title: [Mid-stream versus bladder puncture urine in the diagnosis of urinary tract infection in pregnant patients].
abstract: 150 healthy women being pregnant in the 1st, 2nd and 3rd trimester were examined. From the same content of urinary bladder suprapubic puncture urine (BPU) and mid-stream urine (MSU) were collected. The results concerning microbiological and microscopical analysis of urine proofs were compared. For qualitative and quantitative germ analysis MSU is sufficiently clean enough. In 95.3 there is a good correspondence of the microbiological results of both proofs. Exceptionally in 4.7% the MSU-results were not confirmed by BPU. With respect to the findings in sediment there is no good correspondence of the results. In case of sterile bladder content the BPU sediment - findings are significantly more frequent normal and significantly more seldom abnormal than in MSU. The sediment findings in MSU are more frequent false positive than in BPU. In case of an infected bladder content there are no significant differences in the sediment findings of both techniques in taking urine proofs. The rate of normal sediment findings in case of an infected bladder content is unrealistic high: In MSU in 11% and in BPU in 26%. For microbiologic germ diagnosis MSU and BPU proofs are equivalent. But, for detection or for exclusion of urinary tract infections the sediment finding is poorly pathognomonic for a urinary tract infection. A normal sediment finding does not exclude the existance of an urinary tract infection. Therefore, in the system of prenatal care we should waive of the sediment finding as a guide for the diagnosis of urinary tract infections.
authors.affiliation: Frauenklinik, Abteilung Mikrobiologie, Bezirkskrankenhauses Suhl.
authors.forename: U
authors.initials: U
authors.lastname: Retzke
authors.forename: I
authors.initials: I
authors.lastname: Waitz
authors.forename: M
authors.initials: M
authors.lastname: Loth
authors.forename: B
authors.initials: B
authors.lastname: Liebetrau
mesh_terms: D001419:Bacteria / Q000302:isolation & purification; D001431:Bacteriological Techniques; D001437:Bacteriuria / Q000382:microbiology*; D015169:Colony Count, Microbial; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology*; D014556:Urine / Q000382:microbiology*
vernacular_title: Mittelstrahl- versus Blasenpunktionsurin zur Diagnostik von Harnwegsinfektionen in graviditate.