The "Uroscreen" test for significant bacteriuria in pregnancy

The "Uroscreen" as a screening test for significant bacteriuria has been assessed and shown to have an accuracy of 88.3 percent: there is a false positive rate of 56.6 percent of positive tests, or 14.4 percent of all tests, when compared with single plate cultures. All cases of significant bacteriuria associated with E.coli were detected by the "Uroscreen". It is recommended that the routine described be used. A urine screening test for significant bacteriuria has for the second time been assessed against the standard of significant bacteriuria; which in this series has been shown to have a confidence of 96 percent. It has been confirmed that routine screening for significant bacteriuria post partum is necessary, and appears most important in the primigravida. Post partum infection offers an explanation for the increase in prevalence of significant bacteriuria with parity. The figures confirm those of the University of the West Indies and indicate the prevalence of significant bacteriuria in the general pregnant population of Jamaica and the Caribbean may be similar to or higher than that found in series from other countries (AU)

Injury to the posterior vaginal fornix during intercourse

Four cases of injury to the posterior fornix during intercourse have been presented. Aetiology, incidence, diagnosis and treatment have been discussed. Cases which were presented all bled heavily and were largely misdiagnosed when first seen. It would seem that there is a place for a greater awareness of this condition, especially in countries with large Negro populations. (Summary)