Van Dorsten J P, Bannister E R
Am J Obstet Gynecol. 1986 Oct;155(4):777-80. doi: 10.1016/s0002-9378(86)80019-9.
Diagnosis and treatment of asymptomatic bacteriuria in pregnant patients can virtually eliminate pyelonephritis, the most common medical cause for antepartum hospitalization. However, the ever-increasing cost of the urine culture has led most clinicians away from routine urine screening. Uricult dip-slide paddles provide an inexpensive, efficient way to screen urine. Clean-catch urine specimens were obtained from 544 consecutive asymptomatic pregnant patients seen in the outpatient obstetric clinic at the Medical University of South Carolina. Specimens were analyzed by both traditional culture techniques and the Uricult dip-slide paddles. By comparison, the Uricult test detected 55 of the 56 significant gram-negative urinary pathogens found by culture. Detection of potential gram-positive pathogens is more difficult. A scheme is proposed that allows reliable, inexpensive surveillance in all pregnant patients. Hopefully, this algorithm will rekindle the obstetrician's interest in urine screening.
对孕妇无症状菌尿的诊断和治疗实际上可以消除肾盂肾炎，这是产前住院最常见的医学原因。然而，尿培养成本的不断增加已使大多数临床医生不再进行常规尿液筛查。Uricult浸片提供了一种廉价、高效的尿液筛查方法。从南卡罗来纳医科大学门诊产科连续就诊的544例无症状孕妇中获取清洁中段尿标本。标本采用传统培养技术和Uricult浸片进行分析。相比之下，Uricult试验检测出了培养发现的56种重要革兰氏阴性尿路病原体中的55种。检测潜在的革兰氏阳性病原体则更为困难。本文提出了一种方案，可对所有孕妇进行可靠且廉价的监测。希望该算法能重新唤起产科医生对尿液筛查的兴趣。
