Prevalence of asymptomatic urinary tract infection due to escherichia coli among pregnant women attending ANC clinic at BRIMS teaching hospital
Journal Title: Indian Journal of Microbiology Research - Year 2018, Vol 5, Issue 1
Abstract
Introduction Urinary tract infection UTI due to Escherichia coli E coli is a common health problem among women Pregnant women are at increased risk from both symptomatic and asymptomatic UTI because of the physiologic changes associated with pregnancy which may cause complications such as pyelonephritis chronic renal failure premature delivery and foetal mortality Our study aimed to check the prevalence of asymptomatic UTI due to E coli and its antibiotic profile among pregnant women of Bidar district of North Karnataka IndiaMaterials and Methods An independent study was done from January to February 2015 to investigate asymptomatic UTI among pregnant women attending Antenatal care clinic ANC of Bidar Institute of Medical sciences BRIMS Teaching hospital Bidar 150 midstream urine samples were processed for culture and antimicrobial drug susceptibility testing at Department of Microbiology BRIMS Bidar as per the routine microbiological techniques Diagnosis of UTI was made when there were at least 105 colony forming unit CFUml of urine Isolates other than E coli are not considered for this studyResults Among 150 samples tested 65 samples grown E coli with colony count of 105 CFUml of urine 4333The Majority of pregnant women were in their 2nd and 3rd trimester and the mean age of study population was 2346 The rate of UTI was highest among age group of 2025 years E coli isolates showed highest resistance to antibiotics Ampicillin 9692 Cefuroxime 5538 and ceftriaxone 5385 It was uniformly sensitive to routinely used drugs for treatment of UTIDiscussion Many Gram negative and Gram positive organisms including Yeast cause UTI in pregnant women Our study revealed the high prevalence of asymptomatic UTI among pregnant women due to E coli in Bidar 4333 as compared to studies conducted in other parts Karnataka This study also showed the antibiotic profile of E coli to different drugs tested and showed highest resistance to AmpicillinConclusion Asymptomatic Bacteriuria in pregnant women due to E coli is relatively higher in Bidar district and it showed resistance against commonly used antimicrobial agents Hence it is strongly recommended to undertake routine urine culture in pregnancy and provide appropriate treatment to reduce its complicationsKeywords Asymptomatic bacteriuria ANC Escherichia coli Prevalence UTI
Authors and Affiliations
Sudheendra Kulkarni, B. V. Peerapur
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