Abstract
Introduction; Urine microscopy is a common routine test clinical microbiology laboratory. Traditionally it is done manually, which is labour intensive and lacks standardisation. The Beckman Coulter Iris iQ200 ELITE is an automated urine microscopy platform utilising digital flow morphology technology. Methodology: In this study, the diagnostic performance of this platform was evaluated in aid to migrate to an automated testing platform in the current setting. A total of 92 urine specimens were tested in parallel using Q200 ELITE and manual method. Parameters compared included, white blood cell, red blood cell, squamous epithelial cells, hyaline casts, yeast, and crystals. Four different staff members participated. Discrepancies were reviewed by a different staff member. Results: The overall positive and negative percentage agreement of the Iris iQ200 ELITE were satisfactory (84-100% and 82-100%, respectively). The grade agreements were 100% for all particles. Higher sensitivity of the Iris iQ200 ELITE was observed. Conclusion: The Iris iQ200 ELITE is a reliable and more efficient diagnostic tool when compared to manual urine microscopy.
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