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        <div id="content-top1">Page 40 - E. Miorin - Udine</div>
        <div id="content-top2">P. 40</div>
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    <pre style="white-space:pre-line"><code>Le infezioni delle vie urinarie in etÃ  pediatrica: diagnosi

  ESAME URINE: Stick urine e microscopia ottica

  Stick urine : test semplice ed economico per individuare soggetti ad alta
        probabilitÃ  di avere IVU o escludere la diagnosi (negativo).

  1) esterasi leucocitaria (marcatore di piuria): sensibilitÃ  fino al 94%,
        specificitÃ  inferiore.

        Ã Se test negativo escludo con ottima probabilitÃ  IVU.
  1) Test dei nitriti (marcatore di batteriuria/G-): elevatissima specificitÃ 

        ma bassissima sensibilitÃ  (specialmente nel lattante che urina spesso)
        Ã Se test Ã¨ positivo diagnosi certa di IVU.

Esame microscopio ottico (urine fresche non centrifugate): per ricerca
leucocituria (almeno 5 GB per campo ad alto ingrandimento-linee guida
NICE-) e batteriuria richiede esperienza, ma di notevole aiuto per
aumentare accuratezza della diagnosi.</code></pre>
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