細菌尿検出における簡易検査法の評価: 白血球エステラーゼ試験と亜硝酸塩試験について

白血球エステラーゼ試験と亜硝酸塩試験の細菌尿スクリーニングテストとしての評価を行なった. 両者の試験を組合せた場合の敏感度 (sensitivity) は91.3%, 特異度 (specificity) は67.4%, 陽性のときの細菌尿予測値 (positive predictive value) は49.8%, 陰性のときの非細菌尿予測値 (negativepredictive value) は95.6%で, 単独で行なった成績より敏感度と陰性のときの非細菌尿予測値がすぐれており, 細菌尿のときの陽性率 (両者が共に陽性およびいずれか一方が陽性を示す場合) は高いが, 陽性のときは非細菌尿...

Full description

Saved in:
Bibliographic Details
Published in感染症学雑誌 Vol. 61; no. 6; pp. 676 - 680
Main Authors 崎山, 健信, 外間, 政哲, 仲宗根, 勇, 平良, 真幸, 猪狩, 淳
Format Journal Article
LanguageJapanese
Published 一般社団法人 日本感染症学会 01.06.1987
Online AccessGet full text
ISSN0387-5911
1884-569X
DOI10.11150/kansenshogakuzasshi1970.61.676

Cover

Abstract 白血球エステラーゼ試験と亜硝酸塩試験の細菌尿スクリーニングテストとしての評価を行なった. 両者の試験を組合せた場合の敏感度 (sensitivity) は91.3%, 特異度 (specificity) は67.4%, 陽性のときの細菌尿予測値 (positive predictive value) は49.8%, 陰性のときの非細菌尿予測値 (negativepredictive value) は95.6%で, 単独で行なった成績より敏感度と陰性のときの非細菌尿予測値がすぐれており, 細菌尿のときの陽性率 (両者が共に陽性およびいずれか一方が陽性を示す場合) は高いが, 陽性のときは非細菌尿である率も高い. しかし, 陰性のとき, 非細菌尿である確率は極めて高い.
AbstractList 白血球エステラーゼ試験と亜硝酸塩試験の細菌尿スクリーニングテストとしての評価を行なった. 両者の試験を組合せた場合の敏感度 (sensitivity) は91.3%, 特異度 (specificity) は67.4%, 陽性のときの細菌尿予測値 (positive predictive value) は49.8%, 陰性のときの非細菌尿予測値 (negativepredictive value) は95.6%で, 単独で行なった成績より敏感度と陰性のときの非細菌尿予測値がすぐれており, 細菌尿のときの陽性率 (両者が共に陽性およびいずれか一方が陽性を示す場合) は高いが, 陽性のときは非細菌尿である率も高い. しかし, 陰性のとき, 非細菌尿である確率は極めて高い.
Author 外間, 政哲
猪狩, 淳
崎山, 健信
仲宗根, 勇
平良, 真幸
Author_xml – sequence: 1
  fullname: 崎山, 健信
  organization: 琉球大学医学部付属病院臨床検査部
– sequence: 1
  fullname: 外間, 政哲
  organization: 琉球大学医学部付属病院臨床検査部
– sequence: 1
  fullname: 仲宗根, 勇
  organization: 琉球大学医学部付属病院臨床検査部
– sequence: 1
  fullname: 平良, 真幸
  organization: 琉球大学医学部付属病院臨床検査部
– sequence: 1
  fullname: 猪狩, 淳
  organization: 琉球大学医学部保健学科臨床病理学教室
BookMark eNp1kM1LAkEAxYcwyMz_oVsnbWZ2d2a3W0RfIHSooNsyq5OfabhG1Kl1-4AKKkQoMGJBxCUIoQ5lVn_MqLv-FwlZty7vwePx4_EmQSBfyHMAZhCMIoQUOJtleZPnzVQhybJ7h8w0U2mkURglKEooGQNBpKpyRCHaVgAEoaTSiKIhNAHCppk2IISaDLGCg2Dfe2n5V5e91le_XuudtYX1KKxzYd2I8oXXcvq3lWHef3jvP1eF9eS71e6nMzft3X34zpF3bYtyU5TfhH0qbFfYHVHu-G5j0KwIq9lt1zznfnDy2nPc33DIrgvrWFiNKTC-zXImD488BDaXFjcWViKxteXVhflYJIPl4WhNRrLGVYypkoAMcZkQZCgSjauIcIXImCKZQoMkKMRUNSSKWYITLEEFE06pIYXA-g83Y5ZYkuu7xfQOKx7orFhKx3Nc_-dHnSCdjISSv3Y8xYp6hknfeKOg5A
ContentType Journal Article
Copyright 日本感染症学会
Copyright_xml – notice: 日本感染症学会
DOI 10.11150/kansenshogakuzasshi1970.61.676
DatabaseTitleList
DeliveryMethod fulltext_linktorsrc
EISSN 1884-569X
EndPage 680
ExternalDocumentID article_kansenshogakuzasshi1970_61_6_61_6_676_article_char_ja
GroupedDBID ALMA_UNASSIGNED_HOLDINGS
JSF
KQ8
RJT
ID FETCH-LOGICAL-j2487-94149e82275d0a1e4661b537c816e564271470b6d70278b372ade6230526e77b3
ISSN 0387-5911
IngestDate Wed Sep 03 06:21:33 EDT 2025
IsDoiOpenAccess true
IsOpenAccess true
IsPeerReviewed false
IsScholarly true
Issue 6
Language Japanese
LinkModel OpenURL
MergedId FETCHMERGED-LOGICAL-j2487-94149e82275d0a1e4661b537c816e564271470b6d70278b372ade6230526e77b3
OpenAccessLink https://www.jstage.jst.go.jp/article/kansenshogakuzasshi1970/61/6/61_6_676/_article/-char/ja
PageCount 5
ParticipantIDs jstage_primary_article_kansenshogakuzasshi1970_61_6_61_6_676_article_char_ja
PublicationCentury 1900
PublicationDate 19870600
PublicationDateYYYYMMDD 1987-06-01
PublicationDate_xml – month: 06
  year: 1987
  text: 19870600
PublicationDecade 1980
PublicationTitle 感染症学雑誌
PublicationTitleAlternate 感染症誌
PublicationYear 1987
Publisher 一般社団法人 日本感染症学会
Publisher_xml – name: 一般社団法人 日本感染症学会
References 5) Samalley, D. & Bryan, J. A.: Comparative evaluation of biochemical and microscopic urina lysis. Am. J. Med. Technol. 49: 237-239, 1983.
6) Wilkins, E., Ratcliffe, J. & Roberts, C.: Leucocyte esterase-nitrite screening method for pyuria and bacteriuria. J. Clin. Pathol., 38: 1342-1345, 1985.
3) Winkel, P., Statland, B. E., Jorgansen, K.: Urine micorscopy: An ill-defined method examined by a multifactorial technique. Clin. Chem., 20: 436-439, 1974.
10) Bartertt, R. C., O'Neill, D. & McLauglin, J. C.: Detection of bacteriuria by leukocyte esterase. nitrite, and the automicrobic system. A. J. C. P., 82: 683-687, 1984.
4) Kusumi, R. K., Grover, P. J. & Kumin, C. M.: Rapid detection of pyuria by leukocyte esterase activity. J. A. M. A., 245: 1653-1655, 1981.
2) Stamm, W. E.: Measwrement of pyuria and its relation to bacteriuria. Am. J. Med., 28: 53- 58, 1982.
7) Briihl, P., Fuchs, T., Hannak, D., Kattermann, R., Peracino, A., Oldenziel, H., van Ondheusden, A.P.M., Vormittag, E., Zekert, F., Bergstroem, K., Jagenburg, R., Colombo, J. P., Peheim, E., Kutter, D. & Bananch, D.: Leukozyten-nachweis im urin mit einem teststreifen. Eine Kooperative studie an elf zentren. Dtsch. Med. Wschr., 104: 1236-1240, 1979.
1) 猪狩淳: 尿細尿と膿尿の検査. 山中学, 村地孝, 林康之編, 臨床検査Mook増刊, No.2, ベットサイドテスト, p.31-42, 金原出版, 東京, 1985.
11) Warkentin, D. L., Rawling, R. A., Koppel, W. E., Maher, G. L., Broder, P. H. & Marchand, A.: Three techniques compared for detecting bacteriuria in symptomatic patients. Clin. Chem., 31: 1361-1363, 1985.
13) Oneson, R. & Gröschel, D. H. M.: Leukocyte esterase activity an nitrite test as a rapid screen for significant Bacteriuria. A. J. Clin., 83: 84-87, 1985.
15) Galen, R. S. & Gambino, J. R.: Beyond normality: The predictive value and efficiency of medical diagnosis. New York, Jon Wiley and Sons, 1975.
14) Jones, C., MacPherson, D. W. & Stevens, D. L.: Inability of the chemstrip LN compared with quantitative urine culture to predict significant bacteriuria. J. Clin. Microbiol., 23: 160-162, 1986.
16) Rindler-Ludwig, R. Schmalaze, F. & Braunsteiner, H.: Esterases in human neutrophil graunlocytes: Evidence for protease nature. Br. J. Haematol., 27: 57-64, 1974.
12) Pfaller, M. A. & Koontz, F. P.: Laboratory evaluation of leukocyte esterase and nitrite tests for the detection of bacteriuria. J. Clin. Microbiol., 21: 840-842, 1985.
8) Sawyer, K. P. & Stone, L. L.: Evaluation of a leukocyte dip-stick test used for screening urine cultures. J. Clin. Microbiol., 20: 820-821, 1984.
9) Pezzlo, M. T., Wetkowski, M. A., Peterson, E. M. & de la Maza, L. M.: Detection of bacteriuria and pyuria within two minutes. J. Clin. Microbiol., 21: 578-581, 1985.
References_xml – reference: 9) Pezzlo, M. T., Wetkowski, M. A., Peterson, E. M. & de la Maza, L. M.: Detection of bacteriuria and pyuria within two minutes. J. Clin. Microbiol., 21: 578-581, 1985.
– reference: 2) Stamm, W. E.: Measwrement of pyuria and its relation to bacteriuria. Am. J. Med., 28: 53- 58, 1982.
– reference: 7) Briihl, P., Fuchs, T., Hannak, D., Kattermann, R., Peracino, A., Oldenziel, H., van Ondheusden, A.P.M., Vormittag, E., Zekert, F., Bergstroem, K., Jagenburg, R., Colombo, J. P., Peheim, E., Kutter, D. & Bananch, D.: Leukozyten-nachweis im urin mit einem teststreifen. Eine Kooperative studie an elf zentren. Dtsch. Med. Wschr., 104: 1236-1240, 1979.
– reference: 8) Sawyer, K. P. & Stone, L. L.: Evaluation of a leukocyte dip-stick test used for screening urine cultures. J. Clin. Microbiol., 20: 820-821, 1984.
– reference: 1) 猪狩淳: 尿細尿と膿尿の検査. 山中学, 村地孝, 林康之編, 臨床検査Mook増刊, No.2, ベットサイドテスト, p.31-42, 金原出版, 東京, 1985.
– reference: 15) Galen, R. S. & Gambino, J. R.: Beyond normality: The predictive value and efficiency of medical diagnosis. New York, Jon Wiley and Sons, 1975.
– reference: 12) Pfaller, M. A. & Koontz, F. P.: Laboratory evaluation of leukocyte esterase and nitrite tests for the detection of bacteriuria. J. Clin. Microbiol., 21: 840-842, 1985.
– reference: 10) Bartertt, R. C., O'Neill, D. & McLauglin, J. C.: Detection of bacteriuria by leukocyte esterase. nitrite, and the automicrobic system. A. J. C. P., 82: 683-687, 1984.
– reference: 14) Jones, C., MacPherson, D. W. & Stevens, D. L.: Inability of the chemstrip LN compared with quantitative urine culture to predict significant bacteriuria. J. Clin. Microbiol., 23: 160-162, 1986.
– reference: 5) Samalley, D. & Bryan, J. A.: Comparative evaluation of biochemical and microscopic urina lysis. Am. J. Med. Technol. 49: 237-239, 1983.
– reference: 16) Rindler-Ludwig, R. Schmalaze, F. & Braunsteiner, H.: Esterases in human neutrophil graunlocytes: Evidence for protease nature. Br. J. Haematol., 27: 57-64, 1974.
– reference: 11) Warkentin, D. L., Rawling, R. A., Koppel, W. E., Maher, G. L., Broder, P. H. & Marchand, A.: Three techniques compared for detecting bacteriuria in symptomatic patients. Clin. Chem., 31: 1361-1363, 1985.
– reference: 13) Oneson, R. & Gröschel, D. H. M.: Leukocyte esterase activity an nitrite test as a rapid screen for significant Bacteriuria. A. J. Clin., 83: 84-87, 1985.
– reference: 4) Kusumi, R. K., Grover, P. J. & Kumin, C. M.: Rapid detection of pyuria by leukocyte esterase activity. J. A. M. A., 245: 1653-1655, 1981.
– reference: 6) Wilkins, E., Ratcliffe, J. & Roberts, C.: Leucocyte esterase-nitrite screening method for pyuria and bacteriuria. J. Clin. Pathol., 38: 1342-1345, 1985.
– reference: 3) Winkel, P., Statland, B. E., Jorgansen, K.: Urine micorscopy: An ill-defined method examined by a multifactorial technique. Clin. Chem., 20: 436-439, 1974.
SSID ssib000940252
ssib008799519
ssib058493432
ssib000959785
ssib020873179
ssib028667260
ssib002821772
ssj0000816464
ssib003038878
ssib002670505
ssib050995440
Score 1.3312142
Snippet 白血球エステラーゼ試験と亜硝酸塩試験の細菌尿スクリーニングテストとしての評価を行なった. 両者の試験を組合せた場合の敏感度 (sensitivity) は91.3%, 特異度 (specificity) は67.4%, 陽性のときの細菌尿予測値 (positive predictive value) は49.8%,...
SourceID jstage
SourceType Publisher
StartPage 676
Title 細菌尿検出における簡易検査法の評価: 白血球エステラーゼ試験と亜硝酸塩試験について
URI https://www.jstage.jst.go.jp/article/kansenshogakuzasshi1970/61/6/61_6_676/_article/-char/ja
Volume 61
hasFullText 1
inHoldings 1
isFullTextHit
isPrint
ispartofPNX 感染症学雑誌, 1987/06/20, Vol.61(6), pp.676-680
link http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV3da9RAEA-lgvgiiorf9MHFB7maj81--LZ7zVFUBKGFvh2Xu1S9QivaIvTJa_0AFVRKQaEiB6W0CKWgD1qr_jFpe-1_4cwmaSK0Uj_gCHOT3Znd32yyM8lm1rIugMntYbthl2StHpYox43cfd8rCb9B6-DewoxkVvneYP2D9OqQP9TVvVxYtTQxHvbWJ3f9ruRvrAo8sCt-JfsHlt0RCgygwb5wBAvDcV82JgEnmhJtk0AQUSGiTAIf_-oKCRhRlEjDgYBfKxJ44DYSpVNCZBzpGMIlQhuBNlEOVpeCSK8gBzgVojUS2iPSzwQGqF1Jw4HGBFjdU5dQlpRE95nTDi6pQI5NhJfqUyIltDQE_FhKqIyjy1mZcqpGQRmJdaWXtUAYxcq0kqMu2YdlBGAhsP_AQYF7Vc8QgX6m0GSEYkXnHXsOp2QlxQIlQI844ota-lLhUhtMQZ0Ck2RD2pgGPPfAEA7-YHgb84CiBLsKNLVYHpFPRDLUZsoDZUrCaWBpNy9P0TraNRUDbBfazkZ0M0Wa5H6HaYZEU-LgAUgqSTGOMMpKdlrkz4XwyVG-fs1cyUapMLaFI_Q4sYAZBthATZRXGDDGSlolveCm1wzVqfL-sKU4DKQqzF6YtNmX6UwaJbOrELTkM7N38s70m-TiT28zxbmUcVZwy1iy4dcuM76Pa2RHavgq5v7tsVu1kYlJiDtv33Ekt3uZ07sj55e06ulFW92jYpU5VZYeOKtmpfFTyGoT4rEDLudmWci1m4VwRlIIIQrhgoRwvZAbymUcN44sPu5wOC-m7_Ngzs_lCczWmKdbdIHhOflbdVcwxt388Qb4_tKnee4miC3kznfjxjMVmE0wyaiXWuegdTFD8fLvMQQXvQkBa7bY1fjfA0esw2ng3KMSiI5aXc3aMetB59PK1ssXGys_NufnNp6uxq0PcetZ3HodTz3vrLQ338wAf_P9182Ps3FreWtpdv17-0pP5-23rfbDzqvpeGoxnvoSTz-Jp5fi6bV4am1raWF7cSZuLa6vznXa77Yff95oL2VMkD0ftx7FrYXj1mAlGCj3l9KtZEpNl0JXJXWojGDm4X7DrjkRhbAk9D1eB0Qin1GXO5TbIWtwXIkRetytNSKIDDEbVsR56J2wukfHRqOTVg-NeAPwEn6degC2K0Mm5XAYNcJaKCE-O2VdT3Cq3k3yBVX_aaid_r_izliH8pvFWat7_N5EdA7CqvHwvBnLPwHB-jp9
linkProvider Colorado Alliance of Research Libraries
openUrl ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=%E7%B4%B0%E8%8F%8C%E5%B0%BF%E6%A4%9C%E5%87%BA%E3%81%AB%E3%81%8A%E3%81%91%E3%82%8B%E7%B0%A1%E6%98%93%E6%A4%9C%E6%9F%BB%E6%B3%95%E3%81%AE%E8%A9%95%E4%BE%A1%3A+%E7%99%BD%E8%A1%80%E7%90%83%E3%82%A8%E3%82%B9%E3%83%86%E3%83%A9%E3%83%BC%E3%82%BC%E8%A9%A6%E9%A8%93%E3%81%A8%E4%BA%9C%E7%A1%9D%E9%85%B8%E5%A1%A9%E8%A9%A6%E9%A8%93%E3%81%AB%E3%81%A4%E3%81%84%E3%81%A6&rft.jtitle=%E6%84%9F%E6%9F%93%E7%97%87%E5%AD%A6%E9%9B%91%E8%AA%8C&rft.au=%E5%B4%8E%E5%B1%B1%2C+%E5%81%A5%E4%BF%A1&rft.au=%E5%A4%96%E9%96%93%2C+%E6%94%BF%E5%93%B2&rft.au=%E4%BB%B2%E5%AE%97%E6%A0%B9%2C+%E5%8B%87&rft.au=%E5%B9%B3%E8%89%AF%2C+%E7%9C%9F%E5%B9%B8&rft.date=1987-06-01&rft.pub=%E4%B8%80%E8%88%AC%E7%A4%BE%E5%9B%A3%E6%B3%95%E4%BA%BA+%E6%97%A5%E6%9C%AC%E6%84%9F%E6%9F%93%E7%97%87%E5%AD%A6%E4%BC%9A&rft.issn=0387-5911&rft.eissn=1884-569X&rft.volume=61&rft.issue=6&rft.spage=676&rft.epage=680&rft_id=info:doi/10.11150%2Fkansenshogakuzasshi1970.61.676&rft.externalDocID=article_kansenshogakuzasshi1970_61_6_61_6_676_article_char_ja
thumbnail_l http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0387-5911&client=summon
thumbnail_m http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0387-5911&client=summon
thumbnail_s http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0387-5911&client=summon