
In this study, we tested the performance of the Sysmex UF-5000 system to detect yeast-like cell (YLC) counting to screen for candiduria. Urine samples were screened for leukocyte and yeast amount by flow cytometry and results were compared with fungal culture results. A total of 56,749 urine samples were enrolled in this study. Urine culture and urinalysis of YLC data were used to evaluate the performance of YLC in diagnosing candiduria. Different cut-off values (YLC. 5, 10, 20, 50, 100/μl) were evaluated. Youden index was used to determine the ideal cut-off value, and the highest was 0.95 with 5 YLC/μl. When the cut-off value for YLC is 5 cells/μl, 95.15% of the samples were "negative" with flow cytometry and culture (NPV:100%). In conclusion, detection of YLC by flow cytometer (Sysmex UF-5000) can be a rapid alternative method to exclude candiduria prior to urine culture.
Urinary Tract Infections, Humans, Saccharomyces cerevisiae, Urinalysis, Urine, Flow Cytometry, Sensitivity and Specificity
Urinary Tract Infections, Humans, Saccharomyces cerevisiae, Urinalysis, Urine, Flow Cytometry, Sensitivity and Specificity
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