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Sangalang SO, Prado NO, Lemence ALG, Cayetano MG, Lu JLDP, Valencia JC, Kistemann T, Borgemeister C. Diarrhoea, malnutrition, and dehydration associated with school water, sanitation, and hygiene in Metro Manila, Philippines: A cross-sectional study. THE SCIENCE OF THE TOTAL ENVIRONMENT 2022; 838:155882. [PMID: 35568174 DOI: 10.1016/j.scitotenv.2022.155882] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/21/2022] [Revised: 04/28/2022] [Accepted: 05/08/2022] [Indexed: 06/15/2023]
Abstract
INTRODUCTION Diarrhoea, malnutrition, and dehydration threaten the lives of millions of children globally due to inadequate water, sanitation, and hygiene (WaSH). Our study aimed to identify environmental and behavioural risk factors of these health outcomes among schoolchildren in Metro Manila, Philippines. MATERIALS AND METHODS We analysed data from a multistage cluster sample of schoolchildren in grades 5, 6, 7, 9, and 10 (ages ~10-15 years old) to investigate WaSH facilities and hygiene practices. Outcomes were: self-reported diarrhoea, measured via questionnaire; observed malnutrition (stunting, undernutrition [underweight/thin and wasted/severely thin], over-nutrition [overweight and obese]), measured via anthropometry; dehydration, measured via urine specific gravity/urine test strips. We used multiple logistic regression to explore correlates. RESULTS We included 1558 students from 15 schools in three cities. Over 28% (421) of students had diarrhoea and 68% (956) were dehydrated. Over 15% (227) of students were stunted, ~9% (127) were undernourished, and >21% (321) were over-nourished. Diarrhoea was associated with poor handwashing, while dehydration was associated with the lack of water in school restrooms. Stunting was linked with not using the school restroom, the lack of water in school restrooms, and the lack of hygiene lessons in school. Undernutrition was associated with the lack of a school restroom cleaning policy. Risks of diarrhoea, stunting, and undernutrition decreased as the number of school restrooms increased. Risks of stunting and overnutrition decreased as the numbers of school toilets increased. Having more than seven handwashing basins was associated with decreased risk of dehydration. DISCUSSION Findings from our cross-sectional study cannot describe causation. We have found associations that suggest that school restroom cleaning policies, adequate water supply, improved handwashing, and hygiene education are needed to prevent disease. School-based WaSH interventions are recommended to provide water in school WaSH facilities, promote handwashing, and improve hygiene-related knowledge.
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Affiliation(s)
| | | | | | - Mylene G Cayetano
- Institute of Environmental Science and Meteorology, University of the Philippines Diliman, Quezon City, Philippines; International Environmental Research Institute, Gwangju Institute of Science and Technology, Gwangju, South Korea.
| | - Jinky Leilanie D P Lu
- National Institutes of Health, University of the Philippines Manila, Manila, Philippines
| | | | - Thomas Kistemann
- Center for Development Research, University of Bonn, Bonn, Germany; Institute for Hygiene and Public Health, University of Bonn, Bonn, Germany.
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Oyaert MN, De Buyzere ML, Verstraete KL, Speeckaert MM, Delanghe JR. Iodine containing contrast media and urinary flow cytometry: an unknown interference in automated urine sediment analysis. Clin Chem Lab Med 2021; 59:e335-e337. [PMID: 33606925 DOI: 10.1515/cclm-2021-0159] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Accepted: 02/10/2021] [Indexed: 11/15/2022]
Affiliation(s)
- Matthijs N Oyaert
- Department of Laboratory Medicine, Ghent University Hospital, Ghent, Belgium
| | - Marc L De Buyzere
- Department of Internal Medicine, Ghent University Hospital, Ghent, Belgium
| | - Koenraad L Verstraete
- Department of Radiology, Ghent University and Ghent University Hospital, Ghent, Belgium
| | - Marijn M Speeckaert
- Department of Nephrology, Ghent University Hospital, Ghent, Belgium.,Research Foundation Flanders (FWO), Brussels, Belgium
| | - Joris R Delanghe
- Department of Laboratory Medicine, Ghent University Hospital, Ghent, Belgium
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Oyaert M, Speeckaert MM, Delanghe JR. Estimated urinary osmolality based on combined urinalysis parameters: a critical evaluation. Clin Chem Lab Med 2020; 57:1169-1176. [PMID: 30753156 DOI: 10.1515/cclm-2018-1307] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2018] [Accepted: 01/21/2019] [Indexed: 01/05/2023]
Abstract
Background Urinary conductivity allows a coarse prediction of urinary osmolality in most cases but is insensitive to the osmolal contribution of uncharged particles and the presence of roentgen contrast media. Urinary osmolality can be estimated on the recently introduced Sysmex UF-5000 urine analyzer using conductivity. In this study, we evaluated the analytical performance of this research parameter. Secondly, we aimed to improve the manufacturer's algorithm for estimating urinary osmolality, based on standard urinalysis parameters (creatinine, glucose, relative density). Methods The analytical performance was determined and a prediction model to estimate urinary osmolality based on urinalysis parameters was developed. We further developed and validated a prediction model using another set of routine urine samples. In addition, the influence of roentgen contrast media on urinary osmolality was studied. Results The within-run and between imprecision for osmolality and conductivity measured on the Sysmex UF-5000 ranged from 1.1% to 4.9% and 0.7% to 4.8%, respectively. Multiple regression analysis revealed urinary creatinine, conductivity and relative density to be the strongest predictors to estimate urinary osmolality. A mean difference of 1.3 mOsm/kg between measured and predicted osmolality demonstrated that the predictive performance of our model was favorable. An excellent correlation between the relative density and % contrast media was demonstrated. Conclusions Urinary osmolality is an important parameter for assessing specimen dilution in urinalysis. Urinary conductivity, along with relative density and urinary creatinine allows a coarse prediction of urinary osmolality and is insensitive to the osmolal contribution of uncharged particles and the presence of roentgen contrast media.
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Affiliation(s)
- Matthijs Oyaert
- Department of Laboratory Medicine, University Hospital Ghent, Ghent, Belgium
| | | | - Joris R Delanghe
- Department of Laboratory Medicine, University Hospital Ghent, Ghent, Belgium
- Department of Clinical Chemistry, Ghent University, C. Heymanslaan 10, 9000 Ghent, Belgium
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Heileson JL, Jayne JM. Validity of Digital and Manual Refractometers for Measuring Urine Specific Gravity During Field Operations: A Brief Report. Mil Med 2019; 184:e632-e636. [PMID: 31004429 DOI: 10.1093/milmed/usz082] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 03/15/2019] [Accepted: 03/20/2019] [Indexed: 11/14/2022] Open
Abstract
INTRODUCTION Dehydration can have an immediate negative impact on the performance of Soldiers in training or combat environments. Field expedient methods for assessing hydration status may be valuable for service members. Measurement of urine-specific gravity (USG) via refractometer is inexpensive, simple, fast, and a validated indicator of hydration status. Manual (MAN) and digital (DIG) refractometers are commonly used in laboratory settings however, digital (DIG) devices have not been validated in the field against MAN devices. The purpose of this study was to determine the validity and feasibility of using a DIG refractometer to assess USG compared to a MAN refractometer during a military field training exercise. MATERIALS AND METHODS Fifty-six military service members provided 672 urine samples during two 10-day field training exercises in central Texas. USG was assessed using a MAN and a DIG refractometer with cutoff value of ≥1.020 indicating hypohydration. The study received a non-human research determination. RESULTS The MAN measurements were strongly correlated with the DIG (r = 0.91, p < 0.0001) measurements. Bland-Altman analysis demonstrated agreement between the refractometers. The DIG displayed good sensitivity (93.9%) and specificity (85.8%) compared to the MAN. CONCLUSION The DIG refractometer used in this study was reliable and valid compared with a MAN device and was feasible for use in a field environment; however, the DIG refractometer tended to over overestimate hypohydration.
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Affiliation(s)
- Jeffery L Heileson
- Army Medical Department Center and School, Health Readiness Center of Excellence, 3630 Stanley Road, JBSA-Fort Sam Houston, TX 78234
| | - Julianna M Jayne
- Military Nutrition Division, US Army Research Institute of Environmental Medicine, 10 General Greene Ave., Natick, MA 01760
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Wiwanitkit V. Letters about Published Papers. J Orthop Surg (Hong Kong) 2019; 25:2309499017729930. [PMID: 28946835 DOI: 10.1177/2309499017729930] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Megahed AA, Grünberg W, Constable PD. Clinical utility of urine specific gravity, electrical conductivity, and color as on-farm methods for evaluating urine concentration in dairy cattle. J Vet Intern Med 2019; 33:1530-1539. [PMID: 31025445 PMCID: PMC6524117 DOI: 10.1111/jvim.15502] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2018] [Accepted: 04/03/2019] [Indexed: 11/26/2022] Open
Abstract
Background Urine concentration (UC) provides clinically useful information concerning hydration status and renal function of animals. Objectives To characterize the clinical performance of urine specific gravity measured by optical refractometry (USG‐R) or Multistix‐SG urine reagent dipstick (USG‐D), urine electrical conductivity using an OAKTON Con 6 conductivity handheld meter (UEC), urine color (UColor) using a custom‐designed 8‐point color chart, and urine creatinine concentration (UCreat) for assessing UC in dairy cattle. Animals 20 periparturient Holstein‐Friesian cows. Methods Urine was obtained by perineal stimulation or urethral catheterization and urine osmolality (UOsm, reference method), USG‐R, USG‐D, UEC, UColor, and UCreat determined. Diagnostic test performance was evaluated using Spearman's rho and logistic regression to determine the area under the receiver operating curve (AUC) and optimal cut point for diagnosing hypohydration (UOsm ≥800 mOsm/kg). P < .05 was considered significant. Results The best performing test for diagnosing hypohydration was USG‐R (AUC = 0.90) at an optimal cut point ≥1.030. The second‐best performing test was UEC (AUC = 0.82) at a cut point of ≥23.7 mS/cm, followed by UCreat (AUC = 0.76) at a cut point of ≥95.3 mg/dL, and UColor (AUC = 0.74) at a cut point of ≥4 on an 8‐point scale. Urine specific gravity measured by dipstick performed poorly (AUC = 0.63). Conclusions and Clinical Importance USG‐R and UEC provide practical and sufficiently accurate methods for measuring UC in dairy cattle. Urine color had moderate clinical utility as a no‐cost cow‐side method for assessing UC, whereas dipstick refractometry is not recommended for assessing UC.
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Affiliation(s)
- Ameer A Megahed
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Champaign, Illinois.,Department of Animal Medicine, Internal Medicine, Faculty of Veterinary Medicine, Benha University, Benha, Egypt
| | - Walter Grünberg
- Clinic for Cattle, University of Veterinary Medicine Hannover, Foundation, Hannover, Germany
| | - Peter D Constable
- Department of Veterinary Clinical Medicine, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Champaign, Illinois
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Sharma S, Saini R, Gautam VK. Reply. J Orthop Surg (Hong Kong) 2017; 25:2309499017729931. [PMID: 28974145 DOI: 10.1177/2309499017729931] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Delanghe JR, Speeckaert MM. Preanalytics in urinalysis. Clin Biochem 2016; 49:1346-1350. [DOI: 10.1016/j.clinbiochem.2016.10.016] [Citation(s) in RCA: 25] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/12/2016] [Revised: 09/05/2016] [Accepted: 10/18/2016] [Indexed: 02/07/2023]
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Wyness SP, Hunsaker JJ, Snow TM, Genzen JR. Evaluation and analytical validation of a handheld digital refractometer for urine specific gravity measurement. Pract Lab Med 2016; 5:65-74. [PMID: 28856206 PMCID: PMC5574504 DOI: 10.1016/j.plabm.2016.06.001] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Revised: 05/13/2016] [Accepted: 06/01/2016] [Indexed: 11/28/2022] Open
Abstract
Objectives Refractometers are commonly used to determine urine specific gravity (SG) in the assessment of hydration status and urine specimen validity testing. Few comprehensive performance evaluations are available demonstrating refractometer capability from a clinical laboratory perspective. The objective of this study was therefore to conduct an analytical validation of a handheld digital refractometer used for human urine SG testing. Design and methods A MISCO Palm Abbe™ refractometer was used for all experiments, including device familiarization, carryover, precision, accuracy, linearity, analytical sensitivity, evaluation of potential substances which contribute to SG (i.e. “interference”), and reference interval evaluation. A manual refractometer, urine osmometer, and a solute score (sum of urine chloride, creatinine, glucose, potassium, sodium, total protein, and urea nitrogen; all in mg/dL) were used as comparative methods for accuracy assessment. Results Significant carryover was not observed. A wash step was still included as good laboratory practice. Low imprecision (%CV, <0.01) was demonstrated using low and high QC material. Accuracy studies showed strong correlation to manual refractometry. Linear correlation was also demonstrated between SG, osmolality, and solute score. Linearity of Palm Abbe performance was verified with observed error of ≤0.1%. Increases in SG were observed with increasing concentrations of albumin, creatinine, glucose, hemoglobin, sodium chloride, and urea. Transference of a previously published urine SG reference interval of 1.0020–1.0300 was validated. Conclusions The Palm Abbe digital refractometer was a fast, simple, and accurate way to measure urine SG. Analytical validity was confirmed by the present experiments.
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Key Words
- ACSM, American College of Sports Medicine
- ALB, albumin
- AMR, analytical measurement range
- ARUP, Associated Regional & University Pathologists
- CLSI, Clinical & Laboratory Standards Institute
- CR, creatinine
- CV, coefficient of variation
- Cl, chloride
- Digital refractometry
- FDA, Food and Drug Administration
- GLU, glucose
- Hydration
- IRB, Institutional Review Board
- K+, potassium
- LIMS, laboratory information management system
- LLMI, lower limit of the measuring interval
- LOB, limit of blank
- LOD, limit of detection
- LOQ, limit of quantitation
- NATA, National Athletic Trainers Association
- NCAA, National Collegiate Athletic Association
- Na, sodium
- Osmolality
- POC, point of care
- QC, quality control
- RI, reference interval
- SAMHSA, Substance Abuse and Mental Health Services Administration
- SD, standard deviation
- SG, specific gravity
- Specific gravity
- Sports medicine
- TAE, total allowable error
- TE, total error
- TP, total protein
- UN, urea nitrogen
- Urine adulteration
- Urine drug testing
- ddH2O, demineralized distilled water
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Affiliation(s)
- Sara P. Wyness
- ARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108, United States
| | - Joshua J.H. Hunsaker
- ARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108, United States
| | - Taylor M. Snow
- ARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108, United States
| | - Jonathan R. Genzen
- ARUP Institute for Clinical and Experimental Pathology, 500 Chipeta Way, Salt Lake City, UT 84108, United States
- Department of Pathology, University of Utah, 500 Chipeta Way, Mail Code 115, Salt Lake City, UT 84108, United States
- Corresponding author at: Department of Pathology, University of Utah, 500 Chipeta Way, Mail Code 115, Salt Lake City, UT 84108, United States.Department of Pathology, University of Utah500 Chipeta Way, Mail Code 115Salt Lake CityUT84108United States
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Abbey BM, Heelan KA, Brown GA, Bartee RT. Validity of HydraTrend reagent strips for the assessment of hydration status. J Strength Cond Res 2015; 28:2634-9. [PMID: 24552790 DOI: 10.1519/jsc.0000000000000430] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Hydration is used by athletic governing organizations for weight class eligibility. The measurement of urine specific gravity (USG) as a measure of hydration by reagent strips is a controversial issue. The purpose of this study was to determine the validity of HydraTrend reagent strips that facilitate the correction of USG for alkaline urine samples against refractometry for the assessment of USG. Fifty-one participants (33 males, age = 22.3 ± 1.3 years; 18 females, age = 22.4 ± 1.2 years) provided 84 urine samples. The samples were tested for USG using refractometry and reagent strips and for pH using reagent strips and a digital pH meter. Strong correlation coefficients were found between refractometry and reagent strips for USG (rs(82) = 0.812, p < 0.01) and between reagent strips and pH meter for pH (rs(82) = 0.939, p < 0.01). It was observed that false negative results for National Collegiate Athletic Association (NCAA) requirements (fail refractometry with USG >1.020, pass reagent strips with USG ≤1.020) occurred 39% (33/84) of the time and false negative results for National Federation of State High School Association (NFHS) requirements (fail refractometry with USG >1.025, pass reagent strips with USG ≤1.025) occurred 14% (12/84) of the time. There were no false positives (pass refractometry and fail reagent strips) for NCAA or NFHS requirements. These data show that refractometry and reagent strips have strong positive correlations. However, the risk of a false negative result leading to incorrect certification of euhydration status outweighs the benefits of the HydraTrend reagent strips for the measurement of USG.
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Affiliation(s)
- Bryce M Abbey
- Department of Health, Physical Education, Recreation and Leisure Studies, University of Nebraska Kearney, Kearney, Nebraska
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Ko K, Kwon MJ, Ryu S, Woo HY, Park H. Performance Evaluation of Three URiSCAN Devices for Routine Urinalysis. J Clin Lab Anal 2015; 30:424-30. [PMID: 26303237 DOI: 10.1002/jcla.21874] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2014] [Accepted: 07/01/2015] [Indexed: 11/11/2022] Open
Abstract
BACKGROUND This study compares the diagnostic performance (in routine urinalysis) of three URiSCAN devices and three Roche analyzers to manual microscopy and quantitative assays. METHODS We analyzed eight dipstick tests using three URiSCAN devices. The results were compared to those of the tests performed using three Roche analyzers. The results of leukocyte and erythrocyte screens were compared to those obtained using manual microscopy. Protein, glucose, pH, and specific gravity (SG) assays performed on the URiSCAN devices were compared with the results of corresponding quantitative assays. RESULTS The rates of agreement within one grade difference were found to be more than 94.3%. When compared with manual microscopy, the Optima provided better diagnostic performance for the detection of leukocytes compared with the Urisys 1100. Compared to the Urisys 2400, the Super plus provided better diagnostic performance with regard to both leukocytes and erythrocytes. There was good correlation between the three URiSCAN devices and each quantitative assay, except for SG detection. CONCLUSION There were well correlated results between those of the three URiSCAN devices and those obtained using the corresponding Roche analyzers, quantitative assays, and manual microscopy. URiSCAN series devices are therefore suitable for routine urinalysis in clinical laboratories.
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Affiliation(s)
- Kiwoong Ko
- Department of Laboratory Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Min-Jung Kwon
- Department of Laboratory Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
| | - Seungho Ryu
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University, School of Medicine, Seoul, Republic of Korea
| | - Hee-Yeon Woo
- Department of Laboratory Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea.
| | - Hyosoon Park
- Department of Laboratory Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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Imran S, Eva G, Christopher S, Flynn E, Henner D. Is specific gravity a good estimate of urine osmolality? J Clin Lab Anal 2011; 24:426-30. [PMID: 21089176 DOI: 10.1002/jcla.20424] [Citation(s) in RCA: 34] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
CONTEXT Urine specific gravity (USG) is often used by clinicians to estimate urine osmolality. USG is measured either by refractometry or by reagent strip. OBJECTIVE We studied the correlation of USG obtained by either method with a concurrently obtained osmolality. DESIGN Using our laboratory's records, we retrospectively gathered data on 504 urine specimens on patients on whom a simultaneously drawn USG and an osmolality were available. Out of these, 253 USG's were measured by automated refractometry and 251 USG's were measured by reagent strip. Urinalysis data on these subjects were used to determine the correlation between USG and osmolality, adjusting for other variables that may impact the relationship. The other variables considered were pH, protein, glucose, ketones, nitrates, bilirubin, urobilinogen, hemoglobin, and leukocyte esterase. The relationships were analyzed by linear regression. RESULTS This study demonstrated that USG obtained by both reagent strip and refractometry had a correlation of approximately 0.75 with urine osmolality. The variables affecting the correlation included pH, ketones, bilirubin, urobilinogen, glucose, and protein for the reagent strip and ketones, bilirubin, and hemoglobin for the refractometry method. At a pH of 7 and with an USG of 1.010 predicted osmolality is approximately 300 mosm/kg/H(2)O for either method. For an increase in SG of 0.010, predicted osmolality increases by 182 mosm/kg/H(2) O for the reagent strip and 203 mosm/kg/H(2)O for refractometry. Pathological urines had significantly poorer correlation between USG and osmolality than "clean" urines. CONCLUSION In pathological urines, direct measurement of urine osmolality should be used.
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Affiliation(s)
- Sethi Imran
- Berkshire Medical Center, Internal Medicine, Pittsfield, Massachusetts, USA.
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Eberman LE, Minton DM, Cleary MA. Comparison of Refractometry, Urine Color, and Urine Reagent Strips to Urine Osmolality for Measurement of Urinary Concentration. ACTA ACUST UNITED AC 2009. [DOI: 10.3928/19425864-20091020-01] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Abstract
AIM To evaluate the reliability of dipstick measurements of urine specific gravity (U-SG). METHODS Fresh urine specimens were tested for urine pH and osmolality (U-pH, U-Osm) by a pH meter and an osmometer, and for U-SG by three different methods (refractometry, automatic readout of a dipstick (Clinitek-50), and (visual) change of colour of the dipstick). RESULTS The correlations between the visual U-SG dipstick measurements and U-SG determined by a refractometer and the comparison of Clinitek((R))-50 dipstick U-SG measurements with U-Osm were less than optimal, showing very wide scatter of values. Only the U-SG refractometer values and U-Osm had a good linear correlation. The tested dipstick was unreliable for the bedside determination of U-SG, even after correction for U-pH, as recommended by the manufacturer. CONCLUSIONS Among the bedside determinations, only refractometry gives reliable U-SG results. Dipstick U-SG measurements should be abandoned.
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Affiliation(s)
- A S de Buys Roessingh
- Renal Unit, Department of Paediatrics, University Medical Centre (CHUV), CH-1011 Lausanne, Switzerland
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Allchin JP, Evans GO. A comparison of three methods for determining the concentration of rat urine. COMPARATIVE BIOCHEMISTRY AND PHYSIOLOGY. A, COMPARATIVE PHYSIOLOGY 1986; 85:771-3. [PMID: 2879681 DOI: 10.1016/0300-9629(86)90293-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
The concentrations of 78 rat urines were compared using osmometry, refractometry and test strips for specific gravity. Test strip specific gravity values are a guide to urine concentration; where small changes of urine concentration are expected, the test strips should not be a replacement for more accurate methods such as osmometry.
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