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尿样污染的质量指标:可以使用状上皮细胞和细菌数量来识别正确收集的样本吗?
Gabriela Blauth Walber1, José Antonio Tesser Poloni2, Liane Nanci Rotta1
1117303 Graduate Program in Health Sciences, Federal University of Health Sciences of Porto Alegre , Porto Alegre, Brazil.
Clinical chemistry and laboratory medicine
|January 2, 2025
概括
自动化尿液分析可以使用状上皮细胞 (SEC) 和细菌的特定切断值来识别尿样污染. 这有助于区分污染与尿路感染 (UTI),提高诊断准确度.
科学领域:
- 临床化学 临床化学
- 微生物学 微生物学
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 尿培养对于诊断尿路感染至关重要.
- 采集过程中的样品污染可能导致不准确的结果.
- 自动化尿液分析为尿样的快速质量评估提供了潜力.
研究的目的:
- 评估尿液分析参数,以识别尿样中的混合培养.
- 评估自动化尿液颗粒分析仪的性能,作为尿样污染的质量指标 (QI).
主要方法:
- 一项对来自巴西一家医院的2527个尿样进行了回顾性研究.
- 使用Sysmex UF-5000流细胞计 (尿液分析) 和MALDI-TOF (培养) 的同时分析.
主要成果:
- 建立了细菌/μL和状上皮细胞 (SEC) /μL的截止值,以区分污染.
- 对于女性来说,切断值是193.65细菌/μL和21.35SEC/μL;对于男性来说,是23.55细菌/μL和5.05SEC/μL.
- 较高的SEC和细菌数量与混合培养 (可能的污染) 有显著的相关性.
结论:
- 自动流动细胞测量有效地使用已建立的SEC和细菌切断线识别污染.
- 尿路细菌数量可能表明男性的尿路感染,但可能意味着女性的尿路感染或污染.
- 分析器作为一种有价值的工具,用于评估培养中的尿样品质量.
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