Bilah Samping Artikel

Telah diserahkan
April 2, 2023
Diterima
Juni 5, 2023
Diterbitkan
Mei 31, 2023
Unduh
PDF
Statistik
Baca Penghitung : 306 Unduh : 939

Isi Artikel Utama

Abstrak

Bacteriuria is the leading indicator of Urinary Tract Infection (UTI), which is detected through urine culture examination. Significant bacteriuria indicates the growth of microorganisms as much as ≥ 100,000 cfu/ml in urine culture. There are drawbacks to this examination that requires a screening test with a short time and lower cost. This study aimed to determine differences in the results of nitrite and leukocyte esterase examination using a urine dipstick with urine culture as a predictor of bacteriuria. The type of research used is analytic with an experimental approach. The sample used in this study was ten samples of urine. Based on the bivariate analysis results, the p-value was 0.541, which means that there was no difference in the results of leukocyte esterase and urine culture. This indicates the presence of leukocytes in the urine can be an indication of bacteriuria. The results for the nitrite examination obtained a p-value of 0.000, which means there is a difference between the results of the nitrite examination and the results of the urine culture. This shows that the presence of nitrites in the urine cannot indicate of bacteriuria. However the data on the sensitivity and specificity of dipstick examination are still low for leukocyte esterase and urine nitrite tests. However, urine dipstick examination to detect bacteriuria and UTI is still an option for faster screening.

 

Keywords       : leukocyte esterase, nitrites, urine culture

Rincian Artikel

Lisensi

 

This work is licensed under  Creative Commons Attribution-NonCommercial 4.0 International License.

 

Biografi Penulis

Putu Ayu Parwati, STIKes Wira Medika Bali

Program Studi Teknologi Laboratorium Medis Program Sarjana TErapan

Referensi

  1. Agpaoa, V. V., Mendoza, B. J., Fernandezi, A. J. M., Veloso, J. D., & Bhatnagar, S. (2015). Predict Urinary Tract Infection and to Estimate Causative Bacterial Class in a Philippine Subspecialty Hospital. J Nephrol Ther 5: 194(25) 4-6.
  2. Demilie, T., Beyene, G., Melaku, S., & Tsegaye, W. (2014). Diagnostic accuracy of rapid urine dipstick test to predict urinary tract infection among pregnant women in Felege Hiwot Referral Hospital, Bahir Dar, North West Ethiopia. BMC research notes, 7(1)1-5
  3. Duane RH, and Victor WN. (2013). Management of Recurrent Urinary Tract Infections in Healthy Adult Women. Reviews in Urology, 15(2): 41-8
  4. Ginting F.,Sugianli A.K., Kusumawati R.L., Parwati I., Jong M.D., Schultsz C., Leth F.V. (2018). Predictive value of the urinary dipstick test in the management of patients with urinary tract infection-associated symptoms in primary care in Indonesia. BMJ, 8: 1-7
  5. Grabe, M., Bartoletti, T.E. ,Bjerklund Johansen., T. Cai. (2015). Guidelines on Urological Infections. European Association of Urology. Inayati
  6. Mambatta, A. K., Jayarajan, J., Rashme, V. L., Harini, S., Menon, S., & Kuppusamy, J. (2015). Reliability of dipstick assay in predicting urinary tract infection. Journal of family medicine and primary care, 4(2), 265.
  7. Najeeb S., Munir T., Rehman S., Hafiz A., Gilani M., and Latif M. (2015). Comparison of urine dipstick test with conventional ueine culture in diagnosis of urinary tract infection. Journal of the College of Physicians and Surgeons Pakistan, 25 (2): 108-110
  8. Negara, C. A. (2018). Ketepatan Pemeriksaan Uji Dipstik Urin dalam Mendiagnosis Infeksi Saluran Kemih (ISK) Nosokomial Simptomatik dan Pola Resistensi ISK Nosokomial di Rumah Sakit Umum Pusat (RSUP) Haji Adam Malik Medan. [Tesis]. Medan: Fakultas Kedokteran, Universitas Sumatera Utara.
  9. Schmiemann G, Kniehl E, Gebhardt K, Matejczyk MM, Hummers-Pradier E. (2010). The Diagnosis Of Urinary Tract Infection: A Systematic Review. Deutsches Ärzteblatt International. 107(21):361- 367.
  10. Schmiemann G, Kniehl E, Gebhardt K, Matejczyk MM, Hummers-Pradier E. The Diagnosis Of Urinary Tract Infection: A Systematic Review. Deutsches Ärzteblatt International. 107(21):361- 367.
  11. Schwartz D, Barone J. (2006). Correlation of urinalysis and dipstick results with catheter–associated urinary tract infections in surgical ICU patients. Intensive Care Med. (32) 1797–1801
  12. Sukandar E. Infeksi saluran kemih pasien dewasa. Dalam: Sudoyo AW, Setiyohadi B, Alwi I, K Simadibrata M, Setiadi S, editor (penyunting). Buku ajar ilmu penyakit dalam. Jilid II. Edisi ke-5. Jakarta: Interna Publishing; 2009.hlm.1008-15
  13. Tuntun, M. dan Siti, A. (2021). Hubungan hasil dipstick urin (Leukosit esterase,nitrit dan glukosuria) dengan kejadian ISK pada Pegawai. Jurnal Kesehatan, Vol 12, No 3.