Potential clinical application of an automated fluorescent microbial cell counter in the detection of urinary tract infection

J Clin Lab Anal. 2020 Aug;34(8):e23334. doi: 10.1002/jcla.23334. Epub 2020 Jul 4.

Abstract

Background: Urinary tract infections (UTI) account for millions of office visits and approximately 400 000 hospital admissions every year in the United States; as a result, the cost burden of UTI in the USA is estimated at approximately $2.8 billion. There is a great deal of interest in finding newer, faster, and more reliable methods for diagnosing UTI as compared to the standard urine culture.

Methods: An automated fluorescent microbial cell counter was used to compare urine samples found to be positive for Escherichia coli UTI via cell culturing (n = 11) with UTI-negative samples (n = 10).

Results: Patients with a positive urine culture had significantly higher cell count results using the microbial cell counter (1.01 × 108 cells/mL) as compared to the negative samples (2.35 × 106 cells/mL; P = .0022).

Conclusions: These observations suggest that automated microbial cell counters may serve as a rapid, objective method for the detection of bacteriuria in urine samples submitted for evaluation of suspected UTI.

Keywords: Escherichia coli; cellular quantification; clinical diagnostics; microbiology; urinary tract infection.

MeSH terms

  • Automation / methods*
  • Bacterial Load / methods*
  • Escherichia coli / cytology
  • Flow Cytometry / methods*
  • Humans
  • Urinalysis / methods*
  • Urinary Tract Infections / diagnosis*