Uricult® and sensicult® dipslides for diagnosis of bacteriuria and prediction of drug resistance in primary health care

Abstract

Uricult® dipslide as an indicator of bacteriuria yielded acceptable results in primary health care (PHC), and readings by local staffs were similar to those by laboratory technicians. Sensicult® dipslide detected somewhat fewer bacteriurias and predicted bacterial drug sensitivity better than resistance (predictive values 93% and 50% respectively). The mean risk of bacterial drug resistance against sevm common urinary tract infection (UTI) antibiotics in PHC was 17% The use of Sensicult® for targeting UTI therapy resulted in an average risk of 7% for prescribing drugs to which the organism was resistpot. The comspondiog risk with Uricult® for classiication of UTI bacteria by Gram grouping, lactose and catalase reactions, and local guidelines for therapy of different bacterial groups, was also 7% The latter method is simple, offers qualitative, and thus prognostic information, but can be further improved. © 1989 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.