Use of urinary gram stain for detection of urinary tract infection in childhood

Abstract

In this experiment, urine culture, Gram stain, and other urine analysis procedures were used. In 100 children with signs of urinary tract infection, "leucocyte esterase, nitrate, microscopy for bacteria, and pyuria" were evaluated. The goal of this study was to see how well a urinary Gram stain compared to a combination of Gram stain and entire urine analysis, such as nitrate positiveness, leukocyte esterase, bacteria microscopy, and white blood cell microscopy. 70 percent of 100 children (aged 2 days to 15 years) had a positive urine culture, with 43 percent of boys and 57 percent of girls. The pathogen E.coli was the most frequently isolated (Escherichia coli). The urinary Gram stain's sensitivity and specificity were 80 percent and 83 percent, respectively, as were the pyuria + Gram stain's 42 percent and 90 percent, and the 3.5 percent of total urine analysis. In symptomatic individuals, no urine screen, according to our data, can replace a urine culture.