Urine testing

Bibliographic InformationReason for rejecting study
Authors: Anon. Title: European Urinalysis Guidelines. Journal Name: Scand J Clin Lab Invest. Year: 2000Background information regarding urinalysis - guidelines checked for any relevant information to urine testing questions in UI guideline.
Authors: Hurlbut TA, Littenberg B, and the diagnostic technology assessment consortium. Title: The diagnostic accuracy of rapid dipstick tests to predict urinary tract infection. Journal Name: Clinical Microbiology and Infectious Diseases. Year: 1991A systematic review of studies that considered accuracy of urine dipstick relative to culture in women with UTI (but no UI, therefore not relevant to guideline questions).
Authors: Lammers RL;Gibson S;Kovacs D;Sears W;Strachan G;. Title: Comparison of test characteristics of urine dipstick and urinalysis at various test cutoff points. Journal Name: Annals of Emergency Medicine. Year: 2001 NovA comparison of the diagnostic accuracy of urine reagent strips vs. urine culture for UTI in women presenting with dysuria, frequency, urgency (none had UI). Insufficient data presented to be able to calculate sensitivity, specificity, PPV, NPV. Authors main aim was to compare results of culture and dipstick at various cut-off points, and then determine how this affected the decision to treat UTI.
Authors: Lenke RR, van Dorsten JP. Title: The efficacy of the nitrite test and microsopic urinalysis in predicting urine culture results. Journal Name: Am J Obstet Gynecol. Year: 1981The population was pregnant women at risk of pyelonephritis, not women with UI.
Authors: Ouslander JG;Schapira M;Schnelle JF;. Title: Urine specimen collection from incontinent female nursing home residents. Journal Name: Journal of the American Geriatrics Society. Year: 1995Aim of study is to compared urine culture results when specimen obtained by clean catch or catheterisation. Dipstick testing and urine culture done but diagnostic results by both methods not presented, therefore it cannot inform the urine testing questions of UI guideline.

From: Excluded studies

Cover of Urinary Incontinence
Urinary Incontinence: The Management of Urinary Incontinence in Women.
NICE Clinical Guidelines, No. 40.
National Collaborating Centre for Women's and Children's Health (UK).
London: RCOG Press; 2006 Oct.
Copyright © 2006, National Collaborating Centre for Women’s and Children’s Health.

No part of this publication may be reproduced, stored or transmitted in any form or by any means, without the prior written permission of the publisher or, in the case of reprographic reproduction, in accordance with the terms of licences issued by the Copyright Licensing Agency in the UK [www.cla.co.uk]. Enquiries concerning reproduction outside the terms stated here should be sent to the publisher at the UK address printed on this page.

The use of registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant laws and regulations and therefore for general use.

NCBI Bookshelf. A service of the National Library of Medicine, National Institutes of Health.