Please use this identifier to cite or link to this item: https://hdl.handle.net/2440/126295
Citations
Scopus Web of Science® Altmetric
?
?
Type: Journal article
Title: Detection of pyuria by microscopic urinalysis as a marker of pediatric urinary tract infection
Author: Shrestha, D.
Thapa, P.
Bhandari, D.
Bhattachan, B.
Parajuli, H.
Chaudary, P.
Sharma, V.K.
Shah, P.K.
Citation: Nepal Journal of Biotechnology, 2019; 7(1):15-20
Publisher: NJB, Biotechnology Society of Nepal
Issue Date: 2019
ISSN: 2091-1130
2467-9313
Statement of
Responsibility: 
Dhiraj Shrestha, Pratigya Thapa, Dinesh Bhandari, Balkrishna Bhattachan, Hiramani Parajuli, Prakash Chaudary, Vijay Kumar Sharma, Pradeep Kumar Shah
Abstract: Globally, different diagnostic tests of urinary tract infection (UTI) are in clinical practices. A reliable test can increase the efficiency of the healthcare system, especially in a developing country like Nepal, reducing cost and time. Thus, we accessed the possibility of pyuria detected by microscopic urinalysis as a marker of pediatric UTI. The prospective study was conducted fromJuly2014 to January 2015 at Alka hospital, Lalitpur. Microscopic urinalysis of 353clean-catch urine samples was done by the wet mount method, followed by urine culture by a semi-quantitative method. We confirmed 64 (18.1%) UTI cases by culture, the gold standard for UTI diagnosis. Fever was the most common clinical manifestation in UTI cases. The sensitivity, specificity, positive predictive value and negative predictive value of pyuria detected by microscopic urinalysis to identify UTI were 50%, 70.9%, 27.6% and 86.5% respectively. In 318 febrile cases, the sensitivity, specificity, positive predictive value and negative predictive value of pyuria detected by microscopic urinalysis to identify UTI were 73.2%, 72.6%, 28.3% and 94.8% respectively. The findings suggest pyuria detected by microscopic urinalysis as not a worth while marker of pediatric UTI. But it is a trust worthy marker in febrile pediatric cases.
Keywords: febrile; marker; microscopic urinalysis; pediatrics; pyuria; UTI
Rights: © NJB, Biotechnology Society of Nepal. This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
DOI: 10.3126/njb.v7i1.26946
Appears in Collections:Aurora harvest 8
Public Health publications

Files in This Item:
File Description SizeFormat 
hdl_126295.pdfPublished version364.06 kBAdobe PDFView/Open


Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.