Urinary tract infections (UTI) are the most common bacterial infections during pregnancy . Untreated UTI can be associated with serious obstetric complications. This cross-sectional study was carried out to determine the prevalence of UTI among pregnant women attending in two private tertiary medical college hospital of Dhaka. A total of 250 pregnant women were enrolled in this study. UTI was diagnosed using mid stream urine (MSU) culture. Using > 10 5 colony forming unit per milliliter as significant level of bacteriuria, the prevalence was found to be 26.0%. There was a high incidence in 21-25 years age group (44.61%). There was also high incidence of infection in the third trimester of pregnancy (78.46%) comparid to first (9.23%) and second trimester (12.30%). Multiparty is associated with increased urinary tract infection in pregnancy. Regarding education 10% were literate and 90% were illiterate. Prevalence of bacteriuria was 94% in women who had past history of urinary tract infection. 80% were sexually active. E.coli was the most frequently isolated pathogen (88.15%).These findings underscores the importance of screening all pregnant women for significant bacteriuria, so that positive cases should be treated subsequently with antibiotics in order to reduce the adverse effects on both maternal and fetal health .
Tuberculosis is the commonest infectious disease in the developing world. Tuberculous lymphadenitis is one of the most common form of extrapulmonary tuberculosis.Many diagnostic tests are devised for its detection including direct smear examination. This cross-sectional study was designed to determine the frequency of tuberculosis in lymphadenopathy of different sites and its rapid diagnosis by FNAC and ZN(ZiehlNeelsen)staining of aspitation smears. A descriptive cross-sectional survey was done on 100 cases of enlarged lymphnodes on different site at two private tertiary medical college hospital of Dhaka. After reporting granulomatous inflammation on papanicolaou staining (PAP stain) of aspirates obtained by FNAC, one unstained slide from each cases was subjected to special stain like ZN, to determine the AFB positivity. Cases positive for AFB on ZN stain were noted down along with their frequency and percentages. Cervical lymph nodes were the most commonly involved site (76%). Forty One cases (56%) of AFB positive smears were reported in granulomatous inflammation. Most cases of AFB-positive smears were associated with caseation necrosis (92%). Male were affected more (63%) than female. Fine Needle Aspiration Cytology (FNAC) is a simple and rapid diagnostic technique, along with ZN staining, that increases the diagnostic accuracy of this technique. Because of early availability of results, simplicity, minimal trauma and complications, the aspiration cytology is now considered a valuable diagnostic aid and is part and parcel of a pathologist's repertoire.
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