Title: Prevalence of Asymptomatic Bacteriuria in Pregnancy and Its Outcome
Authors: Dr Sonal Sahni, Dr Kirti Patel, Dr Archana G Singh
DOI: http://dx.doi.org/10.18535/jmscr/v4i10.27
Background-Urinary tract infections are disease processes with short and long term implications especially in pregnant females. Adequate understanding, routine screening and timely initiation of therapy may play a key role in reducing the disease burden of complicated UTI,s during pregnancy. Material and Methods-This was a Prospective study, conducted on 401 pregnant females. The pregnant women were taught to collect the urine sample by aseptic technique which was then submitted to semi quantitative culture method. They were followed up till delivery to find impact of bacteriuria on outcome. Result -Significant bacteriuria was present in 10.22% cases. About 89.78% sample were found sterile. The most common etiological agents were, E.Coli followed by Klebsiella and Pseudomonas. Regarding maternal complications, out of 41 positive cases; 8 cases developed pre-eclampsia,8 cases had premature rupture of membrane and 3 cases developed UTI. Conclusion- Asymptomatic bacteriuria is a common occurence which should be diagnosed and treated in early pregnancy to prevent its adverse effects on pregnancy. Key Words-Asymptomatic bacteriuria,UTI, Urine culture. 1. Kass EH.Bacteriuria in pregnancy and pyelonephritis of pregnany Arch Intern Med. 1960. 105:194-8. 2. Yashodhana P.Mthur R. Urinary tract infection in pregnancy. Indian J.med Res 1987:86. 3. Prevalence of asymptomatic bacteriuria and its antimicrobial susceptibility pattern among pregnant women attending the antenatal clinic at Kanpur,India J.Clen. Dergn Res 2014 Apr 8. 4. Lavanya SV,Jogalakshmi D. Asymptom-atic bacteriuria in antenatal women . Ind.J. med .microbial 2002. 5. Roy SK Sinha GR Gudros M.A. a study of bateriuria in pregnancy. J.obslet Gynaecol India 1974. 6. RJ Girishbhu,R Shrikrishna,S.T. Ramesh, Internation journal of biological and medical research original article of asymp-tomatic bacteriuria in pregnancy. 2011 7. Williams obstetrics 23rd edition page 1035, Renal and urinary tract infections. 8. Nath G,Chaudhary M,Prakash J,et al. Urinary tract infection during pregnancy and fetal outcome. Indian J Med Microbial.1996;14;158-60. 9. Nicolle LE,Bradley S,Colgan R,Rice JC,Schaeffer A,Hooton TM.Infectious Diseases Society of America guidelines for the diagnosis and treatment of aympto-matic bacteriuria in adults.Clin Inf Dis 2005;40;643-54.http://dx.doi.org/ 10.1086/427507. 10. Nath G Chaudhary et al Urinary tract infection during pregnancy and fetal outcome. Indian J med 11. Johnson EK,Kim ED. Urinary tract infections in pregnancy. Medscape; 2012.URL:overview (accessed 11april 2012). 12. Asymptomatic bacteriuria during pregna-ncy, Faculty of health science, Dept of Obstetrics & Gynaecology, Soroka Univ-ersity medical centre Beer-sheva Israel,J matern Fetal Neonatal Med 2009 may 22. Abstract
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