Utility of point -of-care gram stain by physicians for urinary tract infection in children 36months

Alfetouri, widad (2022-09-13)

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Urinary tract infection in children is a significant problem that is frequently caused by Echerishia coli and necessitates prompt diagnosis and treatment to avoid recurrent UTI and renal scarring. The purpose of this study was to assess the utility of a point-of-care Gram stain by a physician on suspected UTI in children as an arapid diagnostic test. The research was carried out between January 2011 and December 2015. Patients aged 36 months or younger who were examined in the emergency room had probable UTI. Gram stain was conducted on a single specimen for urine culture, urinanalysis, and point of care. We compared the diagnostic performance of fast diagnostic tests (pyuria, Gram stain at the point of care, or both). Kappa statistics were used to assess the degree of agreement between the results. We also looked at which antibiotics were more vulnerable to germs found in urine culture findings. The sensitivity and specificity of Pyuria were 73.2 percent and 95.1 percent, respectively, of the 1594 patients analyzed in the study, using urine culture as the gold standard for UTI, whereas those of the point-of-care Gram Stain were 81.4 percent and 98.2 percent.

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