IS THERE A ROLE FOR ROUTINE USE OF THE LEUCOCYTE ESTERASE TEST? Marrazzo

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IS THERE A ROLE FOR ROUTINE USE OF THE LEUCOCYTE ESTERASE TEST? Marrazzo et al have shown that, in a population screening strategy for chlamydia, the leucocyte esterase test on urine may reduce costs because of a reasonable negative predictive value. However, the positive predictive value of this test in asymptomatic men was only 20.1%. With a sensitivity similar to that of the smear (66.7% versus 65.3%, respectively) but an inferior specificity (76.8% versus 85.5%), an approach based on the leucocyte esterase test would in fact perform even worse than one based on smears.

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IS THERE A ROLE FOR ROUTINE USE OF THE LEUCOCYTE ESTERASE TEST? Marrazzo

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تاریخ انتشار 2007