尿液分析参数在预测尿路感染中的表现：是否一概而论？
Performance of Urinalysis Parameters in Predicting Urinary Tract Infection: Does One Size Fit All?
机构信息
Division of Infectious Diseases, Department of Medicine, Duke Center for Antimicrobial Stewardship and Infection Prevention, Duke University School of Medicine.
Duke Center for the Study of Aging and Human Development, Durham, North Carolina.
出版信息
Clin Infect Dis. 2024 Sep 26;79(3):600-603. doi: 10.1093/cid/ciae230.
Abstract
In a multihospital cohort study of 3392 patients, positive urinalysis parameters had poor positive predictive value for diagnosing urinary tract infection (UTI). Combined urinalysis parameters (pyuria or nitrite) performed better than pyuria alone for ruling out UTI. However, performance of all urinalysis parameters was poor in older women.
摘要
在一项针对 3392 名患者的多医院队列研究中，尿液分析参数阳性对诊断尿路感染（UTI）的阳性预测值较差。联合尿液分析参数（脓尿或亚硝酸盐）比单纯脓尿更能排除 UTI。然而，所有尿液分析参数在老年女性中的表现均较差。
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