2018
DOI: 10.1093/fampra/cmy108
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Accuracy of urinary symptoms and urine microscopy in diagnosing urinary tract infection in women

Abstract: Background Women with urinary tract infections (UTIs) often present with urinary complaints such as frequency of micturition, dysuria, foul-smelling urine and other non-specific symptoms like fever. Physicians may order urine microscopy to guide empirical antibiotic prescription. However, the performance of this approach has not been assessed. Objectives This study aimed to determine the accuracy of UTI symptoms and urine mic… Show more

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Cited by 5 publications
(2 citation statements)
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“…Moreover, the diagnostic ability of the Bronze model was comparable to other frequently used tests in primary care, e.g. fractional exhaled nitric oxide in diagnosing asthma [ 21 ] or the nitrite test in diagnosing urinary tract infections [ 22 , 23 ]. Of course, if respiratory test outcomes are available a better prediction of SAD could be made (spirometry: Silver model; oscillometry: Gold model).…”
Section: Discussionmentioning
confidence: 99%
“…Moreover, the diagnostic ability of the Bronze model was comparable to other frequently used tests in primary care, e.g. fractional exhaled nitric oxide in diagnosing asthma [ 21 ] or the nitrite test in diagnosing urinary tract infections [ 22 , 23 ]. Of course, if respiratory test outcomes are available a better prediction of SAD could be made (spirometry: Silver model; oscillometry: Gold model).…”
Section: Discussionmentioning
confidence: 99%
“…Liquid-based laboratories, such as urine analyses with microscopy and culturing, represent the standard for the initial diagnosis of UTI to suspect pathologies of the urinary system and to specify indications for an instrumental approach [ 6 •, 7 ]. Currently, it is well known that UTI-associated urine changes could be present in non-infection urinary tract pathologies, leading to decreased urine microscopy accuracy [ 8 ]. Moreover, urine culture suffers from several shortcomings, such as being time-consuming and highly susceptible to contamination, leading to incorrect antibiotic prescription, overutilization, antibiotic resistance, and postponed treatment [ 9 ].…”
Section: Introductionmentioning
confidence: 99%