Prevalence of Asymptomatic Bacteriuria in Pregnancy
Journal Title: Indian Journal of Obstetrics and Gynecology - Year 2018, Vol 6, Issue 4
Abstract
Background and Objectives: Asymptomatic bacteriuria is a major factor for the development of urinary tract infections. In addition to complications of urinary tract infections, a variety of conditions have been reported to be associated with asymptomatic bacteriuria. Of these pre-term labor, low birth weight, prematurity, pre-eclampsia and chronic renal disease that have been cited as significant adverse obstetric outcomes. Thus, early detection and treatment can possibly decrease the occurrence of these effects. The relatively high prevalence of asymptomatic bacteriuria during pregnancy, the adverse effects on the pregnancy, the opportunity to avoid sequelae with treatment; justify screening pregnant women for bacteriuria. Objectives are to determine the prevalence of asymptomatic bacteriuria in pregnancy, the type of bacteria causing the asymptomatic bacteriuria and the antibiotic sensitivity and resistance of the organism. Materials and Methods: This is a cross-sectional, observational study conducted at the Out Patient Department of Obstetrics and Gynaecology of Navodaya Institute of Medical Sciences, Raichur. All pregnant women with no genitourinary complaints, no histories of fever and without any intake of antibiotics for any indication during the current pregnancy were included in the study. The women were asked to submit urine specimens for culture and sensitivity tests. Results: 200 pregnant women were studied of whom 7, (3.5 percent) were identified to have asymptomatic bacteriuria. The most common isolates were Escherichia coli (28.5 percent) Staphylococcus aureus (28.5 percent). The organisms were found to be sensitive to Amikacin, Cefoperazone, Ciprofloxacin and Cefaclor in decreasing order. The organisms were comparatively more resistant to amoxicillin. Conclusion: Asymptomatic Bacteriuria during pregnancy may cause serious maternal and perinatal, morbidity. All pregnant women should be screened for bacteriuria by urine culture in their first visit and they should be treated if the results are found positive. So it is recommended to do urine culture as a routine screening during pregnancy.
Authors and Affiliations
J. Lalitha .
Keywords
Related Articles
- EP ID EP549901
- DOI 10.21088/ijog.2321.1636.6418.2
- Views 63
- Downloads 0
Impact of Intrapartum Cardiotocographic Monitoring On Neonatal Outcome in High Risk Pregnancies: Our Experience
Aim: To evaluate the impact of intrapartum Cardiotocographic (CTG) monitoring on neonataloutcome in high risk pregnancies in our setup. The basic principle of intrapartum fetal monitoring is to identify the developing fe...
To Assess Role of Hystero-Laparoscopy as A Diagnostic Modality in Patients of Primary Infertility
Context: Infertility is defined as failure ofa couple to conceive for at least 1 year after regular and unprotectedintercourse. Infertility affects about 10-15% of reproductive age couples. The prevalence of infertile in...
Is Thrombocytopenia an Alarm for Severe Preeclampsia
Background: Hypertension is the most common medical problem encountered in pregnancy resulting into alteration of hematological profile, most common of which is thrombocytopenia. The present study is conducted to assess...
Neonatal Outcomes in Women with Isolated Oligohydramnios
Introduction: Oligohydramnios is a serious complication of pregnancy that is associated with a poor perinatal outcome. Isolated oligohydramnios at term is defined as AFI <5 cm without any maternal or fetal cause. Inciden...
A Study of Maternal and Neonatal Outcome in Case of Twin Gestation
Background: Twin gestation are the major cause of perinatal and neonatal morbidity and it represents one of the principal targets for obstetric health care. Aim of this study is to identify etiological factors and to ass...