UF-100)筛选阳性尿液培养物:寻找理想的截止值。
Clin Chem Lab Med. 2010 Feb;48(2):289-92. doi: 10.1515/CCLM.2010.047.
10
Antibiotic screening of urine culture as a useful quality audit.尿液培养的抗生素筛查作为一项有用的质量审核。
J Infect Dev Ctries. 2011 Apr 26;5(4):299-302. doi: 10.3855/jidc.923.

本文引用的文献

1
Significant increase in cultivation of Gardnerella vaginalis, Alloscardovia omnicolens, Actinotignum schaalii, and Actinomyces spp. in urine samples with total laboratory automation.在采用全实验室自动化的尿液样本中,阴道加德纳菌、Allocardovia omnicolens、Actinotignum schaalii 和 Actinomyces spp. 的培养显著增加。
Eur J Clin Microbiol Infect Dis. 2018 Jul;37(7):1305-1311. doi: 10.1007/s10096-018-3250-6. Epub 2018 Apr 13.
2
Gram-Positive Uropathogens, Polymicrobial Urinary Tract Infection, and the Emerging Microbiota of the Urinary Tract.革兰阳性尿路病原体、多微生物尿路感染和泌尿道新兴微生物组。
Microbiol Spectr. 2016 Apr;4(2). doi: 10.1128/microbiolspec.UTI-0012-2012.
3
Urine is not sterile: use of enhanced urine culture techniques to detect resident bacterial flora in the adult female bladder.尿液并非无菌:采用强化尿液培养技术检测成年女性膀胱中的常驻细菌菌群。
J Clin Microbiol. 2014 Mar;52(3):871-6. doi: 10.1128/JCM.02876-13. Epub 2013 Dec 26.
4
The role of antibiotic stewardship in limiting antibacterial resistance among hematology patients.抗生素管理在限制血液病患者抗菌药物耐药性方面的作用。
Haematologica. 2013 Dec;98(12):1821-5. doi: 10.3324/haematol.2013.091769.
5
Hidden pathogens uncovered: metagenomic analysis of urinary tract infections.隐匿病原体的发现:尿路感染的宏基因组分析
Andrologia. 2008 Apr;40(2):66-71. doi: 10.1111/j.1439-0272.2007.00830.x.
6
Urinary tract infection due to Corynebacterium urealyticum in kidney transplant recipients: an underdiagnosed etiology for obstructive uropathy and graft dysfunction-results of a prospective cohort study.肾移植受者中解脲棒状杆菌引起的尿路感染:梗阻性尿路病和移植肾功能障碍的一种未被充分诊断的病因——一项前瞻性队列研究的结果
Clin Infect Dis. 2008 Mar 15;46(6):825-30. doi: 10.1086/528713.
7
ACP Best Practice No 167: the laboratory diagnosis of urinary tract infection.美国内科医师学会最佳实践第167号:尿路感染的实验室诊断
J Clin Pathol. 2001 Dec;54(12):911-9. doi: 10.1136/jcp.54.12.911.
8
Common errors in diagnosis and management of urinary tract infection. I: pathophysiology and diagnostic techniques.尿路感染诊断与管理中的常见错误。I:病理生理学与诊断技术
Nephrol Dial Transplant. 1999 Nov;14(11):2746-53. doi: 10.1093/ndt/14.11.2746.
9
Comparison of one-day versus two-day incubation of urine cultures.尿培养一日孵育与两日孵育的比较。
Diagn Microbiol Infect Dis. 1995 Jan;21(1):55-6. doi: 10.1016/0732-8893(94)00115-d.
10
Evaluation of microbiological processing of urine specimens: comparison of overnight versus two-day incubation.尿液标本微生物处理的评估:过夜培养与两天培养的比较。
J Clin Microbiol. 1992 Jun;30(6):1600-1. doi: 10.1128/jcm.30.6.1600-1601.1992.

将培养阴性的尿液再孵育 20 小时不会发现更多的尿路感染病例。

Reincubation of culture-negative urines for an additional 20 hours does not identify additional UTI cases.

机构信息

Department for Infectious Diseases, University of Heidelberg, Heidelberg, Germany.

出版信息

J Med Microbiol. 2020 Jan;69(1):46-48. doi: 10.1099/jmm.0.001104.

DOI:10.1099/jmm.0.001104
PMID:31789587
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7440675/
Abstract

The question of whether a single day of incubation is sufficient for urine cultures has been a matter of debate. The aim of this study was to investigate the potential benefit of prolonged incubation for initially culture-negative urines. Eight hundred and twelve urine specimens with no growth after incubation for 20 h were incubated for an additional 20 h to detect slower growing uropathogenic organisms. This study included a considerable number of urine cultures from immunocompromised and/or kidney-transplanted patients. For 99.9 % of the specimens, there was no difference in the interpretation of results. Twenty hours of incubation did not have any negative effect on the detection of uropathogens.

摘要

关于尿液培养是否需要一天的孵育时间一直存在争议。本研究旨在探讨延长孵育时间对初始培养阴性尿液的潜在益处。对 812 份孵育 20 小时后无生长的尿液标本进行了额外 20 小时的孵育,以检测生长缓慢的尿路病原体。本研究包括相当数量的免疫功能低下和/或肾移植患者的尿液培养物。对于 99.9%的标本,结果的解释没有差异。20 小时的孵育对尿路病原体的检测没有任何负面影响。