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  • Title: Pregnancy diagnosis and bacteriuria.
    Author: Murray ED.
    Journal: J R Coll Gen Pract; 1980 Oct; 30(219):634. PubMed ID: 7452607.
    Abstract:
    The opinion has been repeatedly expressed that, in general, urinary diagnostic testing in early pregnancy is an unnecessary extravagance. We have, however, found 1 advantage in obtaining urine specimens early in pregnancy as we have been able to screen them for bacteriuria. All urines submitted to our laboratory are in Boricon containers (the boric acid preventing growth of organisms in the urine before culture). Of the 9970 urines submitted for pregnancy diagnosis during 1979, 3874 (38.9%) gave a positive pregnancy result. These positive pregnancy urines were cultured and in 283 (7.3%) significant bacteriuria (105 organisms/ml) was present. Midstream urine samples were requested from these 283 patients and 183 were recieved. Significant bacteriuria was present in 106 (58%) of the 2nd samples. Therefore, although most pregnancy testing of urine can be described as an unnecessary extravagance, we can use the same specimen to facilitate early diagnosis of bacteriuria in pregnancy and perhaps prevent the subsequent development of acute pyelonephritis in some of those women.
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