scholarly journals Asymptomatic bacteriuria in pregnancy: what is the validity of urine sediment microscopy as a screening tool in a low resource setting?

2020 ◽  
Vol 9 (6) ◽  
pp. 2442
Author(s):  
Rashmi Polnaya ◽  
Amritha Bhandary
Keyword(s):  
Predictive Value ◽  
Urine Culture ◽  
Asymptomatic Bacteriuria ◽  
Urine Sediment ◽  
Predictive Values ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Urine Microscopy ◽  
In Pregnancy

Background: Asymptomatic bacteriuria in pregnancy should be screened and treated to reduce the risk of morbidity and mortality. Urine culture is the recommended test. In low resource setting with large patient load urine culture in all pregnant patients is not feasible. In this study authors have assessed the validity of urine microscopy in the screening of asymptomatic bacteriuria in pregnancy.Methods: Midstream clean catch urine specimen collected from 675 pregnant women was subjected to urine sediment microscopy and culture. It was considered screen positive if pus cells were >5/HPF. Asymptomatic bacteriuria was diagnosed if there were >/=100000 CFU of a single uropathogen per ml. Results obtained were statistically analysed for the prevalence of asymptomatic bacteriuria, sociodemographic and medical risk factors, causative organisms, antibiotic sensitivity and validity of urine sediment microscopy in detecting asymptomatic bacteriuria.Results: The incidence of asymptomatic bacteriuria in our study was 10.2%. The incidence was higher in the age group between 20-30 years, in gravida 3 and above, in upper lower and lower socioeconomic status, in women with hyperglycemia in pregnancy and anaemia. E. coli was the commonest bacterial isolate in culture positive cases. Bacterial isolates had poor sensitivity for Ampicillin, amoxicillin and nitrofurantoin and good sensitivity for cephalosporins and aminoglycosides. The sensitivity, specificity, positive and negative predictive values for urine microscopy was 43%, 85%, 25% and 93% respectively.Conclusions: This study shows poor sensitivity and positive predictive value and good specificity and negative predictive value.

Predictors of asymptomatic bacteriuria among pregnant women in a low-resource setting

2014 ◽  
Vol 35 (1) ◽  
pp. 25-29 ◽  
Author(s):  
J. O. Awoleke ◽  
A. I. Adanikin ◽  
D. D. Ajayi ◽  
O. S. Ayosanmi
Keyword(s):  
Pregnant Women ◽  
Asymptomatic Bacteriuria ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting

scholarly journals Hepatitis B in Pregnancy: Knowledge, Access to Screening and Vaccination in a Low-Resource Setting, Cameroon

2018 ◽  
Vol 5 (2) ◽  
pp. 1-10
Author(s):  
Armelle Maffo Mengouo ◽  
Gregory Edie Halle-Ekane ◽  
Marcellin Nimpa Mengouo ◽  
Théophile Nana Njamen ◽  
Haman Makebe Nwain ◽  
...  
Keyword(s):  
Hepatitis B ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting ◽  
In Pregnancy ◽  
Knowledge Access

scholarly journals Perinatal outcomes after hypertensive disorders in pregnancy in a low resource setting

2015 ◽  
Vol 20 (12) ◽  
pp. 1778-1786 ◽  
Author(s):  
J. L. Browne ◽  
K. M. Vissers ◽  
E. Antwi ◽  
E. K. Srofenyoh ◽  
E. L. Van der Linden ◽  
...  
Keyword(s):  
Perinatal Outcomes ◽  
Low Resource ◽  
Hypertensive Disorders ◽  
Resource Setting ◽  
Low Resource Setting ◽  
Hypertensive Disorders In Pregnancy ◽  
In Pregnancy

scholarly journals Biosensor for Detecting Fetal Growth Restriction in a Low-Resource Setting

2021 ◽  
Vol 2 (1) ◽  
pp. 57-67
Author(s):  
Anders Jacobsen ◽  
Christentze Schmiegelow ◽  
Bjarke Sørensen ◽  
Omari A. Msemo ◽  
Karsten Nielsen ◽  
...  
Keyword(s):  
Pilot Study ◽  
Fetal Growth ◽  
Predictive Value ◽  
Fetal Growth Restriction ◽  
Predictive Performance ◽  
Growth Restriction ◽  
Low Resource ◽  
Placental Dysfunction ◽  
Resource Setting ◽  
Low Resource Setting

One strategy for improving detection of fetal growth restriction (FGR) is developing biosensors identifying placental dysfunction as a leading pathogenesis for FGR. The aim of this pilot study was to investigate the performance of a biosensor specified to detect placental dysfunction by means of maternal arterial turbulence acoustics in a low-resource setting. A cohort of 147 singleton pregnant women were prospectively followed with double-blinded biosensor tests, sonographic estimation of fetal weight (EFW) and Doppler flow at 26–28, 32–34 and 37–39 weeks of pregnancy. Full term live births with recorded birth weights (BWs) and without major congenital malformations were included. Outcomes were defined as (A) a solitary biometric measure (BW < 3rd centile) and as (B) a biometric measure and contributory functional measure (BW < 10th centile and antenatally detected umbilical artery pulsatility index > 95th centile). Data from 118 women and 262 antenatal examinations were included. Mean length of pregnancy was 40 weeks (SD ± 8 days), mean BW was 3008 g (SD ± 410 g). Outcome (A) was identified in seven (6%) pregnancies, whereas outcome (B) was identified in one (0.8%) pregnancy. The biosensor tested positive in five (4%) pregnancies. The predictive performance for outcome (A) was sensitivity = 0.29, specificity = 0.97, p = 0.02, positive predictive value (PPV) was 0.40 and negative predictive value (NPV) was 0.96. The predictive performance was higher for outcome (B) with sensitivity = 1.00, specificity = 0.97, p = 0.04, PPV = 0.20 and NPV = 1.00. Conclusively, these pilot-study results show future potential for biosensors as screening modality for FGR in a low-resource setting.

Evaluation of a New Protocol of Insulin Dose Adjustment in a Low-Resource Setting

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 93-LB
Author(s):  
EDDY JEAN BAPTISTE ◽  
PHILIPPE LARCO ◽  
MARIE-NANCY CHARLES LARCO ◽  
JULIA E. VON OETTINGEN ◽  
EDDLYS DUBOIS ◽  
...  
Keyword(s):  
Dose Adjustment ◽  
Insulin Dose ◽  
Low Resource ◽  
Resource Setting ◽  
Low Resource Setting
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