Evaluation of BACTEC system for urine culture screening

Author:

Colombrita D1,Ravizzola G1,Pirali F1,Manni M1,Manca N1,Savoldi E1,Turano A1

Affiliation:

1. Institute of Microbiology, Brescia University, Italy.

Abstract

We compared urine culturing performed by the calibrated loop method with a screening system (BACTEC). A total of 852 urine specimens were examined by both the conventional loop method and the BACTEC system. With the loop method, 193 (22.6%) urine samples were positive, whereas with the BACTEC system, 185 (21.7%) were positive (sensitivity, 96.01%). At a breakpoint of 10(4) CFU/ml, eight false-negatives were detected (sensitivity, 87.09%), and at a breakpoint of 10(5) CFU/ml, four false-negatives were observed (sensitivity, 97.6%). The specificity of the BACTEC system was 100%. We propose the BACTEC method as an effective alternative to the other growth-dependent screening tests for bacteriuria.

Publisher

American Society for Microbiology

Subject

Microbiology (medical)

Reference13 articles.

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2. Benfari Ferraro M. J. and J. Kunz. 1982. Predictive value of microbiological diagnostic tests p. 243-251. In V. Lorian (ed.) Significance of medical microbiology in the care of patients 2nd ed. The Williams & Wilkins Co. Baltimore.

3. Clinical evaluation of three rapid methods for the detection of significant bacteriuria;Bixler-Forrell E. B.;J. Clin. Microbiol.,1985

4. Impedimetric screening for bacteriuria;Cady P.;J. Clin. Microbiol.,1978

5. Rapid screening for bacteriuria by light scatter photometry (Autobac): a collaborative study;Hale D. C.;J. Clin. Microbiol.,1981

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