دورية أكاديمية

Comparison Shows that Multiplex Polymerase Chain Reaction Identifies Infection-associated Urinary Biomarker–positive Urinary Tract Infections That Are Missed by Standard Urine Culture

التفاصيل البيبلوغرافية
العنوان: Comparison Shows that Multiplex Polymerase Chain Reaction Identifies Infection-associated Urinary Biomarker–positive Urinary Tract Infections That Are Missed by Standard Urine Culture
المؤلفون: Emery Haley, Natalie Luke, Mohit Mathur, Richard A. Festa, Jimin Wang, Yan Jiang, Lori Anderson, David Baunoch
المصدر: European Urology Open Science, Vol 58, Iss , Pp 73-81 (2023)
بيانات النشر: Elsevier, 2023.
سنة النشر: 2023
المجموعة: LCC:Diseases of the genitourinary system. Urology
LCC:Neoplasms. Tumors. Oncology. Including cancer and carcinogens
مصطلحات موضوعية: Urinary tract infection, Standard urine culture, Diagnostic testing, Multiplex polymerase chain reaction, Urine biomarkers, False negative urine culture, Diseases of the genitourinary system. Urology, RC870-923, Neoplasms. Tumors. Oncology. Including cancer and carcinogens, RC254-282
الوصف: Background: Multiplex polymerase chain reaction (M-PCR) has increased sensitivity for microbial detection compared with standard urine culture (SUC) in cases diagnosed as urinary tract infections (UTIs), leading to questions whether detected microbes are likely causative of UTIs or are incidental findings. Objective: To compare infection-associated biomarker levels against M-PCR and SUC results in symptomatic cases with a presumptive diagnosis of a UTI by a urologist. Design, setting, and participants: Participants were ≥60 yr old and presented to urology clinics between January and April 2023 with symptoms of UTIs (n = 583). Urine microbial detection was by M-PCR and SUC. Three infection-associated biomarkers (neutrophil gelatinase-associated lipocalin, interleukin-8, and interleukin-1β) were measured by enzyme-linked immunosorbent assay. Symptomatic cases with elevated biomarkers, detection of uropathogens, and a specialist clinical diagnosis of a UTI were considered definitive UTI cases. Outcome measurements and statistical analysis: Distributions were compared using two-sample Wilcoxon rank sum test, with two-tailed p values of
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 2666-1683
Relation: http://www.sciencedirect.com/science/article/pii/S2666168323018074; https://doaj.org/toc/2666-1683
DOI: 10.1016/j.euros.2023.10.008
URL الوصول: https://doaj.org/article/9fa7bd647e954a86b8d9967368c32d3a
رقم الأكسشن: edsdoj.9fa7bd647e954a86b8d9967368c32d3a
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:26661683
DOI:10.1016/j.euros.2023.10.008