Pyuria and Bacteriuria Correlation among Suspected Urinary Tract infection in a Tertiary Care Centre in Lalitpur.
Abstract
Introduction: Urinary tract infection (UTI) is the most common bacterial infection. Pyuria and bacteriuria are two most important indicators of urinary tract infection. Presumptive diagnosis of UTI is made by microscopic examination of urine and is confirmed by urine culture. The aim of this study was to determine the relationship between pyuria and bacteriuria in patients with suspected UTI at Kist Medical College and Teaching Hospital.
Methods: A cross sectional study was carried out from january 2020 to january 2021 at Kist Medical College and Teaching Hospital. Thirteen hundred and twenty urine samples from patients with suspected UTI were included in this study. Processes for microscopic examination as well as process for culture and identification were performed with the use of standard bacteriological techniques.
Results: Of the1320 urine specimen examined 202 (15.3%) samples showed growth of pathogens. Pyuria was seen in 537(40.68%) out of 1320 urine sample. Out of 537 urine samples with pyuria, 181 (33.7%) urine samples showed significant bacterial growth. As number of pus cells in urine increased, the chance of getting culture positive results were also high. Out of 783(59.32%) urine samples without pyuria, 21(2.7%) urine samples showed significant bacterial growth. It was found that there is significant correlation between pus cells and culture as
p = 0.000 ( < 0.05).
Conclusion: Pyuria and significant bacteriuria may not always correlate in the suspected case of UTI. However, as the number of pus cells in the urine increases, the chance of getting culture positive result is high.
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