期刊
SCANDINAVIAN JOURNAL OF PRIMARY HEALTH CARE
卷 37, 期 3, 页码 373-379出版社
TAYLOR & FRANCIS LTD
DOI: 10.1080/02813432.2019.1639935
关键词
Microscopy; general practice; outpatient; UTI; urine tract infection
Objective: To investigate the validity of microscopy as a diagnostic tool for urinary tract infection in general practice. Methods: (Design/setting) A systematic review was conducted by searching Medline for clinical studies made in general practice, outpatient clinics or similar settings in which the accuracy/validity of microscopy was evaluated with urine culture as the reference standard. Results: Our search resulted in 108 titles. 28 potentially eligible studies were retrieved for full-text reading. We included eight studies involving 4582 patients in this review. The quality of the studies was moderate to high. Specificity ranged from 27% to 100%, sensitivity from 47% to 97%. The variation between studies did not allow for meta-analysis. Conclusion: We did not find substantial evidence to determine the clinical validity of microscopy performed in general practice on urine samples from patients with symptoms of UTI.
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