Thanks Frank,
I notice that the big scores on the doors are with the dipsticks. Given the
research on their sensitivity/specificity I would say, of course take a Hx,
but dip it !
Given the (small ?) gains in predictive power from scoring as well, I think
you might skip the scoring with little lost.
Still hoping to here from anyone (not already using leucocyte dip tests)
interested in taking part in a funded trial ?
Yours Paul
----------
> From: Frank Dobbs <[log in to unmask]>
> To: gp-uk <[log in to unmask]>
> Subject: Urine dip testing
> Date: Saturday 7 December 1996 09:19
>
> >FROM: Paul Galloway, INTERNET:[log in to unmask]
> >. Has anyone on GP-UK done any similar audit/research ?
>
> I wrote an article on UTI diagnosis in JRCGP in 1987:
> A simple scoring system for evaluating symptoms, history and urine
dipstick
> testing in diagnosis of urinary tract infection. Journal of the Royal
College of
> General Practitioners 1987 (37) 100-104. FF Dobbs, DM Fleming
>
> An update to the scoring system was published in the BMJ in 1993,
incorporating
> leucocyte esterase:
> Dipstick testing easy and informative. (letter) British Medical Journal
1993
> (306) 1543. F Dobbs, D Fleming
>
> The scores calculated from 456 patients' data are as follows:
>
> Table 1. B-scores for predicting bacteriuria in adult women
>
>
> Present Absent
>
> Symptoms
>
> Frequency +1 -3
> Nocturia +2 -2
> Dysuria +1 -1
> Urgency +1 -1
> Haematuria +3 0
> Offensive Urine +2 0
> Nausea -2 0
>
> History
>
> Symptoms for 9 days or less +1 -3
> Previous IVP +2 0
>
> Dipstick test
>
> Protein +3 -1
> Blood +3 -3
> Nitrite +11 -2
> Leucocyte esterase +2 -5
> Frank Dobbs
> Department of Primary Care and General Practice
> University of Plymouth
> PL4 8AA
> 01752 - 232995
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