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American Academy of Pediatrics
ELECTRONIC ARTICLE

The Validity of the Uriscreen Test for Early Detection of Urinary Tract Infection in Children

Yehezkel Waisman, Elisheva Zerem, Lisa Amir and Marc Mimouni
Pediatrics October 1999, 104 (4) e41; DOI: https://doi.org/10.1542/peds.104.4.e41
Yehezkel Waisman
1From the Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Elisheva Zerem
1From the Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Lisa Amir
1From the Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
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Marc Mimouni
1From the Unit of Emergency Medicine, Schneider Children's Medical Center of Israel, Petah Tiqva, and Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.
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    Table 1.

    Demographic Characteristics of Children With Positive Cultures (n = 35)

    CharacteristicNumber of Patients (%)
    Gender
     Male5 (14.3)
     Female30 (85.7)
    Age
     0–2 mo2 (5.7)
     3 mo–2 y8 (22.9)
     3–7 y14 (40)
     8–17 y11 (31.4)
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    Table 2.

    Comparison of Urine Culture (Reference Test) and Screening Tests for Diagnosis of UTI (n = 121)

    Urine CultureUriscreenDipstickMicroscopy
    PositiveNegativePositiveNegativePositiveNegative
    Positive35 (100%) 0 (0%)34 (97.1%)1 (2.9%)31 (88.6%)4 (11.4%)
    Negative27 (31.4%)59 (68.6%)15 (17.4%)71 (82.6%)10 (11.6%)76 (88.4%)
    • View popup
    Table 3.

    Comparison of Sensitivity, Specificity, PPV, and NPV, and Accuracy of Uriscreen, Dipstick, and Urine Microscopy Analyses in the Early Diagnosis of UTI

    TestSensitivity (%)Specificity (%)PPV (%)NPV (%)Accuracy (%)
    Uriscreen10068.656.410077.7
    Dipstick97.182.569.498.686.8
    Microscopy88.688.475.69588.4
    • View popup
    Table 4.

    Sensitivities, Specificities, PPV, and NPV of Uriscreen for the Early Detection of UTI in Various Studies

    StudySensitivity (%)Specificity (%)PPV (%)NPV (%)
    Congdon and Federko11 91.543.232.894.4
    Carroll et al8 92898395
    Berger et al12 83717071
    Pezzlo et al7 89714796
    Mayo Clinic in Pezzlo et al7 1006735100
    Dalton et al13 8778
    Palmer et al9 65.285.757.789.2
    Present study10068.656.4100
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Pediatrics
Vol. 104, Issue 4
1 Oct 1999
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The Validity of the Uriscreen Test for Early Detection of Urinary Tract Infection in Children
Yehezkel Waisman, Elisheva Zerem, Lisa Amir, Marc Mimouni
Pediatrics Oct 1999, 104 (4) e41; DOI: 10.1542/peds.104.4.e41

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The Validity of the Uriscreen Test for Early Detection of Urinary Tract Infection in Children
Yehezkel Waisman, Elisheva Zerem, Lisa Amir, Marc Mimouni
Pediatrics Oct 1999, 104 (4) e41; DOI: 10.1542/peds.104.4.e41
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