International Journal of Applied Research
Vol. 5, Issue 10, Part E (2019)
Evaluation of screening tests for detection of asymptomatic bacteriuria in pregnant women
Alpana Wagh and Sarita Kothadia
Asymptomatic Bacteriuria (ASB) as a condition characterized by absence of symptoms of acute Urinary Tract Iinfection (UTI) when true bacteriuria exists. The adverse effects of undiagnosed ASB on mother and child have made researchers to suggest routine culture screening for all pregnant women attending antenatal clinic. Screening tests for bacteriuria have their own place. With few pros and cons, they are of tremendous utility in earlier detection of bacteriuria and prompt treatment especially in the places where culture facilities are not within reach. This work was aimed at determining evaluation of various screening tests for detection of bacteriuria among pregnant women attending antenatal clinic in a Shri. Chatrapati Shivaji Maharaj Sarvopchar Rugnalaya, Solapur. Total 300 married pregnant (study group) and 300 married non-pregnant women (control group) were included in the study. Collection and transportation of urine was carried out by standard procedures. Screening tests like Wet film examination, Gram staining, Griess nitrate test, Triphenyl Tetrazolium Chloride (TTC) Test and Catalase test was carried out. Highest sensitivity was observed in the Gram staining method, while highest specificity was observed in the wet mount method. Lowest sensitivity was observed in the TTC method, while lowest specificity was observed in the catalase method. There are several ways to diagnose UTI, but urine culture still remains most reliable tool for its diagnosis . Amongst five screening tests, Wet mount and Gram Stain of urine help in suggesting ASB and hence, being simple and rapid, these tests can be widely applied to screen the pregnant women on a routine basis.
How to cite this article:
Alpana Wagh, Sarita Kothadia. Evaluation of screening tests for detection of asymptomatic bacteriuria in pregnant women. Int J Appl Res 2019;5(10):300-304.