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Use of urinary gram stain for detection of urinary tract infection in childhood.
Yale J Biol Med. 2002 Mar-Apr; 75(2):73-8.YJ

Abstract

In this study, urinary culture, urinary Gram stain, and four tests within the urinalysis, leukocyte esterase, nitrite, microscopyfor bacteria, and microscopyforpyuria, were examined in 100 children with symptoms suggesting urinary tract infection. Our purpose was to determine the validity of the urinary Gram stain compared with a combination of pyuria plus Gram stain and overall urinalysis (positiveness of nitrite, leukocyte esterase, microscopy for bacteria, or microscopy for white blood cell). Of 100 children, aged two days to 15 years, 70 (70 percent) had a positive urinary culture: 40 girls (57 percent) and 30 boys (43 percent). Escherichia coli was the most common isolated agent. The sensitivity and specificity of the urinary Gram stain were 80 percent and 83 percent, and that of the combination of pyuria plus Gram stain 42 percent and 90 percent, and that of the overall urinalysis 74 percent and 3.5 percent respectively. Our findings revealed that neither method of urine screen should substitute for a urine culture in the symptomatic patients in childhood.

Authors+Show Affiliations

Department of Pediatrics, Yüzüncü Yil University, Faculty of Medicine, Van, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Validation Study

Language

eng

PubMed ID

12230312

Citation

Arslan, Sükrü, et al. "Use of Urinary Gram Stain for Detection of Urinary Tract Infection in Childhood." The Yale Journal of Biology and Medicine, vol. 75, no. 2, 2002, pp. 73-8.
Arslan S, Caksen H, Rastgeldi L, et al. Use of urinary gram stain for detection of urinary tract infection in childhood. Yale J Biol Med. 2002;75(2):73-8.
Arslan, S., Caksen, H., Rastgeldi, L., Uner, A., Oner, A. F., & Odabaş, D. (2002). Use of urinary gram stain for detection of urinary tract infection in childhood. The Yale Journal of Biology and Medicine, 75(2), 73-8.
Arslan S, et al. Use of Urinary Gram Stain for Detection of Urinary Tract Infection in Childhood. Yale J Biol Med. 2002 Mar-Apr;75(2):73-8. PubMed PMID: 12230312.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Use of urinary gram stain for detection of urinary tract infection in childhood. AU - Arslan,Sükrü, AU - Caksen,Hüseyin, AU - Rastgeldi,Levent, AU - Uner,Abdurrahman, AU - Oner,Ahmet Faik, AU - Odabaş,Dursun, PY - 2002/9/17/pubmed PY - 2003/4/4/medline PY - 2002/9/17/entrez SP - 73 EP - 8 JF - The Yale journal of biology and medicine JO - Yale J Biol Med VL - 75 IS - 2 N2 - In this study, urinary culture, urinary Gram stain, and four tests within the urinalysis, leukocyte esterase, nitrite, microscopyfor bacteria, and microscopyforpyuria, were examined in 100 children with symptoms suggesting urinary tract infection. Our purpose was to determine the validity of the urinary Gram stain compared with a combination of pyuria plus Gram stain and overall urinalysis (positiveness of nitrite, leukocyte esterase, microscopy for bacteria, or microscopy for white blood cell). Of 100 children, aged two days to 15 years, 70 (70 percent) had a positive urinary culture: 40 girls (57 percent) and 30 boys (43 percent). Escherichia coli was the most common isolated agent. The sensitivity and specificity of the urinary Gram stain were 80 percent and 83 percent, and that of the combination of pyuria plus Gram stain 42 percent and 90 percent, and that of the overall urinalysis 74 percent and 3.5 percent respectively. Our findings revealed that neither method of urine screen should substitute for a urine culture in the symptomatic patients in childhood. SN - 0044-0086 UR - https://www.unboundmedicine.com/medline/citation/12230312/Use_of_urinary_gram_stain_for_detection_of_urinary_tract_infection_in_childhood_ DB - PRIME DP - Unbound Medicine ER -