Urine dipstick of sputum for the rapid diagnosis of community acquired pneumonia
Abstract
Abstract: Introduction: Community acquired pneumonia (CAP) is responsible for
an important part of treatment costs across the world. Even though posterioranterior
lung radiography (PALG) and direct sputum smear microscopy are
required or routine diagnoses. The purpose of this study is to determine the
diagnostic value of the bedside urine strip tests in CAP.
Methods: Patients who attended the emergency department (ED) between
from February 2016 to September 2016 with expectoration complaints and
suspicion of pneumonia. The sensitivity, specificity, and accuracy rate of the
urine strip tests, direct sputum smear microscopy, and PALG were calculated
and analyzed using SPSS 15.0.
Results: During the study period, 100 patients with pneumonia suspicion were
evaluated in the ED. The sample was divided into two groups: negative and
positive diagnosis of CAP. The leukocytes detecting by urine strip tests are
statistical differences between the two groups (p: 0.003). The results show that
the sensitivity, specificity, and accuracy rate of leukocytes detected in sputum
with urine strip tests in the pneumonia diagnosis were 83.3%, 44.2% and 63%
respectively.
Conclusion: According to the study, it is believed that the method of
determination of leukocytes with urine strip tests in sputum combined with more
detailed results. They can become part of CAP diagnosis methods.