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Performance of Urinalysis Parameters in Predicting Urinary Tract Infection: Does One Size Fit all?
Advani, Sonali D; North, Rebecca; Turner, Nicholas A; Ahmadi, Sahra; Denniss, Julia; Francis, Adero; Johnson, Rachel; Hasan, Anum; Mirza, Faryal; Pardue, Sarah; Rao, Meghana; Rosshandler, Yasmin; Tang, Helen; Schmader, Kenneth E; Anderson, Deverick J.
Affiliation
  • Advani SD; Duke Center for Antimicrobial Stewardship and Infection Prevention, Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
  • North R; Duke Center for the Study of Aging and Human Development, Durham, NC, United States.
  • Turner NA; Duke Center for Antimicrobial Stewardship and Infection Prevention, Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
  • Ahmadi S; Department of Medicine, WellStar Health System, Atlanta, GA, United States.
  • Denniss J; Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
  • Francis A; Department of Medicine, WellStar Health System, Atlanta, GA, United States.
  • Johnson R; Department of Medicine, WellStar Health System, Atlanta, GA, United States.
  • Hasan A; Department of Medicine, Sovah Medical Center, Danville, VA, United States.
  • Mirza F; Department of Medicine, Sovah Medical Center, Danville, VA, United States.
  • Pardue S; Department of Medicine, Sovah Medical Center, Danville, VA, United States.
  • Rao M; Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
  • Rosshandler Y; Department of Medicine, WellStar Health System, Atlanta, GA, United States.
  • Tang H; Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
  • Schmader KE; Division of Geriatrics, Department of Medicine, Duke and Durham VA Medical Center, Durham, NC, United States.
  • Anderson DJ; Duke Center for Antimicrobial Stewardship and Infection Prevention, Division of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC, United States.
Clin Infect Dis ; 2024 Apr 26.
Article in En | MEDLINE | ID: mdl-38666412
ABSTRACT
In a multi-hospital cohort study of 3392 patients, positive urinalysis parameters had poor positive predictive value for diagnosing urinary tract infection (UTI). Combined urinalysis parameters (pyuria or nitrite) performed better than pyuria alone for ruling out UTI. However, performance of all urinalysis parameters was poor in older women.
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Full text: 1 Database: MEDLINE Language: En Year: 2024 Type: Article
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Full text: 1 Database: MEDLINE Language: En Year: 2024 Type: Article