Asymptomatic bacteriuria in pregnant mothers: a valid and cost-effective screening test in Bangladesh
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 o...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Informa UK, Ltd.
2012
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| Subjects: | |
| Online Access: | http://irep.iium.edu.my/87185/1/Asymptomatic%20UTI%20Anayet%20Ullah.pdf http://irep.iium.edu.my/87185/ http://doi.org/10.3109/01443615.2011.601697 |
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| Institution: | Universiti Islam Antarabangsa Malaysia |
| Language: | English |
| Summary: | 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. |
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