Evaluation of rapid urine screening tests to detect asymptomatic bacteriuria in pregnancy

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dc.contributor.authorKaçmaz, Birgül
dc.contributor.authorÇakır, Özenç
dc.contributor.authorAksoy, Altan
dc.contributor.authorBiri, Aydan
dc.date.accessioned2020-06-25T17:43:30Z
dc.date.available2020-06-25T17:43:30Z
dc.date.issued2006
dc.description.abstractIn order to compare the performance of leukocyte esterase and nitrite urine dipstick tests with enhanced urinalysis (uncentrifuged urine white blood cell count/mm(3) plus Gram stain) in detecting asymptomatic bacteriuria in obstetric patients, clean-catch midstream urine specimens were collected from 250 consecutive asymptomatic pregnant women. Ten of the women (4.0%) showed urine culture results indicating significant bacteriuria. The nitrite test was the most specific (99.2%) of these tests, however, its sensitivity was found to be the lowest (60.0%). The sensitivity of the leukocyte esterase test was 70.0%, on the other hand, while its positive predictive value was 28.0%. The sensitivity and specificity of enhanced urinalysis were found to be 50.0 and 96.7%, respectively. None of the rapid tests was found to be a reliable alternative for culture screening of all pregnant women. Nitrite tests are useful screening tests for detecting asymptomatic bacteriuria only if their limitations are fully understood, while leukocyte esterase and enhanced urinalysis tests are not suitable for screening for asymptomatic bacteriuria. Our findings support previous conclusions that quantitative urine cultures are required to rule out asymptomatic bacteriuria in pregnant women.en_US
dc.identifier.citationclosedAccessen_US
dc.identifier.endpage263en_US
dc.identifier.issn1344-6304
dc.identifier.issn1884-2836
dc.identifier.issue4en_US
dc.identifier.pmid16936347
dc.identifier.scopus2-s2.0-33748118805
dc.identifier.scopusqualityQ2
dc.identifier.startpage261en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12587/3739
dc.identifier.volume59en_US
dc.identifier.wosWOS:000240271000011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherNatl Inst Infectious Diseasesen_US
dc.relation.ispartofJapanese Journal Of Infectious Diseases
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.titleEvaluation of rapid urine screening tests to detect asymptomatic bacteriuria in pregnancyen_US
dc.typeArticle

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