UF-100流式尿沉渣分析仪在筛选妊娠早期无症状尿路感染中的应用

    The applying of the flow cytometer UF-IO0 in screening asymptomatic urinary tract infection in early pregnancy

    • 摘要: 目的: 探讨UF-100流式尿沉渣分析仪在筛选妊娠早期无症状尿路感染(asymp tomatic urinary tract infections,AUTI)中的可靠性。方法: 收取合格中段尿309份,取10 μl做细菌培养及菌落计数,剩余标本用UF-100流式尿沉渣分析仪主要检测细菌计量、白细胞计数。结果: 细菌培养有21份培养出有意义细菌(菌落计数≥ 104~105 CFU/ml),阳性率为6.8%。UF-100分析仪检出32份阳性标本,其中有17例细菌培养阴性,假阳性率为5.9%。6例细菌培养阳性,UF-100分析为阴性,假阴性率为28.6%。UF-100分析仪的敏感性为71.4%,特异性为94.1%,阳性预示值为46.9%。两法检测阳性率差异有显著性(P<0.05),两法检测结果间有密切关联性(P<0.005)。结论: UF-100分析仪可初筛AUTI,诊断AUTI仍以细菌培养为首选。

       

      Abstract: Objective: To study the reliability of flow cytometer UF-100 in detecting asymptomatic urinary tract infections(AUTI) in early pregnancy.Methods: Three-hundred and nine fresh midstream clean-catch urine sample were collected in accordance with standard guideline.10 μl of cleancatch midstream urine specimen was examined by cultures(colony counts of ≥ 104~5 CFU/ml) the other portion was tested with UF-100 for presence of bacteria count and white blood cell.Results: Twenty-one patient(6.8%) had cultures of 10,000 or more colony-forming units of a uropathogen per milliliter.The sensitivities of the UF-100 test in identifying patients with positive cultures was 71.4%,and the specificities was 94.1%.Six patients(28.6% 6/21) had negative UF-100 screening tests but positive urine cultures,and other seventeen patients had positive UF-100 screening tests but negative urine cultures,The positive predict value(PPV) of urine UF-100 evaluation was 46.9%.There was a significant difference in positive rate between the two methods(P<0.05),but there was a significant correlation in test results between the two methods(P<0.005).Conclusions: Flow cytometer UF-100 tests are not sufficiently sensitive to be of use in the screening for AUTI and therefore many patients would be missed.Bacteriuria culture must be done in diagnosing AUTI.

       

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