Indirect Tests for Urinary Tract Infection

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Questions and Answers

Which group of individuals is considered high-risk for urinary tract infections?

  • Active athletes under 30
  • Children with a history of asthma
  • Individuals with a recent cold
  • Elderly individuals (correct)

What is the primary purpose of using the reagent strip nitrite test?

  • To assess kidney function
  • To rule out urinary tract infections (correct)
  • To measure urine pH levels
  • To confirm bacterial culture results

What remains the 'gold standard' for detecting bacteriuria?

  • Microscopic urinalysis
  • Immunochromatographic test for lactoferrin
  • Reagent strip leukocyte esterase test
  • Bacteriologic culture (correct)

Which test may provide a rapid diagnosis of urinary tract infection through measurement of lactoferrin?

<p>Lactoferrin immunochromatographic test (C)</p> Signup and view all the answers

What is the importance of testing for bacteriuria in asymptomatic patients?

<p>It can lead to the early detection and prevention of renal damage. (A)</p> Signup and view all the answers

Which of the following tests is least valuable for confirming the presence of urinary tract infection?

<p>Reagent strip urine protein test (D)</p> Signup and view all the answers

Which condition does NOT categorize an individual as high-risk for urinary tract infections according to the information provided?

<p>Recent surgery on the foot (B)</p> Signup and view all the answers

Flashcards

Asymptomatic UTI

A urinary tract infection (UTI) that doesn't show typical symptoms like pain or burning during urination.

High-risk individuals for UTIs

Individuals at increased risk for developing UTIs. This includes pregnant women, elderly people, diabetics, and those with a history of UTIs.

Nitrite test

A test that uses a reagent strip to detect nitrites in urine, which suggests the presence of bacteria.

Leukocyte esterase test

A test that uses a reagent strip to detect leukocyte esterase in urine, indicating the presence of white blood cells.

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Immunochromatographic lactoferrin test

A type of test that uses a strip with antibodies to detect lactoferrin in urine, a protein released by white blood cells.

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Microscopic urinalysis

A rapid confirmatory test for UTIs, using a microscope to examine urine for white blood cells and bacteria.

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Bacteriological culture

The gold standard for diagnosing bacteriuria, involving culturing urine samples to isolate and identify bacteria.

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Study Notes

Indirect Tests for Urinary Tract Infection

  • Significant urinary tract infections can occur without typical symptoms.
  • Untreated infections can lead to severe kidney damage.
  • Physicians often test for bacteriuria in high-risk patients.
  • High-risk patients include the elderly, pregnant women, diabetics, and those with a history of UTIs.

Commonly Used Tests

  • Reagent strip nitrite test and leukocyte esterase test are used to indirectly assess bacteriuria and leukocyturia.
  • These tests are best used to rule out UTIs.
  • An immunochromatographic test strip for urinary lactoferrin can also help diagnose UTIs.
  • Microscopic urinalysis confirms the presence of leukocytes and bacteria.
  • Bacteriologic culture is the gold standard for detecting bacteriuria.

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