Nisha Vadivelu, Rashmika D Parmar, Hitesh Shingala, Krunal D Mehta
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引用次数: 0
Abstract
Background: Urinary tract infections (UTIs) are prevalent bacterial infections, necessitating rapid and accurate diagnosis for timely treatment. Conventional culture techniques, such as cystine lactose electrolyte deficient (CLED) agar, can delay treatment and contribute to inappropriate antibiotic use. Not much is known about alternatives such as chromogenic UTI agar.
Objective: The study aimed to assess the performance of chromogenic UTI agar compared to conventional methods for identifying uropathogens, especially in polymicrobial infections, and to determine its sensitivity, specificity, time efficiency, and cost-effectiveness for UTI diagnosis.
Methods: An observational cross-sectional study was conducted from March 2024 to June 2024 in the Microbiology Department of M.P. Shah Government Medical College in Jamnagar, Gujarat, India. Urine samples from patients with suspected UTIs (n = 250) were processed using both chromogenic UTI agar and CLED agar. The performance of chromogenic UTI agar was assessed for pathogen identification, detection of polymicrobial infections, time to results, and cost-effectiveness.
Results: Chromogenic UTI agar detected single bacterial growth in 63/250 (25.2%) samples, and mixed bacterial growth in 24/250 (9.6%) samples, whereas CLED agar showed single bacterial growth in 67/250 (26.8%) samples and mixed bacterial growth in 10/250 (4%). The chromogenic medium provided preliminary results 5.5 h earlier (p < 0.001) and final results 24 h earlier (p < 0.001) than conventional methods. Cost analysis revealed a 33% reduction per-test cost using chromogenic UTI agar (p < 0.001).
Conclusion: Chromogenic UTI agar demonstrated excellent performance in the rapid and accurate diagnosis of UTIs, including improved detection of polymicrobial infections.
What this study adds: When it comes to diagnosing UTIs, chromogenic UTI agar has several benefits over traditional techniques, such as high accuracy, enhanced detection of polymicrobial infections, and cost-effectiveness. The research backs up the inclusion of chromogenic medium in standard UTI diagnosis procedures.
期刊介绍：
The African Journal of Laboratory Medicine, the official journal of ASLM, focuses on the role of the laboratory and its professionals in the clinical and public healthcare sectors,and is specifically based on an African frame of reference. Emphasis is on all aspects that promote and contribute to the laboratory medicine practices of Africa. This includes, amongst others: laboratories, biomedical scientists and clinicians, medical community, public health officials and policy makers, laboratory systems and policies (translation of laboratory knowledge, practices and technologies in clinical care), interfaces of laboratory with medical science, laboratory-based epidemiology, laboratory investigations, evidence-based effectiveness in real world (actual) settings.
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