Asymptomatic bacteriuria in pregnant mothers: a valid and cost-effective screening test in Bangladesh

Ullah, Anayet A. and Barman, Arunodaya and Ahmed, Iftikhar and Salam, Md. Abdus (2012) Asymptomatic bacteriuria in pregnant mothers: a valid and cost-effective screening test in Bangladesh. Journal of Obstetrics and Gynaecology, 32 (1). pp. 37-41. ISSN 0144-3615

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Abstract

In Bangladesh, a number of screening tests for asymptomatic bacteriuria in pregnancy are in practice. The objective of this study was to assess the validity and cost-effectiveness of these screening tests. A total of 600 apparently healthy pregnant mothers were included in this study. The validity of the screening tests was calculated against the urine culture as ‘ gold standard ’ . Incremental cost-effective ratio between the screening test methods and the least costly method (microscopic urine analysis) was calculated. Bacterial count/oil-immersion field in Gram-stained smear of urine was the most sensitive (91.7%) and specific (97.2%). Incremental cost per additional positive cases of bacterial count, leukocyte esterase and combination of leukocyte esterase and nitrite were US $ 3, US $ 25 and US $ 23, respectively. Gram staining may be the alternative approach to traditional routine urinalysis for the screening of asymptomatic bacteriuria during pregnancy in clinical practice in Bangladesh, as well as other developing countries.

Item Type:	Article (Journal)
Additional Information:	9217/87185
Uncontrolled Keywords:	Asymptomatic bacteriuria in pregnancy , Bangladesh , cost-effective screening test , validity
Subjects:	R Medicine > RA Public aspects of medicine > RA643 Communicable Diseases and Public Health
Kulliyyahs/Centres/Divisions/Institutes (Can select more than one option. Press CONTROL button):	Kulliyyah of Medicine > Department of Basic Medical Kulliyyah of Medicine
Depositing User:	Prof. Dr. Md. Abdus Salam
Date Deposited:	05 Jan 2021 15:28
Last Modified:	05 Jan 2021 15:28
URI:	http://irep.iium.edu.my/id/eprint/87185

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