Nitrite and leukocyte dipstick testing for urinary tract infection in individuals with spinal cord injury

Short Title:
Nitrite and leukocyte dipstick testing for urinary tract infection in individuals with spinal cord injury
Model System:
SCI
Reference Type:
Journal Article
Accession No.:
J47610.
Journal:
Journal of Spinal Cord Medicine
Year, Volume, Issue, Page(s):
2004, vol. 27, issue 2, pp 128-132
Publication Website:
Abstract:
Study evaluated the utility of dipstick testing for nitrite (NIT) and leukocyte esterase (LE) to diagnose urinary tract infection (UTI) in patients with spinal cord injury (SCI). Fifty-six people with SCI were evaluated monthly with dipstick testing for NIT and LE and urine cultures were collected and tested for bacteria. Sensitivity (the ability to correctly identify urine samples with significant bacteria), specificity (the ability to correctly identify urine samples without significant bacteria), and positive and negative predictive values were calculated for NIT and LE. The presence of significant bacteria and diagnosis of UTI were used as separate predictors. Overal, the results suggest low sensitivity and high specificity, such that rates of overtreatment were low but rates of undertreatment were high.
Author(s):
Hoffman, Jeanne M.; Washwani, Rohini; Kelly, Eve; Dixit, Bonnie; Cardenas, Diana D.
Author Address(es):

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