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尿液显微镜检查作为菌尿症的筛查方法。

Urine microscopy as screening method for bacteriuria.

作者信息

Holm S, Wahlin A, Wahlqvist L, Wedrén H, Lundgren B

出版信息

Acta Med Scand. 1982 May;211(3):209-12. doi: 10.1111/j.0954-6820.1982.tb01928.x.

DOI:10.1111/j.0954-6820.1982.tb01928.x
PMID:7080866
Abstract

Fresh urine samples from 90 ambulatory patients with urological disorders were examined for leucocytes by counting the number of WBC/mm3 and per high power field (HPF) in sediment. Bacteria could be cultured in 20 samples, 18 of which contained greater than 8 WBC/mm3. Two (3%) of the 63 samples with less than or equal to 8 WBC/mm3 contained bacteria. Bacteriuria was found in two (3%) of 65 samples containing 0--1 WBC/HPF. Microscopic examination of the sediment might be used for the screening of patients with a high frequency and urgency of micturition for bacteriuria. A normal number of urinary leucocytes (less than or equal to 8/mm3) indicates that no bacteria will be found in culture. Leucocyturia indicates a high probability of bacteriuria.

摘要

对90名患有泌尿系统疾病的门诊患者的新鲜尿液样本进行白细胞检查,通过计算沉淀物中每立方毫米白细胞(WBC)的数量以及每高倍视野(HPF)中的白细胞数量来进行检测。20份样本能够培养出细菌,其中18份样本每立方毫米白细胞数量超过8个。在白细胞数量小于或等于8个/立方毫米的63份样本中,有两份(3%)样本培养出了细菌。在每高倍视野含有0 - 1个白细胞的65份样本中,有两份(3%)检测出菌尿。对沉淀物进行显微镜检查可用于对尿频、尿急患者进行菌尿筛查。正常数量的尿白细胞(小于或等于8个/立方毫米)表明培养中不会发现细菌。白细胞尿表明菌尿的可能性很大。

相似文献

1
Urine microscopy as screening method for bacteriuria.尿液显微镜检查作为菌尿症的筛查方法。
Acta Med Scand. 1982 May;211(3):209-12. doi: 10.1111/j.0954-6820.1982.tb01928.x.
2
Urine microscopy as an aid to detection of bacteriuria.尿液显微镜检查辅助检测菌尿症。
Lancet. 1975 Mar 1;1(7905):476-8. doi: 10.1016/s0140-6736(75)92828-7.
3
Comparison of urine dipstick, microscopy, and culture for the detection of bacteriuria in children.尿液试纸条检测、显微镜检查及培养法在儿童菌尿检测中的比较
Clin Pediatr (Phila). 1990 Apr;29(4):214-8. doi: 10.1177/000992289002900402.
4
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.
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[Diagnostic yield of various urine tests in urinary tract infections].[各种尿液检查对尿路感染的诊断价值]
Rev Invest Clin. 1996 Mar-Apr;48(2):117-23.
6
Urine screening strategy employing dipstick analysis and selective culture: an evaluation.采用试纸条分析和选择性培养的尿液筛查策略:一项评估。
Am J Clin Pathol. 1984 May;81(5):634-42. doi: 10.1093/ajcp/81.5.634.
7
Detection of neutrophilocytes and NO2-producing bacteria in urine by dipstick BM-test-9.使用BM-test-9试纸条检测尿液中的中性粒细胞和产NO2细菌。
Dan Med Bull. 1987 Jun;34(3):182-3.
8
[Quantitative urine microscopic examination using disposable counting chamber for diagnosis of urinary tract infection].[使用一次性计数室进行尿液定量显微镜检查以诊断尿路感染]
Rinsho Byori. 1995 Dec;43(12):1273-8.
9
Significance of bacteriuria in neurogenic bladder.神经源性膀胱中菌尿的意义。
J Spinal Cord Med. 2004;27(2):102-5. doi: 10.1080/10790268.2004.11753738.
10
Pyuria and bacteriuria in urine specimens obtained by catheter from young children with fever.通过导尿获取的幼儿发热尿液标本中的脓尿和菌尿。
J Pediatr. 1994 Apr;124(4):513-9. doi: 10.1016/s0022-3476(05)83127-0.

引用本文的文献

1
Urinalysis and urinary tract infection: update for clinicians.尿液分析与尿路感染:临床医生最新指南
Infect Dis Obstet Gynecol. 2001;9(4):249-55. doi: 10.1155/S1064744901000412.
2
Laboratory evaluation of leukocyte esterase and nitrite tests for the detection of bacteriuria.用于检测菌尿症的白细胞酯酶和亚硝酸盐试验的实验室评估。
J Clin Microbiol. 1985 May;21(5):840-2. doi: 10.1128/jcm.21.5.840-842.1985.
3
Use of rapid screening tests in processing urine specimens by conventional culture and the AutoMicrobic system.快速筛查试验在通过传统培养和自动微生物系统处理尿液标本中的应用。
J Clin Microbiol. 1985 May;21(5):783-7. doi: 10.1128/jcm.21.5.783-787.1985.
4
Comparison of the automicrobic system, acridine orange-stained smears, and gram-stained smears in detecting bacteriuria.自动微生物检测系统、吖啶橙染色涂片及革兰氏染色涂片在检测菌尿症中的比较。
J Clin Microbiol. 1985 Aug;22(2):176-81. doi: 10.1128/jcm.22.2.176-181.1985.