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诊断尿路感染的实验室方法比较

Comparison of laboratory methods in the diagnosis of urinary tract infection.

作者信息

Duerden B I, Moyes A

出版信息

J Clin Pathol. 1976 Apr;29(4):286-91. doi: 10.1136/jcp.29.4.286.

DOI:10.1136/jcp.29.4.286
PMID:777041
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC476048/
Abstract

Three methods of semiquantitative culture and two techniques of microscopy were compared with a surface viable count for the detection of significant bacteriuria in one thousand midstream specimens of urine. The results obtained with the blotting-paper-strip method on MacConkey agar and with Uricult dip-slides correlated well with the results of the surface viable count, and both methods were suitable for routine use. The blotting-paper-strip method was preferred for laboratory use because of expense but dip-slides are useful for general practice and outpatient clinics. Semi-quantitative culture by Microstix dip-strips gave less accurate results, and the nitrite test area detected only a small proportion of infected specimens. The microscopic examination of a Gram-stained film of the centrifuged deposit of urine specimens yielded more useful information and was more reproducible than examination of a wet film of the untreated urine.

摘要

为检测1000份中段尿标本中的显著菌尿,将三种半定量培养方法和两种显微镜检查技术与表面活菌计数法进行了比较。在麦康凯琼脂上使用试纸条法和使用Uricult浸片法获得的结果与表面活菌计数结果相关性良好,这两种方法均适用于常规使用。由于成本原因,试纸条法更适合实验室使用,但浸片法对全科医疗和门诊诊所很有用。Microstix浸条半定量培养结果准确性较低,亚硝酸盐检测区仅检测出一小部分感染标本。对尿标本离心沉淀物的革兰氏染色涂片进行显微镜检查比检查未经处理尿液的湿涂片能提供更多有用信息,且更具可重复性。

相似文献

1
Comparison of laboratory methods in the diagnosis of urinary tract infection.诊断尿路感染的实验室方法比较
J Clin Pathol. 1976 Apr;29(4):286-91. doi: 10.1136/jcp.29.4.286.
2
[Diagnosis of urinary tract infections in general practice. A comparative study of Microstix and Uricult].[全科医疗中尿路感染的诊断。Microstix和Uricult的比较研究]
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3
[Screening of urinary tract. infection using the dip-strip method with 770 school girls (author's transl)].
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4
[Can we rely on the results of urine microscopy and culture when tests are performed in general practice?].在全科医疗中进行检测时,我们能否依赖尿液显微镜检查和培养的结果?
Ugeskr Laeger. 2002 Apr 1;164(14):1927-30.
5
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[Dip-slides for culturing urine in general practice].[全科医疗中用于尿液培养的浸片]
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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]
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Dip-slide in patients at high risk of urinary tract infection.对尿路感染高危患者进行浸片检测。
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Recognition of group B streptococci in dip-slide cultures of urine.尿液浸片培养物中B族链球菌的识别
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Co-trimoxazole sensitivity testing: comparison of separate and combined disk agar diffusion techniques.复方新诺明敏感性试验:单独及联合纸片琼脂扩散技术的比较
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Inhibition of growth of Staphylococcus aureus on sensitivity testing agar by Streptococcus faecalis var zymogenes.粪链球菌发酵变种对金黄色葡萄球菌在药敏试验琼脂上生长的抑制作用。
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Int Urol Nephrol. 1987;19(2):109-13. doi: 10.1007/BF02550459.
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J Clin Microbiol. 1985 Aug;22(2):176-81. doi: 10.1128/jcm.22.2.176-181.1985.
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本文引用的文献

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Simplified quantitative methods for bacteriuria and pyuria.用于检测菌尿症和脓尿症的简化定量方法。
J Clin Pathol. 1963 Jan;16(1):32-8. doi: 10.1136/jcp.16.1.32.
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Asymptomatic bacilluria in sixty-eight diabetic patients.
Am J Med Sci. 1960 Feb;239:159-64. doi: 10.1097/00000441-196002000-00006.
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DETECTION OF BACTERIURIA BY A MODIFICATION OF THE NITRITE TEST.通过改良亚硝酸盐试验检测菌尿症
Br Med J. 1965 Mar 20;1(5437):765-7. doi: 10.1136/bmj.1.5437.765.
4
METHOD FOR THE DETECTION OF SIGNIFICANT BACTERIURIA IN LARGE GROUPS OF PATIENTS.检测大量患者显著菌尿症的方法。
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A simple quantitative test for bacteriuria.
J Urol. 1962 Dec;88:838-40. doi: 10.1016/S0022-5347(17)64892-4.
6
Bacteriuria and the diagnosis of infections of the urinary tract; with observations on the use of methionine as a urinary antiseptic.菌尿症与尿路感染的诊断;关于蛋氨酸作为尿路防腐剂应用的观察
AMA Arch Intern Med. 1957 Nov;100(5):709-14. doi: 10.1001/archinte.1957.00260110025004.
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Asymptomatic infections of the urinary tract.无症状性尿路感染
Trans Assoc Am Physicians. 1956;69:56-64.
8
Dip-slide: an aid to quantitative urine culture in general practice.浸片:基层医疗中定量尿培养的辅助工具。
Br Med J. 1967 Aug 5;3(5561):343-5. doi: 10.1136/bmj.3.5561.343.
9
Evaluation of new urinary tract infection screening devices.新型尿路感染筛查设备的评估
Appl Microbiol. 1973 Aug;26(2):196-201. doi: 10.1128/am.26.2.196-201.1973.
10
Dip-slide diagnosis of urinary tract infection.
Med J Aust. 1972 Jan 1;1(1):20-3. doi: 10.5694/j.1326-5377.1972.tb46676.x.