Pediatric Nephrology

, Volume 11, Issue 3, pp 331–333

Dipstick only urinalysis screen for the pediatric emergency room

Authors

  • Randall D. Craver
    • Department of Pathology, Lousiana State University Medical Center, New Orleans, Louisiana, USA
  • Jennifer G. Abermanis
    • Children’s Hospital, New Orleans, Louisiana, USA
Original article

DOI: 10.1007/s004670050288

Cite this article as:
Craver, R. & Abermanis, J. Pediatr Nephrol (1997) 11: 331. doi:10.1007/s004670050288

Abstract.

To determine if microscopic urinalysis is needed in all pediatric emergency room patients screened for urinary tract infections (UTI), we compared the dipstick urinalysis and complete urinalysis (dipstick and microscopy) with urine cultures in 236 children, aged 3 weeks to 21 years. The ability to detect UTI by dipstick only and by complete urinalysis was the same, however microscopic evaluation added many false-positive results without detecting additional UTIs. Because the ability to detect UTI (sensitivity) is maintained, we now offer a dipstick only urinalysis to our emergency room for children 2 years of age or older, with a microscopic analysis performed automatically if dipstick results are positive. If no microscopic urinalysis is required, testing turn-around time is reduced by 12.3 min/test and the hospital charge is reduced from U.S. $ 32 to U.S. $ 12.

Key words: Dipstick - Urinalysis - Urinary tract infection

Copyright information

© IPNA - International Pediatric Nephrology Association New York, USA 1997