Outcomes-Based Evaluation of Dipstick Urinalysis

2002 ◽  
pp. 293-323
Author(s):  
William Clarke ◽  
Darryl Palmer-Toy
Keyword(s):  
2009 ◽  
Vol 42 (4-5) ◽  
pp. 339-340
Author(s):  
Banu Arslan Senturk ◽  
Evren Akgol ◽  
Demet Arslan Ince ◽  
Fusun Ustuner

2021 ◽  
Author(s):  
Michael Abel Alao ◽  
Asinobi OA ◽  
Ibrahim OR ◽  
Lagunju IA

Abstract Background Although, the use of manual dipstick urinalysis for proteinuria has been a common practice, the Kidney Disease Improving Global Outcomes (KDIGO) guideline on screening for chronic renal disease least advocate it use. Besides, several studies have assessed the performance of dipstick urinary in screening for proteinuria to be inaccurate, unreliable with a poor predictive values. The goal of this study was to determine and compare the presence of significant proteinuria (SP) in high-risk African children using the spot urine protein creatinine ratio (UPr/UCr) as a primary screening tool besides dipstick proteinuria screening. Methods This cross-sectional study involved 1,316 apparently healthy children recruited through a multi-stage sampling technique in Ogbomoso land, Nigeria. We performed a dipstick urinalysis on early-morning urine samples. Urinary protein content was determined using a turbidimetric method and Jaffe’s reaction to measure the urinary creatinine concentration. Statistical analysis was performed using the IBM Statistical Package for Social Sciences (SPSS)TM, Version 23.0 for Windows. Results The prevalence of SP using spot UPr/UCr (≥ 0.2) and dipstick proteinuria screening (≥1+) were 18% and 0.8%, respectively (p<0.001). Of the 224 subjects determined to have SP using UPr/UCr, the females (140; 20.1%) had a higher proportion compared to males (84; 15.4% -p=0.032). Nephrotic range proteinuria was detected in nine out of 10 subjects (90%) using UPr/UCr but in only three out of ten (30%) using the urinary dipstick method. The biserial correlation coefficient (r= 0.092; p=0.001) and inter-rater-agreement (Cohen’s Kappa = 0.01) were poor, and the McNemar’s test result was (p<0.001). Conclusion The UPr/UCr ratio technique appeared to perform better than dipstick urinalysis as a primary screening tool for renal disease. Hence, it may be adopted for early detection of SP as a kidney disease marker especially among the high risk population.


Key Points Bagged specimens are adequate for dipstick urinalysis but not urine culture. Routine screening urinalysis for asymptomatic patients is not recommended. Proteinuria, hematuria, glucosuria, and positive nitrites and/or leukocyte esterase on dip urinalysis requires further workup.


1985 ◽  
Vol 31 (3) ◽  
pp. 448-451 ◽  
Author(s):  
R H Christenson ◽  
J A Tucker ◽  
E Allen

Abstract Using microscopic sediment examination, reagent dipsticks, visual appearance, and microbiological culture, we studied 196 urine specimens collected under sterile conditions. We conclude that the sensitivities and specificities noted in the comparison of dipstick urinalysis with urine microscopy justify eliminating many microscopic examinations if a procedural flowchart is used. All 33 (16.8%) of the uncontaminated urine specimens showing substantial potential pathogen content on culture had either a turbid appearance or positive results for one or more dipstick tests. A positive dipstick test result for nitrite most consistently indicated that the urine should be cultured.


1997 ◽  
Vol 242 (3) ◽  
pp. 271-273 ◽  
Author(s):  
P. LAINE ◽  
E. TOIVONEN ◽  
K. EKLUND ◽  
U. HOHENTHAL ◽  
S. SIREN ◽  
...  

1990 ◽  
Vol 43 (1) ◽  
pp. 86-86 ◽  
Author(s):  
R G Loker ◽  
H M Husain ◽  
A M Rafay ◽  
R A Tozer
Keyword(s):  

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