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. 2010 May 28;107(21):361–367. doi: 10.3238/arztebl.2010.0361

Table 1. Diagnostic testing with dip sticks.

Source Bacterial count cfu/mL Prevalence n Test Sens % Spec % PPV % NPV % LR + LR – Comments
McIsaac (15) >102 63% 331 Ni 36 89 85 45 3.4 0.7 10% with discharge
Le 84 45 72 63 1.5 0.35
Grude 2005 (e11) >104 76% 184 Le 94 9 86 20 1.0 0.6
Ni 57 78 94 23 2.6 0.5
Winkens (24) > 105 62 % 268 Ni 42 95 93 50 8.4 0.6 17% men
Verest 2000 (e12) > 105 58 % 292 Le 88 37 63 71 1.4 0.3
Ni 53 95 93 59 10.6 0.5
Ni +Le neg 81
Deville (e13) k.A k.A Ni 53 88 4.4
  • Metaanalysis of subgroup “General Practice”, no differentiation by sex

Le 87 36 1.3
Ni + Le pos 90 65 2.5
Heckerling 2007 (e9) >105 26 % 212 Ni 1.5
  • With diagnostic definition of >102 bacteria, prevalence rises to 55%

Le 1.5
Semeniuk 1999 (e14) > 104 19 % 479 Ni 43 97 75 88 14 Inclusion criteria unclear
Le 84 59 19 97 2
Ni + Le pos 84 98 84 98 42
Little (8) > 103 62.5 % 427 Blut 93 34 70 73 1.4 0.22 Presence of vaginal discharge led to exclusion
Le 89 52 75 72 2.58 0.33
Ni + Le pos 26 97 93 44 8.0 0.77
Hummers-Pradier (20) > 102 77 % 445 Ni 39 88 92 29 3.3 0.7 Complicated UTI excluded
Le 72 46 83 31 1.3 0.6
Ni +Le pos 35 88 91 27 2.9 0.7

Overview of studies for the diagnosis of a urinary tract infection; inclusion criteria: primary care setting; reason for consultation: women with symptoms when passing water; comparison with urine culture as gold standard; sens, sensitivity; spec, specificity; PPV, positive predictive value; NPV, negative predictive value; LR, likelihood ratio; Le, leukocyte esterase; Ni, nitrite. Missing values are either not given in the sources or cannot be calculated from the available data.