Comparison of urine dipstick, sulfosalicylic acid, urine protein-to-creatinine ratio and a feline-specific immunoassay for detection of albuminuria in cats with chronic kidney disease

J Feline Med Surg. 2012 Dec;14(12):882-8. doi: 10.1177/1753193412454519. Epub 2012 Jul 16.

Abstract

The performance of the urine dipstick, sulfosalicylic acid (SSA), and urine protein-to-creatinine (UPC) tests for the detection of albuminuria was assessed in cats with chronic kidney disease (CKD). Two hundred and thirty-nine urine samples from 37 cats with CKD were used. Test results were dichotomized as either positive or negative, compared with those for the feline-specific rapid urine albumin immunoassay and test performance variables calculated for each test. A positive urine dipstick (≥ trace) and positive SSA (≥ 5 mg/dl), positive SSA alone or ≥ 2+ urine dipstick alone were indicative of albuminuria. In these cases, protein quantification would be warranted if proteinuria/albuminuria is persistent. In the case of a negative urine dipstick result the addition of the SSA added little diagnostic value. Of the tests investigated, the single best test for the detection of albuminuria was the UP/C (≥ 0.2) in which either a negative or positive test result provided useful information.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Albuminuria / diagnosis
  • Albuminuria / veterinary*
  • Animals
  • Benzenesulfonates / chemistry*
  • Cat Diseases / diagnosis
  • Cat Diseases / urine*
  • Cats / urine*
  • Enzyme-Linked Immunosorbent Assay / veterinary*
  • Female
  • Male
  • Reagent Strips
  • Renal Insufficiency, Chronic / diagnosis
  • Renal Insufficiency, Chronic / veterinary*
  • Salicylates / chemistry*
  • Sensitivity and Specificity
  • Species Specificity

Substances

  • Benzenesulfonates
  • Reagent Strips
  • Salicylates
  • sulfosalicylic acid