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acter iuric patients later developed s ymptoma tic disease, a
finding which is similar t o that reported in the weste r n
studies (72,83].
In Sou t h Africa and Uganda t he incidence of bacter iuria
i n studies were 10 . 3% and 1 2 . 2% r espec t i vely [84 ,85] ; t hese
figures are similar to t he high rates a lso obtained in Nigeria
and Egypt [79,80,82} . I n Nairobi, Kenya, 7 .4% o f 1017 pregnant
patients seen a t an an tenatal clinic were found to have
signi ficant bacteriuria, but in only 5 .5% of them was this
finding asymptomatic [86].
Much lower rates of bacteriuria i n pregnancy have be en
reported i n studies in t he a f rican cou ntries of Zambia, a nd
Sudan [87 , aa]. In Zambia a pproximately 4.0% o f l ow income
pregnant women were fo und t o hav e asymptomat ic bacteriuria at
their first antenatal visit {87 ] .
I n Khartoum, Sudan, t he prevalen c e o f aysmptomatic
bact e ruiria was 5.6% [88]. Bladder ca theterization of women
was us ed du ring urine samp le collection in Khartoum, instead
of the routine mid-str eam uri ne sampling , and t he researchers
explained t ha t , t h i s method was used bec a us e they felt t hat in
their circumcised fe mal e pop ulation , mid -stream urine samples
were l i kely to beco me co ntami na ted a s a res u l t o f the ge nital
defor mity o f female circumc i s i on. Th i s methodol ogica l
difference however, could have i nfluenced their findings,
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