Uricult® and Sensicult® Dipslides for Diagnosis of Bacteriuria and Prediction of Drug Resistance in Primary Health Care

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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.