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CORRESPONDENCE
Year : 2007  |  Volume : 25  |  Issue : 3  |  Page : 301-302
 

A photometric screening for significant bacteriuria


1 Department of Medical Microbiology, Charles University, 3rd Faculty of Medicine, Prague, Czech Republic
2 Teaching Hospital Royal Vineyards, Prague, Czech Republic

Date of Submission18-Apr-2006
Date of Acceptance25-Mar-2007

Correspondence Address:
M Bednar
Department of Medical Microbiology, Charles University, 3rd Faculty of Medicine, Prague
Czech Republic
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0255-0857.34785

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How to cite this article:
Bednar M, Nemeckova V. A photometric screening for significant bacteriuria. Indian J Med Microbiol 2007;25:301-2

How to cite this URL:
Bednar M, Nemeckova V. A photometric screening for significant bacteriuria. Indian J Med Microbiol [serial online] 2007 [cited 2019 Nov 13];25:301-2. Available from: http://www.ijmm.org/text.asp?2007/25/3/301/34785


Dear Editor,

To predict the outcome of urine cultures, several screening methods have been developed. [1],[2],[3] In photometric screening, [2] diluted urine specimen is added to the broth in microplate well and incubated; if the specimen contains at least 10 5 bacteria/mL, optical density (OD) in the well increases significantly within five hours. The aim of this study was to verify this method using a kinetic microplate reader.

Four hundred thirty midstream urine specimens were tested by the standard culture method. Specimens with counts ≥ 10 5 cfu/mL were considered positive. The specimens were also evaluated using a photometric screening. Urine specimens (100 L) were inoculated in to 100 L of brain heart infusion (Oxoid, Basingstoke, UK) enriched with 8% of concentrated tissue culture medium E-199 (Sevapharma Prague, Czech Rep) in microtitre wells. The plate was placed on a photometer (MRX HD; Dynex Laboratories, Chantilly, VA). The temperature of the microplate chamber was maintained at 36C. The optical density (OD) of inoculated wells was measured every ten minutes at a wavelength of 420 nm. Wells with an OD increase of ≥7% in four hours were considered as positive. Curves of turbidity increase were also received and those that contained an exponential segment were considered positive. The quantitative culture test and photometric screening thus resulted in three logical values: significant/ insignificant bacteriuria; presence/ absence of 7% increase in OD in four hours; and presence/ absence of an exponential segment in curve. Relation among those logical values was expressed as sensitivity and specificity, positive and negative predictive values of the screening.

The results are shown in the [Table - 1]. The exponential character of turbidity increase was less sensitive yet a more specific screening criterion, thus it is suitable for preliminary confirmation of significant bacteriuria. The non-specified turbidity increase estimation [2] has a high negative predictive value and is suitable (just like the biochemical screening) [1],[3] for preliminary exclusion of significant bacteriuria. Using a microwell plate and a photometer with a kinetic programme, the photometric method can be used for the reliable, rapid and inexpensive screening of bacteriuria.

 
 ~ References Top

1.Dimech W, Roney K. Evaluation of an automated urinalysis system for testing urine chemistry, microscopy and culture. Pathology 2002;34:170-7.  Back to cited text no. 1  [PUBMED]  
2.Schindler J, Vrankova J. Semiautomatic photometric screening of urine specimens for significant bacteriuria with high predictive values. J Hyg Epidemiol Microbiol Immunol 1992;36:85-92.  Back to cited text no. 2    
3.Deville WL, Yzermans JC, van Duijn NP, Bezemer PD, van der Windt DA, Bouter LM. The urine dipstick test useful to rule out infections. A meta-analysis of the accuracy. BMC Urol 2004;4:4.  Back to cited text no. 3    



 
 
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