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Re: "routine" prenatal visit LONG of courseFrom: Braun, R. Daniel (rbraun@iupui.edu)Mon Aug 21 16:11:31 2000
How many of those positive dips have you checked with a catheterized culture to see if they really have Asymptomatic Bacteriuria. I would wager that the majority of them have leukocytes from vaginal contamination. In fact if they are ASB, they will not have leukocytes only bacteria in their urine. A clean catch midstream in a pregnant lady is of value only if it is totally negative. To collect a CCMS, a female requires three hands, one on each labia and one to hold the cup. None of my patients have that many and I have yet been able to persuade a nurse to assist them in the collection of the sample. The literature only supports testing for proteinuria. R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: K Dew [mailto:kdew@bellsouth.net] Sent: Monday, August 21, 2000 3:43 PM To: Multiple recipients of list OB-GYN-L Subject: Re: "routine" prenatal visit LONG of course protein, nitrates (you'd be surprised how many asymptomatic uti's I find), leukocyte esterase. the stick comes with glucose but I rarely pay any attention to that Kevin When you dip the urine, what do you dip for? D I'm really done now just my $.02 Kevin Dew ob/gyn Bardstown, KY
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