Table 2.
Contingency tables detailing comparison of surrogate markers to the ‘gold-standard’ for UTI diagnosis (bacterial culture), in a cohort of renal transplant recipients
| (1) Leukocyte esterase* | (2) Nitrite | (3) Combined dipsticks | ||||||
|---|---|---|---|---|---|---|---|---|
| Culture positive | Culture negative | Culture positive | Culture negative | Culture positive | Culture negative | |||
| Leukocyte positive | 6 (11%) | 40 (76%) | Nitrite positive | 2 (4%) | 2 (4%) | Both positive | 0 (4%) | 2 (4%) |
| Leukocyte negative | 6 (11%) | 1 (2%) | Nitrite negative | 10 (19%) | 39 (73%) | Both negative | 4 (8%) | 1 (2%) |
| (4) Pyuria | (5) ATP* | (6) IB* | ||||||
| Culture positive | Culture negative | Culture positive | Culture negative | Culture positive | Culture negative | |||
| Pyuria positive | 9 (17%) | 35 (66%) | ATP >50 nmol/l | 3 (6%) | 0 (0%) | IB positive | 1 (2%) | 22 (41%) |
| Pyuria negative | 3 (6%) | 6 (11%) | ATP <50 nmol/l | 9 (17%) | 41 (77%) | IB negative | 11 (21%) | 19 (36%) |
| (7) Combined ATP and IB** | ||||||||
| Culture positive | Culture negative | |||||||
| ATP >50, IB positive | 1 (2%) | 0 (0%) | ||||||
| ATP <50, IB negative | 0 (0%) | 18 (34%) | ||||||
*denotes Fisher’s exact test <0.05. **denotes Fisher’s exact test =0.0556 (not quite significant). See Methods for an explanation of the surrogate markers used. Key: IB, intracellular bacteria.
Data not included in the contingency tables: with respect to combined dipstick tests; 6 patients (10%) were leukocyte positive/nitrite negative and culture positive; 37 patients (70%) were leukocyte positive/nitrite negative and culture negative; 2 patients (4%) where leukocyte negative/nitrite positive and culture positive; 1 patient (2%) was where leukocyte negative/nitrite positive and culture negative. With respect to combined ATP and IB; 9 patients (17%) were IB positive/ATP <50 and culture positive; 22 patients (41%) were IB positive/ATP <50 and culture negative; 3 patients (6%) were IB negative/ATP >50 and culture positive; 0 patients were IB negative/ATP >50 and culture negative.