Abstract
Asymptomatic bacteriuria is the significant presence of bacteria in urine of an individual without symptoms. The aim of the study is to determine the prevalence of asymptomatic bacteriuria in pregnant women. This study was a prospective study conducted in the department of Obstetrics and Gynaecology at B. P. Koirala Institute of Health Sciences. The duration of the study was six months from January to June 2012. A total of 600 pregnant women were enrolled. All women were clinically identified to have no signs and symptoms of UTI. Clean catch midstream urine sample was collected from each patient into a sterile vial. The urine samples were examined for microscopic and culture sensitivity test. Out of 600 pregnant women, 52 were positive for significant bacteriuria with a prevalence rate of 8.7%. There was a significant difference in prevalence of asymptomatic bacteriuria with respect to trimester (p=0.005). Age did not show any significant difference in the prevalence of asymptomatic bacteriuria (p=0.807). There was not any significant difference in the prevalence of asymptomatic bacteriuria with respect to parity (p=0.864) and booking status (p=0.397). Escherichia coli (35%), Acinetobacter species (15%), Enterococcus species (12%) and Klebsiella pneumoniae (10%) were the common isolates. Most of the isolates were sensitive either to Nitrofurantoin, Norfloxacin or Amikacin. Asymptomatic bacteriuria is common in pregnancy. Urine culture sensitivity should be carried out routinely on all pregnant patients in order to prevent the dangerous complications associated with it.
Highlights
Asymptomatic bacteriuria refers to persistent, actively multiplying bacteria within the urinary tract in women who have no symptoms suggestive of urinary tract infection
The physiological changes related to pregnancy make otherwise healthy women susceptible to serious infectious complications, arising from conditions such as asymptomatic and symptomatic urinary tract infections
Urine culture sensitivity report was contaminant for 20 pregnant women for the sTUV VKOG CPF TGRGCV WTKPG EWNVWTG YCU UGPV YJKEJ YCU sterile for all those patients
Summary
Asymptomatic bacteriuria refers to persistent, actively multiplying bacteria within the urinary tract in women who have no symptoms suggestive of urinary tract infection. A clean voided specimen containing more than 105 organism/ml is diagnostic.[1] This is common during pregnancy but it occurs in non pregnant woman . The physiological changes related to pregnancy make otherwise healthy women susceptible to serious infectious complications, arising from conditions such as asymptomatic and symptomatic urinary tract infections. The combination of mechanical, hormonal and physiological changes during pregnancy contributes. Of bacteriuria during pregnancy.[2] The physiological increase in plasma volume during pregnancy decreases urine concentration and up to 70% pregnant women develop glycosuria which encourages bacterial growth in the urine.[3,4]
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