Table 1.
Results of subgroup analyses and accuracy of nitrites in urine dipsticks for the diagnosis of urinary tract infections or bacteriuria according to several predefined study characteristics (subgroups of studies without information about the study characteristic at issue are not shown) (no. of studies: 46)
| Study characteristic | N | Sensitivity(95%CI) | Specificity(95%CI) | DOR(95%CI) |
| BLINDING# | ||||
| not | 12 | 0.50 (0.43–0.59) | 0.89 (0.75–1.00) | 44 (19 – 139) |
| dipstick | 25 | 0.46 (0.38–0.56) | 0.91 (0.85–0.96) | 28 (27 – 30) |
| both | 8 | 0.55 (0.36–0.85) | 0.96 (0.94–0.98) | 99 (41 – 239) |
| DATA COLLECTION# | ||||
| prospective | 42 | 0.48 (0.42–0.55) | 0.91 (0.86–0.96) | 34 (21 – 57) |
| retrospective | 1 | 0.37 (0.28–0.46) | 1.00 (0.99–1.00) | 701 (43 – 11565) |
| CUT-OFF CRITERION STANDARD* | ||||
| <1000 mcu/ml | 5 | 0.62 (0.56–0.69) | 0.92 (0.84–1.00) | 32 (9 – 112) |
| 10.000–50.000 | 9 | 0.37 (0.28–0.48) | 0.93 (0.88–0.98) | 18 (6 – 51) |
| ≥100.000 | 34 | 0.48 (0.40–0.57) | 0.93 (0.87–0.98) | 50 (29 – 84) |
| POPULATION# | ||||
| general | 15 | 0.50 (0.44–0.58) | 0.82 (0.71–0.95) | 11 (6 – 21) |
| children | 10 | 0.50 (0.42–0.60) | 0.92 (0.87–0.98) | 34 (12 – 97) |
| pregnant women | 10 | 0.46 (0.38–0.56) | 0.98 (0.79–1.00) | 165 (73 – 372) |
| elderly | 3 | 0.71 (0.50–1.00) | 0.96 (0.91–1.00) | 108 (10 – 1165) |
| urology | 3 | 0.59 (0.53–0.66) | 0.97 (0.94–1.00) | 64 (19 – 216) |
| surgery | 3 | 0.54 (0.39–0.74) | 0.96 (0.93–0.99) | 34 (25 – 47) |
| SETTING# | ||||
| family physician | 6 | 0.53 (0.44–0.65) | 0.88 (0.81–0.96) | 12 (7 – 21) |
| outpatient | 17 | 0.45 (0.37–0.56) | 0.96 (0.92–0.99) | 87 (38 – 198) |
| emergency | 4 | 0.56 (0.40–0.81) | 0.94 (0.90–0.98) | 34 (10 – 112) |
| inpatient | 16 | 0.58 (0.51–0.67) | 0.85 (0.74–0.98) | 23 (10 – 54) |
| LEVEL OF CARE | ||||
| community | 2 | 0.18 (0.04–0.76) | 0.99 (0.98–1.00) | 78 (34 – 181) |
| primary | 12 | 0.49 (0.38–0.62) | 0.85 (0.73–1.00) | 22 (9 – 53) |
| secondary | 11 | 0.51 (0.40–0.66) | 0.89 (0.78–1.00) | 61 (15 – 247) |
| tertiary | 21 | 0.53 (0.46–0.60) | 0.94 (0.93–0.96) | 39 (22 – 69) |
DOR: diagnostic odds ratio, #: DOR significantly different between subgroups, *: If different cut-off points were used within one study population, the results were included as different studies (N = 48).