Urinary tract infections in pregnancy : evaluation of diagnostic framework
المؤلف
المصدر
Saudi Journal of Kidney Diseases and Transplantation
العدد
المجلد 25، العدد 1 (28 فبراير/شباط 2014)، ص ص. 85-90، 6ص.
الناشر
تاريخ النشر
2014-02-28
دولة النشر
السعودية
عدد الصفحات
6
التخصصات الرئيسية
الموضوعات
الملخص EN
This study was performed with the objective to examine the diagnostic framework for urinary tract infection (UTI) in pregnancy and physician response to the clinical diagnosis and to correlate responses to the results of urine culture and sensitivity.
Over a 6-month period, 81 consecutive patients attending the labor ward admission of a district general hospital with the diagnosis of UTI during pregnancy were analyzed.
Relevant information on symptom complex, result of dipstick urinalysis and culture and sensitivity were recorded.
Data were analyzed using descriptive statistics.
Of the 78 patients analyzed, 79% had increased urinary frequency, 73.1% had suprapubic pains and 53.1% had dysuria.
All the patients had urinalysis with dipsticks, 41 (52.6%) were positive for nitrites and 64 (82.1%) were positive for leukocyte esterase.
All 78 patients had urine culture and sensitivity, 21 (26.8%) of who were positive, and coliforms were the most commonly isolated pathogens.
The sensitivity for nitrite was 80.9%, specificity 57.9% and positive predictive value 41.4%.
The corresponding figures for leukocyte esterase were sensitivity 100%, specificity 24.6% and positive predictive value 32.8%.
Sixty-six (84.6%) patients had treatment started on the basis of the clinical diagnosis, mostly with co-amoxyclavullinic acid or amoxicillin alone.
A high resistance rate to these empirically chosen antibiotics was seen in the sensitivity pattern of isolated pathogens.
Current clinical diagnostic algorithms for the diagnosis of UTI when applied in the context of pregnancy have low specificity and positive predictive values; yet, empirical antibiotics are frequently employed on this basis.
These are often not in keeping with the sensitivity pattern of isolated organisms.
There is need for a continuing research for more specific bedside tests.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Adu Jidu, Tukur. 2014. Urinary tract infections in pregnancy : evaluation of diagnostic framework. Saudi Journal of Kidney Diseases and Transplantation،Vol. 25, no. 1, pp.85-90.
https://search.emarefa.net/detail/BIM-356697
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Adu Jidu, Tukur. Urinary tract infections in pregnancy : evaluation of diagnostic framework. Saudi Journal of Kidney Diseases and Transplantation Vol. 25, no. 1 (Jan. / Feb. 2014), pp.85-90.
https://search.emarefa.net/detail/BIM-356697
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Adu Jidu, Tukur. Urinary tract infections in pregnancy : evaluation of diagnostic framework. Saudi Journal of Kidney Diseases and Transplantation. 2014. Vol. 25, no. 1, pp.85-90.
https://search.emarefa.net/detail/BIM-356697
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 89-90
رقم السجل
BIM-356697
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر