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Usefulness of UF-5000 automatic screening system in UTI diagnosis

Autores

Toledo, Hector , Punzon, Sara G. , MARTÍN GUTIÉRREZ, GUILLERMO, Perez, Juan A. , Lepe, Jose A.

Publicación externa

No

Medio

Braz J Microbiol

Alcance

Article

Naturaleza

Científica

Cuartil JCR

Cuartil SJR

Impacto JCR

2.1

Impacto SJR

0.507

Fecha de publicacion

01/09/2023

ISI

001022651700002

Abstract

We have evaluated the Sysmex UF-5000 cytometer use in microbiology for the screening of negative urines, looking for cut-off points to detect bacteria and leukocytes. The number of processed urines was 3569, the highest to date in these studies. The best general cut-off point has been 100 bact/& mu;l, giving an area under the ROC curve of 0.868, a sensitivity of 96%, a specificity of 50%, 1.17% of false negatives, and saving 40% of cultures. The PPV and NPV have been 35.5 and 95.4 respectively. The leukocyte count has not been useful. Finally, we have evaluated urine screening usefulness, concluding that in laboratories such as ours (284 urines/working day) or smaller, it is not cost-effective.

Palabras clave

UTI; Urinalysis; Cytometer; Bacterial count