Evidence map›Paper›PMID 36104146›Full record

ArticleBMJ open2022

Diagnostic work-up of urinary tract infections in pregnancy: study protocol of a prospective cohort study.

Dominique Esmée Werter, Brenda M Kazemier, Elisabeth van Leeuwen, Maurits C F J de Rotte, Sacha D Kuil, Eva Pajkrt, Caroline Schneeberger

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Observational
  2. Association of Bacteriuria with Hypertension Risk in Pregnant Women.Medical science monitor : international medical journal of experimental and clinical research · 2025
    Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 1 country.

Dominique Esmée WerterDepartment of Obstetrics and Gynaecology, University of Amsterdam, Amsterdam, The Netherlands d.e.werter@amsterdamumc.nl.ORCID 0000-0003-3121-0441
Brenda M KazemierDepartment of Obstetrics and Gynaecology, University of Amsterdam, Amsterdam, The Netherlands.
Elisabeth van LeeuwenDepartment of Obstetrics and Gynaecology, Amsterdam University Medical Centres, Duivendrecht, The Netherlands.
Maurits C F J de RotteDepartment of Clinical Chemistry, University of Amsterdam, Amsterdam, The Netherlands.
Sacha D KuilDepartment of Microbiology, University of Amsterdam, Amsterdam, The Netherlands.
Eva PajkrtObstetrics and Gynaecology, Amsterdam UMC Location AMC, Amsterdam, The Netherlands.
Caroline SchneebergerDepartment of Microbiology, Amsterdam UMC-Locatie AMC, Amsterdam, The Netherlands.
University of Amsterdam · NLAmsterdam University Medical Centers · NLNational Institute for Public Health and the Environment · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSymptoms of urinary tract infections in pregnant women are often less specific, in contrast to non-pregnant women where typical clinical symptoms of a urinary tract infection are sufficient to diagnose urinary tract infections. Moreover, symptoms of a urinary tract infection can mimic pregnancy-related symptoms, or symptoms of a threatened preterm birth, such as contractions. In order to diagnose or rule out a urinary tract infection, additional diagnostic testing is required.The diagnostic accuracy of urine dipstick analysis and urine sediment in the diagnosis of urinary tract infections in pregnant women has not been ascertained nor validated. METHODS AND ANALYSIS: In this single-centre prospective cohort study, pregnant women (≥16 years old) with a suspected urinary tract infection will be included. The women will be asked to complete a short questionnaire regarding complaints, risk factors for urinary tract infections and baseline characteristics. Their urine will be tested with a urine dipstick, urine sediment and urine culture. The different sensitivities and specificities per test will be assessed. Our aim is to evaluate and compare the diagnostic accuracy of urine dipstick analysis and urine sediment in comparison with urine culture (reference test) in pregnant women. In addition, we will compare these tests to a predefined 'true urinary tract infection', to distinguish between a urinary tract infection and asymptomatic bacteriuria. ETHICS AND DISSEMINATION: Approval was requested from the Medical Ethics Review Committee of the Academic Medical Centre; an official approval of this study by the committee was not required. The outcomes of this study will be published in a peer-reviewed journal.

Indexed as

BacteriuriaPremature BirthUrinary Tract InfectionsAdolescentFemaleHumansInfant, NewbornPregnancyProspective StudiesUrinalysisBACTERIOLOGYMaternal medicineMicrobiologyProtocols & guidelinesUrinary tract infections

Identifiers

PMID36104146
PMCPMC9476157
OpenAlexW4295681602

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.