The diagnosis of urinary tract infections among pregnant women in rural Tanzania; prevalences and correspondence between different diagnostic methods

Autor: Anders Baerheim, Gunnar Kvåle, Sven Gudmund Hinderaker, Per Bergsjø, Bjørg Evjen Olsen, Petro Gasheka, Rolv T. Lie
Rok vydání: 2000
Předmět:
Zdroj: Acta Obstetricia et Gynecologica Scandinavica. 79:729-736
ISSN: 0001-6349
DOI: 10.1034/j.1600-0412.2000.079009729.x
Popis: Background. To assess the prevalence of dysuria, dipsticks positive on nitrite and leukocyte esterase and positive Uricult® dip slides among pregnant women in rural Tanzania. Methods. 3715 pregnant women were examined for dysuria and had their urine tested with nitrite and leukocyte esterase dipsticks and Uricult® dipslides, at their first antenatal visit in 1995–96.Results. The prevalences of positive symptoms and tests were as follows: dysuria 32%, nitrite 40.3%, leukocyte esterase 65.6%, and Uricult® dip slides 16.4%. A general log-linear model where all four variables were analyzed simultaneously showed poor correspondence between the diagnostic methods. Odds ratio with 95% confidence intervals were as follows: dysuria vs. nitrite [1.6 (1.4–1.8)], dysuria vs. leukocyte esterase [1.2 (1.0–1.4)], nitrite vs. leukocyte esterase [4.2 (3.6–4.9)], and leukocyte esterase vs. Uricult® [1.4 (1.1–1.7)]. Dysuria and nitrite were not associated with Uricult® dipslide.Conclusion. A high prevalence of positive test...
Databáze: OpenAIRE