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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Is a chlorhexidine reaction test better than dipsticks to detect asymptomatic bacteriuria in pregnancy?
Journal of Obstetrics and Gynaecology, Volume 34, No. 1, Year 2014
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Description
Detection of asymptomatic bacteriuria (ASB) in pregnancy is important to avert the attendant morbidities. Therefore, we assessed the use of chlorhexidine reaction to detect ASB in pregnancy. This was a prospective study, which compared chlorhexidine reaction with dipstick tests and urine culture in 150 asymptomatic pregnant women. Urine cultures detected bacteriuria in seven women (4.7%). Chlorhexidine detected ASB in 72 women (48%) and had sensitivity, specificity and accuracy of 100%, 54% and 56%, respectively. Leucocyte esterase (LE) and nitrite detected bacteriuria in 31 (20.7%) women and 12 (8.0%) women, respectively. Singly, LE had a sensitivity and specificity of 14.3% and 79%, respectively, while nitrite's sensitivity and specificity was 42.9% and 93.7%, respectively. Combined, LE and nitrite had better sensitivity (97.9%) and accuracy (94%). Since the accuracy of chlorhexidine is low, other than urine culture, combined dipstick urinalysis of leucocyte esterase and nitrite tests is good to detect asymptomatic bacteriuria in pregnancy. © 2014 Informa UK, Ltd.
Authors & Co-Authors
Okusanya, Babasola O.
Nigeria, Lagos
University of Lagos
Aigere, Egbaname Obozegie Samuel
Nigeria, Katsina State
Federal Medical Centre Katsina
Eigbefoh, Joseph O.
Nigeria, Hamburg
Irrua Specialist Teaching Hospital
Okome, G. B.O.
Nigeria, Hamburg
Irrua Specialist Teaching Hospital
Gigi, C. E.
Nigeria, Hamburg
Irrua Specialist Teaching Hospital
Statistics
Citations: 5
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.3109/01443615.2013.823387
ISSN:
01443615
e-ISSN:
13646893
Research Areas
Maternal And Child Health
Sexual And Reproductive Health
Study Design
Cohort Study
Participants Gender
Female