Evid Based Nurs 3:86 doi:10.1136/ebn.3.3.86
  • Assessment

Review: both Gram stain and urine dipstick analysis were accurate in diagnosing urinary tract infection in children

Test characteristics for the diagnosis of urinary tract infection in children

Test Number of studies Weighted sensitivity Weighted specifi city Weighted +LR* Weighted –LR*
*Likelihood ratios (LRs) defined in Glossary and calculated from data in article.
LE=leukocyte esterase.
Dipstick, any nitrite only 13 50% 98% 25 0.51
Dipstick, any LE only 7 83% 84% 5 0.2
Dipstick, any nitrite or LE 9 88% 93% 13 0.13
Dipstick, both nitrite and LE 5 72% 96% 18 0.29
Gram stain, any organisms 5 93% 95% 19 0.07
Enhanced analysis of spun urine 5 67% 79% 3 0.42
Enhanced analysis of unspun urine 9 77% 89% 7 0.26

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