TY - JOUR
T1 - Spheroplasts, poorly known but clinically relevant particles of urinary sediment
AU - Falbo, Rosanna
AU - Fogazzi, Giovanni Battista
AU - Sala, Maria Roberta
AU - Garigali, Giuseppe
AU - Sulejmani, Adela
AU - Brambilla, Paolo
AU - Leoni, Valerio
N1 - Publisher Copyright:
© 2020 Elsevier B.V.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/4
Y1 - 2021/4
N2 - Background: In two patients under treatment with various antibiotics, spheroplasts were detected with an automated urine sediment analyzer. Methods: Urinalysis was performed by an AutionMAX AX 4030-sediMAX platform. Results: Spheroplasts can be easily misclassified as yeasts or erythrocytes, but when automated urine sediment analyzers are used by well-trained, and experienced operators they can be correctly identified and classified. Conclusion: Appropriate training of urine laboratory professionals in spheroplast detection and association with UTI, together with timely communication with the microbiologist and caring clinician, will provide prompt targeted treatment.
AB - Background: In two patients under treatment with various antibiotics, spheroplasts were detected with an automated urine sediment analyzer. Methods: Urinalysis was performed by an AutionMAX AX 4030-sediMAX platform. Results: Spheroplasts can be easily misclassified as yeasts or erythrocytes, but when automated urine sediment analyzers are used by well-trained, and experienced operators they can be correctly identified and classified. Conclusion: Appropriate training of urine laboratory professionals in spheroplast detection and association with UTI, together with timely communication with the microbiologist and caring clinician, will provide prompt targeted treatment.
KW - SediMAX
KW - Spheroplasts
KW - ß-lactam antibiotics
KW - Urinalysis
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U2 - 10.1016/j.cca.2020.12.026
DO - 10.1016/j.cca.2020.12.026
M3 - Article
C2 - 33359495
AN - SCOPUS:85098972407
VL - 515
SP - 13
EP - 15
JO - Clinica Chimica Acta
JF - Clinica Chimica Acta
SN - 0009-8981
ER -