• Korean Journal of Clinical Laboratory Science
• /
• v.55 no.2
• /
• pp.82-92
• /
• 2023

Urine sediments are performed by a microscopic examination of centrifuged urine by medical technologists. This study examined different urine sediment preparation procedures. The 107 fresh urine specimens that tested positive from white blood cells (WBCs) and red blood cells (RBCs) in the urine dipstick test and the cobas u 701 analyzer, respectively, were selected for manual microscopy. This study evaluated an automated urine sediment analyzer and three manual microscopy methods for WBCs and RBCs. The methods were performed according to the test guidelines. The coefficients of determination between the cobas u 701 analyzer and the Korean Association of Quality Assurance for Clinical Laboratory (KAQACL) for WBCs and RBCs were r2=0.977 and r2=0.970, respectively. The concordance rates between the cobas u 701 analyzer and KAQACL for WBCs and RBCs were 74.8% and 77.6%, respectively. A good correlation and concordance with the automatic analyzer were shown when the specimens were prepared and examined using the KAQACL method. Consequently, the differences in the urine sediment preparation procedures affected the sediment concentrations, influencing the cell number per high power field (HPF).

• Journal of Yeungnam Medical Science
• /
• v.8 no.1
• /
• pp.42-52
• /
• 1991

Two types of urine dipstick assays, Multistix-SG and Combur-9-test RL, were compared for compatibility, accuracy, specificity and predictive values of a positive and negative test in 501 patients urine and artificially prepared specimen. We found that the results of semiquantitative tests of Multistix-SG and Combur-9-Test RL performed were statistically similar in patients specimen. The urinary leukocyte estrase tests of Combur-9-Test RL assays compared with urine sediment microscopy in regard to compatibility, sensitivity, specificity, and predictive values of a positive and negative test 83.7%, 48.1%, 90.3%, 47.4% and 90.1%, respectively. The urinar nitrite tests of Comber-9-Test RL assays compared with urine culture tests, in regard to compatibility, sensitivity, specificity, and predictive values of a positive and negative tests were 90.3%, 19.4%, 84.7%, 53.8% and 94.1%, respectively. For the urinary protein, the sulfosalicylic acid method was the most sensitive test for any kinds of protein, and Multistix-SG appeared more sensitive than Compur-9-Test RL for the albuminuria. For the urinary bilirubin and glusose, two dipstick assays were similar in their diganostic efficiency. Finally in the urinary occult blood tests, Combur-9-Test RL assays was more sensitive than Multistix-SG.