Validity, Accuracy, and Predictive Value of Urinary Tract Infection Signs and Symptoms in Individuals With Spinal Cord Injury on Intermittent Catheterization
| العنوان: | Validity, Accuracy, and Predictive Value of Urinary Tract Infection Signs and Symptoms in Individuals With Spinal Cord Injury on Intermittent Catheterization |
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| المؤلفون: | Diana D. Cardenas, Jeanne M. Hoffman, Luiz M. Massa |
| المصدر: | The Journal of Spinal Cord Medicine. 32:568-573 |
| بيانات النشر: | Informa UK Limited, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | medicine.medical_specialty, Time Factors, Urinalysis, Original Contributions, Urinary system, Bacteriuria, urologic and male genital diseases, law.invention, Randomized controlled trial, Predictive Value of Tests, Residence Characteristics, law, Internal medicine, medicine, Humans, Prospective cohort study, Spinal cord injury, Spinal Cord Injuries, Retrospective Studies, medicine.diagnostic_test, business.industry, Stem Cells, Reproducibility of Results, Retrospective cohort study, bacterial infections and mycoses, medicine.disease, female genital diseases and pregnancy complications, Surgery, Predictive value of tests, Urinary Tract Infections, Neurology (clinical), Urinary Catheterization, business |
| الوصف: | To determine the validity, accuracy, and predictive value of the signs and symptoms of urinary tract infection (UTI) for individuals with spinal cord injury (SCI) using intermittent catheterization (IC) and the accuracy of individuals with SCI on IC at predicting their own UTI.Prospective cohort based on data from the first 3 months of a 1-year randomized controlled trial to evaluate UTI prevention effectiveness of hydrophilic and standard catheters.Fifty-six community-based individuals on IC.Presence of UTI as defined as bacteriuria with a colony count of at least 10(5) colony-forming units/mL and at least 1 sign or symptom of UTI.Analysis of monthly urine culture and urinalysis data combined with analysis of monthly data collected using a questionnaire that asked subjects to self-report on UTI signs and symptoms and whether or not they felt they had a UTI.Overall, "cloudy urine" had the highest accuracy (83.1%), and "leukocytes in the urine" had the highest sensitivity (82.8%). The highest specificity was for "fever" (99.0%); however, it had a very low sensitivity (6.9%). Subjects were able to predict their own UTI with an accuracy of 66.2%, and the negative predictive value (82.8%) was substantially higher than the positive predictive value (32.6%).The UTI signs and symptoms can predict a UTI more accurately than individual subjects can by using subjective impressions of their own signs and symptoms. Subjects were better at predicting when they did not have a UTI than when they did have a UTI. |
| تدمد: | 2045-7723 1079-0268 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::e53623bd432bd998094b75051e2d3dc7Test https://doi.org/10.1080/10790268.2009.11754562Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....e53623bd432bd998094b75051e2d3dc7 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20457723 10790268 |
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