检验医学 ›› 2001, Vol. 16 ›› Issue (01): 13-14.

• 论文 • 上一篇    下一篇

快速筛选菌尿症-尿涂片镜检法探讨

杨锦红%李向阳%陈黎亚%叶映月   

  1. 温州医学院附属第二医院检验科,
  • 收稿日期:2001-01-01 出版日期:2001-01-01 发布日期:2001-01-01
  • 通讯作者: 杨锦红

Rapid detection of bacteriuria with microscopic examination

  • Received:2001-01-01 Online:2001-01-01 Published:2001-01-01

摘要: 目的 探讨一种快速筛选菌尿的方法。 方法 用10μl尿液直接涂片,经革兰染色后镜检,同时取10μl尿液做细菌培养及菌落计数。 结果 总计检测1155份尿标本,其中显微镜检查阳性(每个油镜视野平均菌数≥2)且尿培养阳性(菌落计数≥105cfu/ml)的标本有100份,两者均阴性的有1047份;6份涂片阳性而培养阴性;2份涂片阴性而培养阳性,显示涂片镜检法灵敏度98.0%,特异性99.4%,阳性预示值94.3%,阴性预示值99.8%。 结论 10μl尿液直接涂片临床检查菌尿症是一种快速、有效、简便的方法。

关键词: 菌尿症, 尿培养菌落计数, 尿涂片镜检

Abstract: Objective To develop a rapid method for the detection ofbacteriuria. Methods 10 μl of urine sample was smeared on the slide, examined by microscopy after Gram stain; 10 ul of urine sample was examined by cul-ture. Results 100 samples showed positive in both microscopic examination (≥2 bacteria per oil immersion field) and cultures (colony counts of ≥105 CFU/ml); 1047 samples both negative; six samples microscopic examination positive and cultures negative; two samples microscopic examination negative and cultures positive. So the resolved sensitivity and specificity of the microscopic examination are 98.0%and 99.4%respectively; Positive predictive value and negative predictive value are 94.3%and 99.8%respectively. Conclusion The method for detecting significant bacteriuria by microscopic examination with 10 μl sample is rapid, effective and simple.

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