Evaluation of Advantages of Multiple Parameters of an Automated Urine Analyzer in Clinical Practice - Abstract
Background and objectives: Analysis of urine accounts for a large portion of tests performed in a clinical laboratory. It costs the laboratory time as well as labor. Manual urine dipsticks tests lack precision and accuracy. The aim of the study is to evaluate various parameters of an automated urine analyzer.
Methods: The study was conducted in Department of Pathology of Rajiv Gandhi Super Specialty Hospital, Tahirpur, and Delhi. The samples received between April to September 2017 were included in the study. All the samples were run in the Sysmex UX 2000, a fully automated flow cytometry based urine analyzer.
Results: Total of 3199 specimens were included in the study. Male to female ratio of the study was 1.07:1. Cutoff values of WBC (19.8 cells/µl) and bacterial counts (198.8 cells/µl) showed high sensitivity, specificity and negative predictive value (NPV). Nitrites as well as leucocyte esterase showed high specificity and NPV. Glucose was elevated in15.1% of cases while yeast was present in 4.7%.
Conclusion: Automated urine analyzers aids in precise and accurate urine results while reducing turnaround time and workload of a laboratory. The results also guide the clinical towards a probable diagnosis and empirical treatment could be initiated at the earnest.