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Early Testing Can Miss Asymptomatic Bacteriuria in Pregnancy.
AMELIA ISLAND, FLA. -- Doing a urine culture for asymptomatic bacteriuria during the first trimester only is no guarantee of perinatal safety Dr. June Carroll reported at the annual meeting of the North American Primary Care Research Group.
Routine screening and treatment of asymptomatic bacteriuria (ABU) during pregnancy has been recommended to prevent perinatal morbidity but there is no agreement about the best method of screening or about the optimal timing and frequency of screening, said Dr. Carroll of the University of Toronto.
Seeking to determine the optimal strategy for detecting ABU in pregnancy she and her associates studied screening results obtained by two ob.gyns. and six primary care physicians at a large urban teaching hospital.
Midstream urine cultures were routinely obtained before 20 weeks' gestation and at approximately 28 weeks' and 36 weeks' gestation.
Urine leukocyte esterase/nitrate dipstick ...
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Source: HighBeam Research, Early Testing Can Miss Asymptomatic Bacteriuria in Pregnancy.