Urol Nurs. 2008 Feb;28(1):56-60, 67.
Predicting urinary tract infections in a urogynecology population.
Kuklinski D, Koduri S.
Urogynecology Center, Medical College of Wisconsin, Milwaukee, WI, USA.
A retrospective chart review was performed on all new patients presenting to a urogynecology clinic. Urine dipsticks, symptoms, and cultures were evaluated to identify urinary tract infections. The most sensitive result was for the combination of nitrites or leukocytes (59%) without significant change in specificity (95%) for either result individually. The addition of the statistically significant symptoms did not improve the outcome. Based on these findings, it was determined that no combination of dipstick and/or symptoms adequately predicted an infection to the point that a recommendation to dispense with the need for a culture in this urogynecology population could be made.
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