ISSN: 0973-7510

E-ISSN: 2581-690X

T.A. Dhanalakshmi1 , D. Nagarathnamma2, D. Venkatesha3 and H.C. Basavaraja4
1Department of Microbiology, Adichunchanagiri Institute of Medical Sciences,
B.G. Nagara, Mandya District- 571 448, India.
2Department of Microbiology, Bangalore Medical College and Research Institute
Bangalore – 560 002, India.
3Department of Microbiology, Mysore Medical College and Research Institute Mysore,
Karnataka State – 570 001, India.
4Department of Microbiology, College of Medicine, University of Dammam, Building 10, KSA, Dammam – 314 51, Saudi Arab.
J Pure Appl Microbiol. 2012;6(3):1309-1312
© The Author(s). 2012
Received: 11/01/2012 | Accepted: 04/03/2012 | Published: 30/09/2012
Abstract

Asymptomatic bacteriuria (ASB) in pregnant women leads to complications like pyelonephritis, preeclampsia, prematurity, low birth weight, and intrauterine death. The present study was undertaken to evaluate screening methods with quantitative culture. Midstream clean catch urine collected from 750 asymptomatic antenatal women  were subjected to wet mount, Gram stain, catalase test and triphenyl tetrazolium chloride test (TTC). Cultures were put-up by standard loop method and pour-plate method. Isolates with significant growth were identified by standard methods and antibiotic susceptibility test was done by Kirby- Bauer disc diffusion method. ASB was detected in 7.87% of antenatal women. Among the rapid screening methods, catalase test showed the highest sensitivity (100%), followed by Gram stain (98.30%), TTC test (95.45%) and wet mount (27.12%). Wet mount and Gram stain showed highest specificity (100%), followed by TTC test (98.24%) and catalase test (94.73%). Semi- quantitative culture by standard loop method showed a sensitivity of 96.61% and specificity of 100%. Escherichia coli was the predominant organism isolated (66.66%) and majority of isolates were found sensitive to nitrofurantoin (70%). Gram stain can be a reliable rapid screening method and standard loop method, an adequate substitute for pour plate method.

Keywords

Asymptomatic bacteriuria, Gram stain, Standard loop method, Escherichia coli, Nitrofurantoin

Article Metrics

Article View: 689

Share This Article

© The Author(s) 2012. Open Access. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License which permits unrestricted use, sharing, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.