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The prevalence of positive urine dipstick testing and urine culture in the asymptomatic pregnant woman: A cross-sectional study

European Journal of Obstetrics & Gynecology and Reproductive Biology Aug 26, 2020

O’Leary BD, Armstrong F, Byrne S, et al. - Via performing a cross-sectional study of 300 women attending routine antenatal clinics, researchers here examined the prevalence of positive urine reagent strip and urine culture in asymptomatic pregnant women. They used an automated urine dipstick analyser for analyzing samples for the presence of glucose, protein, leucocyte esterase, blood, and nitrites. At least one positive finding was identified on reagent strip testing in one-in-three (37.0% [111/300], 95% CI 31.6–42.8%) women. A positive culture for a single organism was reported for 10% of samples, whereas 46.7% of samples were positive for multiple organisms (mixed culture). Findings thereby suggest a high prevalence of positive urine dipstick and contaminated culture in asymptomatic pregnant women. On regression analysis, they identified BMI as a risk factor for urine culture contamination

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