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Aten Primaria ; 18(1): 28-31, 1996 Jun 15.
Article in Spanish | MEDLINE | ID: mdl-8768538

ABSTRACT

OBJECTIVE: To study the level of concordance between the reactive strip, urine sediment and culture, and their sensitivity, specificity and predictive values. DESIGN: Crossover study. SETTING: Sotrondio and Laviana Health Centres, Asturias. PARTICIPANTS: Diabetics of 14 or over included in the procedure. MEASUREMENTS AND MAIN RESULTS: A total of 165 analytical samples of blood and urine were studied. The variables were: age, sex, reactive strip (RS) of urine, sediment (S), binomial concordance of reactive strip-sediment (RS-S), culture (C) and metabolic control. The level of concordance between the variables was found through the Kappa index. Very high concordance was obtained in the RS-S and C comparisons (K = 0.49). The analysis of the variable RS-S displayed sensitivity of 66% and specificity of 87%. CONCLUSIONS: Finding a low concordance between reactive strip, sediment and culture suggests their non-exclusive character. The importance of requesting urine sediment instead of the reactive strip for diabetics is indicated. Urine culture could well be included in the diabetic protocol.


Subject(s)
Diabetes Mellitus/urine , Primary Health Care , Adolescent , Adult , Bacteriuria/microbiology , Chi-Square Distribution , Cross-Sectional Studies , Diabetes Mellitus/microbiology , Female , Humans , Male , Prognosis , Sensitivity and Specificity , Spain , Urinalysis/statistics & numerical data
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