Urine clarity inaccurate to rule out urinary tract infection in women
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Updated: May 31, 2026

Recurrent Escherichia coli Urinary Tract Infection Triggered by Gardnerella vaginalis Bladder Exposure in Mice
Published on: December 4, 2020
1University of Toledo, OH 43614, USA.
Background:
A previous study suggested that, among children, a clear urine sample accurately rules out urinary tract infection. The aim of this study was to replicate this previous study done in an adult female population.
Methods:
We analyzed 100 anonymous urine samples from female patients ages 18 to 50 years who were receiving care in a university hospital system. Urine samples were tested for clarity by determining if newsprint could be legibly read through them.
Results:
Sensitivity, specificity, and positive and negative predictive values for the newsprint test were 13.3%, 96.5%, 40.0%, and 86.3%, respectively.
Conclusion:
Visual inspection of urine clarity was not sufficiently accurate to rule out urinary tract infection in women.
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