지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 38 - 46 (9page)
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Purpose: Diagnosing urinary tract infections by urine culture is time-consuming during a Bacillus Calmette-Guerin treatment. Because the urine culture results take time to collect, patients are treated presumptively, or Bacillus Calmette-Guerin is discontinued before the results. This study evaluated the ability of the Sysmex UF-1000i system to examine the urine bacterial count and determine if it could be used to predict a positive culture. Materials and Methods: 180 patients who underwent transurethral resection for bladder tumors and received intravesical Bacillus Calmette-Guerin treatment between January 2017 and July 2018 were evaluated prospectively. For patients who received an intravesical Bacillus Calmette-Guerin treatment, urine flow cytometry, and urine cultures were assessed weekly during the treatment period. Results: During Bacillus Calmette-Guerin instillation, 44, 146, and 27 patients had bacteriuria, pyuria, and positive urine nitrite, respectively. Multivariate analysis indicated that the predictors associated with bacteriuria included the urine flow cytometry results of ＞100 bacteria/?l (odds ratio, 22.73; p＜0.001) and positive urine nitrite (odds ratio, 5.67; p=0.012) at the time of sampling for positive urine culture. The area under the receiver operative characteristic curve for diagnosing bacteriuria by urine flow cytometry was 0.825. A urine flow cytometry cutoff value of ＞100 bacteria/?l resulted in a sensitivity and specificity of 75% and 90.91%, respectively. Using the cutoff of ＞1,000 bacteria/?l, the sensitivity and specificity were 50% and 94.85%, respectively. Conclusions: Rapid urinary tract infection diagnosis using Sysmex UF-1000i can be used to determine whether to treat an infection and to avoid unnecessary Bacillus Calmette-Guerin discontinuation and urine culture tests.
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등록된 정보가 없습니다.
참고문헌 (30)
참고문헌 신청
Haresh KP / 2007 / A prospective study evaluating surgery and chemo radiation in muscle invasive bladder cancer / J Cancer Res Ther 3:81~85
Divrik RT / 2010 / Impact of routine second transurethral resection on the long-term outcome of patients with newly diagnosed pT1 urothelial carcinoma with respect to recurrence, progression rate, and disease-specific survival : a prospective randomised clinical trial / Eur Urol 58:185~190
Hall MC / 2007 / Guideline for the management of nonmuscle invasive bladder cancer(stages Ta, T1, and Tis) : 2007 update / J Urol 178:2314~2330
Thrasher JB / 1992 / Complications of intravesical chemotherapy / Urol Clin North Am 19:529~539
Abrams P / 2010 / Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee : evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence / Neurourol Urodyn 29:213~240
Divrik RT / 2010 / Impact of routine second transurethral resection on the long-term outcome of patients with newly diagnosed pT1 urothelial carcinoma with respect to recurrence, progression rate, and disease-specific survival : a prospective randomised clinical trial / Eur Urol 58:185~190
Hall MC / 2007 / Guideline for the management of nonmuscle invasive bladder cancer(stages Ta, T1, and Tis) : 2007 update / J Urol 178:2314~2330
Thrasher JB / 1992 / Complications of intravesical chemotherapy / Urol Clin North Am 19:529~539
Abrams P / 2010 / Fourth International Consultation on Incontinence Recommendations of the International Scientific Committee : evaluation and treatment of urinary incontinence, pelvic organ prolapse, and fecal incontinence / Neurourol Urodyn 29:213~240
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