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A study for the improvement of the cytological urine examination performances in upper tract infection diagnosis.
Roum Arch Microbiol Immunol. 2003 Jul-Dec; 62(3-4):191-202.RA

Abstract

Diagnosis of the location of upper and lower urinary tract infection (UTI) is necessary in defining the therapeutic conduct that has a different period and intensity according to the infection location and in prognosis. Many studies show the lack of clinical criteria peculiarity in revealing the different location of UTI. As a result, the correct location of the level in which UTI develops is the necessity of paraclinical investigations. Urinary sample examination, in which urinary sediment microscopy is essential, is a reliable technique in fast detection and localization of UTI. Finding, in pyuria context, the classic significant bacteriuria (> or = 10(5) CFU/ml) or lower value bacteriuria (< or = 10(4) CFU/ml) confirms the UTI diagnosis. The upper tract infection prognosis increases when leukocyte cylinders, characteristic for pyelonephritis, appear together with intact or degraded leukocytes, single or grouped. We settled an algorithm to examine the urine samples in order to: Concentrate and preserve the structural integrity of leukocytes and cylinders, examining the conventional urinary sediment Precisely identify and differentiate these elements by vital coloration (leukocyte peroxidase coloration and Sternheimer - Malbin coloration) to establish more accurate the UTI level. The vital coloration for leukocyte peroxidase has cytological specificity, confirming the pyuria and the cylinders that contain leukocytes (leukocytary, granular, mixed) and obviously ameliorates the reliability and reproducibility of the urinary sediment cytological exam.

Authors+Show Affiliations

1- "Sf. Apostol Andrei" Emergency Hospital Galati, Romania.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16008143

Citation

Bădicuţ, Ioana, et al. "A Study for the Improvement of the Cytological Urine Examination Performances in Upper Tract Infection Diagnosis." Roumanian Archives of Microbiology and Immunology, vol. 62, no. 3-4, 2003, pp. 191-202.
Bădicuţ I, Poiată A, Tuchiluş C, et al. A study for the improvement of the cytological urine examination performances in upper tract infection diagnosis. Roum Arch Microbiol Immunol. 2003;62(3-4):191-202.
Bădicuţ, I., Poiată, A., Tuchiluş, C., Bădicuţ, A., & Buiuc, D. (2003). A study for the improvement of the cytological urine examination performances in upper tract infection diagnosis. Roumanian Archives of Microbiology and Immunology, 62(3-4), 191-202.
Bădicuţ I, et al. A Study for the Improvement of the Cytological Urine Examination Performances in Upper Tract Infection Diagnosis. Roum Arch Microbiol Immunol. 2003 Jul-Dec;62(3-4):191-202. PubMed PMID: 16008143.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A study for the improvement of the cytological urine examination performances in upper tract infection diagnosis. AU - Bădicuţ,Ioana, AU - Poiată,Antonia, AU - Tuchiluş,Cristina, AU - Bădicuţ,A, AU - Buiuc,D, PY - 2005/7/13/pubmed PY - 2005/7/30/medline PY - 2005/7/13/entrez SP - 191 EP - 202 JF - Roumanian archives of microbiology and immunology JO - Roum Arch Microbiol Immunol VL - 62 IS - 3-4 N2 - Diagnosis of the location of upper and lower urinary tract infection (UTI) is necessary in defining the therapeutic conduct that has a different period and intensity according to the infection location and in prognosis. Many studies show the lack of clinical criteria peculiarity in revealing the different location of UTI. As a result, the correct location of the level in which UTI develops is the necessity of paraclinical investigations. Urinary sample examination, in which urinary sediment microscopy is essential, is a reliable technique in fast detection and localization of UTI. Finding, in pyuria context, the classic significant bacteriuria (> or = 10(5) CFU/ml) or lower value bacteriuria (< or = 10(4) CFU/ml) confirms the UTI diagnosis. The upper tract infection prognosis increases when leukocyte cylinders, characteristic for pyelonephritis, appear together with intact or degraded leukocytes, single or grouped. We settled an algorithm to examine the urine samples in order to: Concentrate and preserve the structural integrity of leukocytes and cylinders, examining the conventional urinary sediment Precisely identify and differentiate these elements by vital coloration (leukocyte peroxidase coloration and Sternheimer - Malbin coloration) to establish more accurate the UTI level. The vital coloration for leukocyte peroxidase has cytological specificity, confirming the pyuria and the cylinders that contain leukocytes (leukocytary, granular, mixed) and obviously ameliorates the reliability and reproducibility of the urinary sediment cytological exam. SN - 1222-3891 UR - https://www.unboundmedicine.com/medline/citation/16008143/A_study_for_the_improvement_of_the_cytological_urine_examination_performances_in_upper_tract_infection_diagnosis_ L2 - https://medlineplus.gov/urinarytractinfections.html DB - PRIME DP - Unbound Medicine ER -