ABSTRACT
A rapid, automated instrumental procedure for distinguishing urine cultures containing greater than 10(5) organism per ml is described. The method is based upon the measurement of changes in impedance that take place as microorganisms alter the chemical composition of the medium. The time required to detect impedance change is inversely related to the initial concentration of microorganisms in the sample. By defining an impedance-positive culture as one that gives detectable impedance change within 2.6 h, 95.8% of 1,133 urine cultures tested were correctly classified as containing more than or fewer than 10(5) organisms per ml. Selection of a longer detection time decreases false negative results at the cost of increased false positive results. Impedance screening is compared with screening data reported in the literature using adenosine-5'-triphosphate detection, microcalorimetry, electrochemical measurements, and optical microscopy.
