A fita reagente de urina Multistix® 10SG testada nesse estudo como método alternativo ao convencional para diagnóstico de peritonite em pacientes submetidos a diálise peritoneal apresentou excelentes resultados de sensibilidade e especificidade, além de altos VPP e VPN. Esse método poderia ser utilizado como um simples teste à beira do leito sempre que houver suspeita de infecção e, nesses casos, um resultado positivo tem valor diagnóstico para peritonite, autorizando o início de terapia antibiótica empírica. Um resultado negativo da fita reagente de urina sugere ausência de peritonite, porém deve-se estar atento a sintomatologia discreta ainda incipiente e observação de outros fatores e dados laboratoriais.
Tomando como base os nossos resultados e os estudos mencionados anteriormente, acreditamos que a fita reagente possa ser uma opção viável para um diagnóstico mais rápido e mais barato da peritonite em pacientes submetidos a diálise peritoneal. Clínicas de terapia renal substitutiva e até mesmo hospitais universitários muitas vezes não dispõem de estrutura laboratorial acessível em tempo integral. Assim a fita reagente de urina é uma ferramenta diagnóstica promissora. Sua simplicidade e seu baixo custo têm notória aplicabilidade no serviço público de saúde.
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FICHA DE COLETA DE DADOS
Nome:
Idade: _________ anos Sexo: □ M □ F Data de Nasc: ___/___/___ Etiologia da DRC:
Modalidade de TRS atual: □ DPAC □ DPA □ DPI Tempo de TRS:
Tempo em DP:
Já realizou outra modalidade □ Sim □ Não Qual?
Comorbidades: □ HAS □ DM □ Cardiopatia □ Outras: _____________________ COLETAS DE LÍQUIDO PERITONEAL: 1a Coleta: Data: Liquido turvo □ Dor abdominal □ Fita Observador 1 Observador 2 Citometria Gram Cultura: 1a Coleta: Data: Liquido turvo □ Dor abdominal □ Fita Observador 1 Observador 2 Citometria Gram Cultura: 1a Coleta: Data: Liquido turvo □ Dor abdominal □ Fita Observador 1 Observador 2 Citometria Gram Cultura:
COLETAS DE LÍQUIDO PERITONEAL EM SUSPEITA DE PERITONITE: 1a Coleta: Data: Liquido turvo □ Dor abdominal □ Fita Observador 1 Observador 2 Citometria Gram Cultura: 1a Coleta: Data: Liquido turvo □ Dor abdominal □ Fita Observador 1 Observador 2 Citometria Gram Cultura: 1a Coleta: Data: Liquido turvo □ Dor abdominal □ Fita Observador 1 Observador 2 Citometria Gram Cultura: