Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection

Urinary Tract Infection (UTI) is a common infectious disease. Urine culture as a gold standard is less practical and time- consuming. Examination of urine dipstick and microscopic is less accurate. Procalcitonin (PCT), IL-6 and Heparin Binding Protein (HBP) have known increase after infection, which...

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Main Authors: Hani Susianti, I Putu Adi Santosa, Antonius Johanes, Esther Mayrita, Thiba Dina Merdikaningsih
Format: Article
Language:English
Published: University of Brawijaya 2019-05-01
Series:Research Journal of Life Science
Subjects:
Online Access:https://rjls.ub.ac.id/index.php/rjls/article/view/270
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author Hani Susianti
I Putu Adi Santosa
Antonius Johanes
Esther Mayrita
Thiba Dina Merdikaningsih
author_facet Hani Susianti
I Putu Adi Santosa
Antonius Johanes
Esther Mayrita
Thiba Dina Merdikaningsih
author_sort Hani Susianti
collection DOAJ
description Urinary Tract Infection (UTI) is a common infectious disease. Urine culture as a gold standard is less practical and time- consuming. Examination of urine dipstick and microscopic is less accurate. Procalcitonin (PCT), IL-6 and Heparin Binding Protein (HBP) have known increase after infection, which potentially used for early detection of UTI. The aim of this study was to determine the diagnostic performance of urine IL-6, HBP, PCT, leukocyturia and bacteriuria level as biomarkers of UTI. The study was conducted on 51 UTI patients with positive urine culture, 16 UTI patients with negative urine culture, and 16 healthy control.  Urine IL-6, HBP, and PCT level were determined using ELISA. Leukocyturia and bacteriuria were measured using automated flowcytometry and fluorescent dye analyzers.  The gold standard for UTI diagnosis was urine culture. The sensitivity and specificity of urine PCT, IL-6, HBP, leukocyturia and bacteriuria were 60.78% and 65.62%; 72.55% and 56.25%; 96.07% and 50.00%; 80.39% and 78.12%; 80.39% and 59.09% respectively. The AUC of urine PCT, IL-6, HBP, leukocyturia and bacteriuria were 0.600; 0.605; 0.666; 0.877 and 0.830 respectively. For combinations of two biomarkers, the best sensitivity and specificity was demonstrated by urine PCT and leukocyturia.
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spelling doaj.art-c0095cfa605043b2a0ddef5c2a2526752022-12-21T17:56:23ZengUniversity of BrawijayaResearch Journal of Life Science2355-99262019-05-0161111810.21776/ub.rjls.2019.006.01.2126Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract InfectionHani Susianti0I Putu Adi Santosa1Antonius Johanes2Esther Mayrita3Thiba Dina Merdikaningsih4Brawijaya UniversityBrawijaya UniversityBrawijaya universityBrawijaya UniversityBrawijaya universityUrinary Tract Infection (UTI) is a common infectious disease. Urine culture as a gold standard is less practical and time- consuming. Examination of urine dipstick and microscopic is less accurate. Procalcitonin (PCT), IL-6 and Heparin Binding Protein (HBP) have known increase after infection, which potentially used for early detection of UTI. The aim of this study was to determine the diagnostic performance of urine IL-6, HBP, PCT, leukocyturia and bacteriuria level as biomarkers of UTI. The study was conducted on 51 UTI patients with positive urine culture, 16 UTI patients with negative urine culture, and 16 healthy control.  Urine IL-6, HBP, and PCT level were determined using ELISA. Leukocyturia and bacteriuria were measured using automated flowcytometry and fluorescent dye analyzers.  The gold standard for UTI diagnosis was urine culture. The sensitivity and specificity of urine PCT, IL-6, HBP, leukocyturia and bacteriuria were 60.78% and 65.62%; 72.55% and 56.25%; 96.07% and 50.00%; 80.39% and 78.12%; 80.39% and 59.09% respectively. The AUC of urine PCT, IL-6, HBP, leukocyturia and bacteriuria were 0.600; 0.605; 0.666; 0.877 and 0.830 respectively. For combinations of two biomarkers, the best sensitivity and specificity was demonstrated by urine PCT and leukocyturia.https://rjls.ub.ac.id/index.php/rjls/article/view/270ProcalcitoninInterleukin-6Heparin Binding ProteinLeukocyturia, Bacteriuria
spellingShingle Hani Susianti
I Putu Adi Santosa
Antonius Johanes
Esther Mayrita
Thiba Dina Merdikaningsih
Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection
Research Journal of Life Science
Procalcitonin
Interleukin-6
Heparin Binding Protein
Leukocyturia, Bacteriuria
title Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection
title_full Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection
title_fullStr Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection
title_full_unstemmed Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection
title_short Evaluation of Urine Procalcitonin, Interleukin-6, Heparin Binding Protein, Leukocyturia, and Bacteriuria for Early Detecting Urinary Tract Infection
title_sort evaluation of urine procalcitonin interleukin 6 heparin binding protein leukocyturia and bacteriuria for early detecting urinary tract infection
topic Procalcitonin
Interleukin-6
Heparin Binding Protein
Leukocyturia, Bacteriuria
url https://rjls.ub.ac.id/index.php/rjls/article/view/270
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