Abstract
Four hundred and seventy-eight pregnant women attending local authority clinics in Portsmouth were screened for bacteriuria using the dip-inoculum transport medium (DITM) spoon method. The detection of asymptomatic bacteriuria in 5% of the patients with a very low proportion of equivocal results (0·83%) suggests that this is an efficient method; and large numbers of urine specimens could be sampled with relatively little work for the laboratory. A cystine-MacConkey medium was devised for incorporation in the spoons. General practitioners treated the women with bacteriuria, and remained responsible for home delivery and postpartum examinations. The possibility of successful cooperation between non-hospital clinics, a bacteriological laboratory, and general practitioners is demonstrated.
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Selected References
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- BRUMFITT W., DAVIES B. I., ROSSER E. I. Urethral catherter as a cause of urinary-tract infection in pregnancy and puerperium. Lancet. 1961 Nov 11;2(7211):1059–1062. doi: 10.1016/s0140-6736(61)92539-9. [DOI] [PubMed] [Google Scholar]
- BRUMFITT W., PERCIVAL A. PATHOGENESIS AND LABORATORY DIAGNOSIS OF NON-TUBERCULOUS URINARY TRACT INFECTION: A REVIEW. J Clin Pathol. 1964 Sep;17:482–491. doi: 10.1136/jcp.17.5.482. [DOI] [PMC free article] [PubMed] [Google Scholar]
- BRUMFITT W. URINARY CELL COUNTS AND THEIR VALUE. J Clin Pathol. 1965 Jul;18:550–555. [PubMed] [Google Scholar]
- Dixon H. G., Brant H. A. The significance of bacteriuria in pregnancy. Lancet. 1967 Jan 7;1(7480):19–20. doi: 10.1016/s0140-6736(67)92423-3. [DOI] [PubMed] [Google Scholar]
- FREEDMAN L. R., PHAIR J. P., SEKI M., HAMILTON H. B., NEFZGER M. D. THE EPIDEMIOLOGY OF URINARY TRACT INFECTIONS IN HIROSHIMA. Yale J Biol Med. 1965 Feb;37:262–282. [PMC free article] [PubMed] [Google Scholar]
- GALLAGHER D. J., MONTGOMERIE J. Z., NORTH J. D. ACUTE INFECTIONS OF THE URINARY TRACT AND THE URETHRAL SYNDROME IN GENERAL PRACTICE. Br Med J. 1965 Mar 6;1(5435):622–626. doi: 10.1136/bmj.1.5435.622. [DOI] [PMC free article] [PubMed] [Google Scholar]
- GILLESPIE W. A. Biochemical mutants of coliform bacilli in infections of the urinary tract. J Pathol Bacteriol. 1952 Jul;64(3):551–557. doi: 10.1002/path.1700640316. [DOI] [PubMed] [Google Scholar]
- KASS E. H. Hormones and host resistance to infection. Bacteriol Rev. 1960 Mar;24(1):177–185. doi: 10.1128/br.24.1.177-185.1960. [DOI] [PMC free article] [PubMed] [Google Scholar]
- LEIGH D. A., WILLIAMS J. D. METHOD FOR THE DETECTION OF SIGNIFICANT BACTERIURIA IN LARGE GROUPS OF PATIENTS. J Clin Pathol. 1964 Sep;17:498–503. doi: 10.1136/jcp.17.5.498. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Little P. J. The incidence of urinary infection in 5000 pregnant women. Lancet. 1966 Oct 29;2(7470):925–928. doi: 10.1016/s0140-6736(66)90534-4. [DOI] [PubMed] [Google Scholar]
- Mackey J. P., Sandys G. H. Laboratory diagnosis of infections of the urinary tract in general practice by means of a dip-inoculum transport medium. Br Med J. 1965 Nov 27;2(5473):1286–1288. doi: 10.1136/bmj.2.5473.1286. [DOI] [PMC free article] [PubMed] [Google Scholar]
- PINKERTON J. H., WOOD C., WILLIAMS E. R. Sequelae of urinary infection in pregnancy. A five-year follow-up. Br Med J. 1961 Aug 26;2(5251):539–542. doi: 10.1136/bmj.2.5251.539. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Roberts A. P., Robinson R. E., Beard R. W. Some factors affecting bacterial colony counts in urinary infection. Br Med J. 1967 Feb 18;1(5537):400–403. doi: 10.1136/bmj.1.5537.400. [DOI] [PMC free article] [PubMed] [Google Scholar]
- TURNER G. C. Bacilluria in pregnancy. Lancet. 1961 Nov 11;2(7211):1062–1064. doi: 10.1016/s0140-6736(61)92540-5. [DOI] [PubMed] [Google Scholar]