How does lab urinalysis compare to point-of-care urinalysis in pediatric urinary tract infection (UTI)?

Updated: Mar 19, 2019
  • Author: Donna J Fisher, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

In a large retrospective analysis of children with UTI, laboratory-based urinalysis was more sensitive than point-of-care urinalysis in diagnosing pediatric UTI. Point-of-care urinalysis had 82.5% sensitivity, 81.3% specificity, 33.9% positive predictive value, and 97.6% negative predictive value, whereas laboratory-based urinalysis had 89.1% sensitivity and a significantly higher negative predictive value (98.9%). Laboratory-based urinalysis, however, was less specific (76.1%) and had a lower positive predictive value (22.7%). [35, 36]


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