Evaluating the Predictive Efficacy of Dipstick Urinalysis for Detecting Urinary Tract Infections in Febrile Children Under Five Years of Age at Federal Medical Centre, Owerri, Imo State, Nigeria

N. U. M., Esezobor C. I., Iregbu F. U., Ushie S. N.
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Abstract

This study aimed to assess the predictive efficacy of dipstick urinalysis in detecting urinary tract infections (UTI) among febrile children under five years of age at the Federal Medical Centre, Owerri, Imo State, Nigeria. The research involved a hospital-based descriptive cross-sectional study, analyzing the diagnostic performance of nitrite and leucocyte esterase tests on urine dipsticks. The results revealed low sensitivity but high specificity for both tests, suggesting their potential role in excluding UTI. The findings emphasize the importance of combining dipstick urinalysis with urine culture for accurate diagnosis in febrile children. Keywords: Urinary tract infections, Dipstick urinalysis, Febrile children, Nitrite, Leucocyte esterase, Diagnostic efficacy, Nigeria.
评估尼日利亚伊莫州奥韦里联邦医疗中心采用浸量尺尿液分析法检测五岁以下发热儿童尿路感染的预测效果
本研究旨在评估尼日利亚伊莫州奥韦里联邦医疗中心的尿液浸量棒检测法在检测五岁以下发热儿童尿路感染(UTI)方面的预测效果。该研究是一项基于医院的描述性横断面研究,分析了尿液浸渍棒上的亚硝酸盐和白细胞酯酶检测的诊断性能。结果显示,这两种检验的灵敏度较低,但特异性较高,表明它们在排除尿道炎方面具有潜在作用。研究结果强调了结合浸量棒尿液分析和尿培养对发热儿童进行准确诊断的重要性。关键词尿路感染 量表尿液分析 发热儿童 亚硝酸盐 白细胞酯酶 诊断效果 尼日利亚
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