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ÎDRAR YOLU ENFEKSİYONU TANISINDA DALDIRMA YÖNTEMLERİ (COUNTER ye ÇIPLAK GÖZ) ÎLE MİKROSKOBİK İNCELEMENİN ÖNEMİ

THE DIAGNOSTIC SIGNIFICANCE OF DIPSTICK ANALYSIS (COUNTER AND NAKED-EYE) AND MICROSCOPIC URINALYSIS TO PREDICT URINARY TRACT INFECTION

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1997

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Dipstick urinalysis is probably the most commonly performed medical screening test for diagnosis of urinary tract infection in childhood. The aim of this prospective blinded study was to assess the sensitivity and specificity of dipstick analysis and microscopic urinalysis. A total of1542 urine specimens were processed by urine culture, dipstick analysis (counter and naked-eye) for leucocyte esterase and nitrite and microscopic examination within two hours. Positive results were observed for 191 (12.39 %) of the 1542 cultures. The sensitivities of dipstick analysis for leucocyte esterase and nitrite were suboptimal compared with microscopic method whereas specifiti-es were almost equal. In conclusion, microscopic examination should be done for dipstick-positive urines and for special circumstances.
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Abstract (Original Language): 
Daldırma yöntemleri, çocukluk çağında pratik uygulamada, idrar yolu enfeksiyonu tanısında oldukça sık kullanılmaktadır. Bu çalışmada idrar örneklerinin daldırma yöntemi ve mikroskopik olarak incelenmesi yöntemlerinin etkinliğinin değerlendirilmesi amaçlanmaktadır. Toplam 1542 idrar örneği en geç iki saat içinde id¬rar kültürü, daldırma yöntemi (counter ve çıplak göz) ile lökosit esteraz ve nitrit açısından ve mikroskopik inceleme ile değerlendirilmiştir. Olguların 191 'inde (%12.39) idrar kültüründe üreme saptanmıştır. Daldırma yöntemleri ile lökosit esteraz ve nitrit pozitifliğinin sentitiviteleri mikroskopik değerlendirmeye göre düşük bulunurken, spesifisitele-ri ise eşit değerlerde saptanmıştır. Sonuç olarak counter ve / veya çıplak gözle dipstick ile patoloji saptanan idrar örnekleri, mikroskopik olarak mutlaka incelenmelidir.
FULL TEXT (PDF): 
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  • 1-2
57-60
  • Turkish

REFERENCES

References: 

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