CORRELATION BETWEEN DIPSTICK, MICROSCOPY AND CULTURE & SENSITIVITY AMONG CHILDREN SUFFERED FROM URINARY TRACT INFECTION

Ankaj Sharma, Poonam Chauhan*, Ranbir Singh Jaswal, S. C. Jaryal, Ajay Sharma and Gunjan Sharma

ABSTRACT

Background: The diagnosis of urinary tract infection in children is difficult as clinical presentations are vague and non-specific so high index of suspicion is required to diagnosis the urinary tract infection in children 0-5 year. The purpose of this study was to evaluate the correlation between Dipstick, Microscopy and Culture & Sensitivity among Children suffered from Urinary Tract Infection. Material & Methods: The present descriptive, cross-sectional, and prospective study was conducted in the Department of Pediatrics, Dr RPGMC Kangra at Tanda for the period of One year. Total 263 Children aged 1 month to 5 years with fever (axillary temp of >38°C or >100.4°F) without any focus reporting to OPD or admitted to the ward of Pediatric Department were included in the study. Results: Culture negative patients were in the majority (87.8%) compared to culture positive patients (12.1%). In our study, total Dipstick Positive were 26, total Routine Microscopy Positive were 24 and Total Patients Combined Positive for Dipstick and Routine Microscopy were 30.In the present study dipstick test has sensitivity of 81.25% and specificity 96.97%.Positive Predictive Value and Negative Predictive Value were 78.79% and 97.39% respectively. Routine microscopy has sensitivity of 75.00% and specificity 97.84%. Positive Predictive Value and Negative Predictive Value were 82.76% and 96.58% respectively. Both dipstick and Routine microscopy has sensitivity of 93.75% and specificity 99.57%. Postive Predictive Value and Negative Predictive Value were 96.77% and 99.14% respectively. Conclusion: The present study suggests the sensitivity of dipstick about 81.25% and specificity 96.97%. After combining dipstick with routine microscopy the sensitivity increases upto 93.75% and specificity 99.75% so it is reliable to start antibiotic treatment on the basis of dipstick and routine microscopy till culture report is awaited to prevent morbidity and long term sequelae due to UTI.

Keywords: Correlation, Dipstick, Microscopy and Culture & Sensitivity Children, Urinary Tract Infection.