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Usefulness of urine strip test in the rapid diagnosis of spontaneous bacterial peritonitis

Authors
 Do Young Kim  ;  Jie Hyun Kim  ;  Young Myoung Moon  ;  Kwan Sik Lee  ;  Yong Han Paik  ;  Ja Kyung Kim  ;  Sang Hoon Ahn  ;  Kwang-Hyub Han  ;  Chae Yoon Chon 
Citation
 LIVER INTERNATIONAL, Vol.25(6) : 1197-1201, 2005 
Journal Title
 LIVER INTERNATIONAL 
ISSN
 1478-3223 
Issue Date
2005
MeSH
Ascitic Fluid/cytology ; Ascitic Fluid/microbiology* ; Bacterial Infections/complications ; Bacterial Infections/diagnosis* ; Carboxylic Ester Hydrolases/analysis ; Colorimetry ; Female ; Humans ; Leukocyte Count ; Liver Cirrhosis/complications* ; Male ; Middle Aged ; Neutrophils ; Paracentesis ; Peritonitis/complications ; Peritonitis/diagnosis* ; Predictive Value of Tests ; Reagent Strips* ; Sensitivity and Specificity ; Urinalysis/instrumentation
Keywords
ascites ; cirrhosis ; reagent strip ; spontaneous bacterial peritonitis
Abstract
PURPOSE: Rapid and accurate diagnosis of spontaneous bacterial peritonitis (SBP) is mandatory for timely treatment in cirrhotic patients. The purpose of this study was to assess the usefulness of two different reagent strips, the UriSCAN and the Multistix10SG, for the rapid bedside diagnosis of SBP. METHODS: A total of 75 paracenteses in 53 cirrhotic patients with ascites were performed. All ascitic fluid was analyzed with the two reagent strips, and compared with the manual cell count with differential and ascitic fluid culture. SBP was defined as an ascitic polymorphonuclear cell count > or =250/mm3. RESULTS: SBP was diagnosed in 18 of the 75 samples. If we considered the positive UriSCAN result of 2 or more, the sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were all 100%. When we considered the positive UriSCAN result of 3, the sensitivity, specificity, PPV, and NPV were 67%, 100%, 100%, and 89%, respectively. When we considered the positive Multistix10SG result of 3, the sensitivity, specificity, PPV, and NPV were 50%, 100%, 100%, and 87%, respectively. CONCLUSION: Urine reagent strip might be useful for rapid and accurate diagnosis of SBP in cirrhotic patients with ascites.
Full Text
http://onlinelibrary.wiley.com/doi/10.1111/j.1478-3231.2005.01176.x/abstract
DOI
10.1111/j.1478-3231.2005.01176.x
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Do Young(김도영)
Kim, Ja Kyung(김자경) ORCID logo https://orcid.org/0000-0001-5025-6846
Kim, Jie-Hyun(김지현) ORCID logo https://orcid.org/0000-0002-9198-3326
Paik, Yong Han(백용한)
Ahn, Sang Hoon(안상훈) ORCID logo https://orcid.org/0000-0002-3629-4624
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
Chon, Chae Yoon(전재윤)
Han, Kwang-Hyub(한광협) ORCID logo https://orcid.org/0000-0003-3960-6539
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/114756
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