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American Journal of Epidemiology Vol. 129, No. 2: 372-379
Copyright © 1989 by The Johns Hopkins University School of Hygiene and Public Health


research-article

BACTERIURIA IN PREGNANCY

FREQUENCY AND RISK OF ACQUISITION

K. STENQVIST1,2,, I. DAHLÉN-NILSSON1, G. LIDIN-JANSON1, K. LINCOLN4, A. ODÉN2, S. RIGNELL5 and C. SVANBORG-EDÉN

1Department of Infectious Diseases, Östra Hospital S-416 85 Göteborg, Sweden
2Department of Clinical Immunology, University of Göteborg Guldhedagatan 10, S-413 46 Göteborg, Sweden
3Department of Gynaecology, Västra Frölunda Hospital S-421 44 V Frölunda, Sweden
4Department of Bacteriology, Sahlgrenska Hospital S-413 45 Göteborg, Sweden
5Department of Gynaecology, Östra Hospital S-416 85 Goteborg, Sweden

Reprint requests to Dr. K. Stenqvist, Department of Infectious Diseases, Östra Hospital, S-416 85 Göteborg, Sweden

A total of 3,254 pregnant women attending two antenatal clinics in Göteborg, Sweden, were screened for bacteriurla. The coverage of the pregnant population In the areas served by the two clinics was estimated to be 88%. Of the women who were registered at the two clinics, 99% took part In at least one screening; 71% were screened during each of the three intervals. The high frequency of screening of the women made it possible to estimate the risk of acquiring bacterluria during pregnancy. This risk increased with the duration of pregnancy from 0.8% of bacteriuric women in the 12th gestatlonal week to 1.93% at the end of pregnancy. The risk of onset of bacterluria was highest between the ninth and 17th gestational weeks. The 16th gestational week was the optimal time for a single screening for bacteriuria calculated as the number of bactenuria-free gestational weeks gained by treatment.

bacteriurla; epidemiologic methods; pregnancy; probability


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