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Performance of Urinalysis Parameters in Predicting Urinary Tract Infection: Does One Size Fit all?

Sonali D. Advani, R. North, Nicholas A. Turner, Sahra Ahmadi, Julia Denniss, Adero Francis, Rachel M Johnson, Anum Hasan et al.

Clinical Infectious Diseases, 2024

3,392 participants · 29 citations

Abstract

In a multi-hospital cohort study of 3392 patients, positive urinalysis parameters had poor positive predictive value for diagnosing urinary tract infection (UTI). Combined urinalysis parameters (pyuria or nitrite) performed better than pyuria alone for ruling out UTI. However, performance of all urinalysis parameters was poor in older women.

How strong is the evidence?

Evidence Hub reads this as a cohort study, done in people. Its evidence level is 3 of 5 (Moderate · trial / cohort / secondary analysis). Trials without a large randomized design, cohorts and secondary analyses give moderate evidence. Reported size: 3,392 participants or records.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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