ASYMPTOMATIC URINARY TRACT INFECTION IN PREGNANT WOMEN WITH BACTERIAL VAGINOSIS ATTENDING TERTIARY CARE HOSPITAL, VISAKHAPATNAM

Abstract

Objective: Determining the prevalence of bacterial vaginosis and asymptomatic bacteriuria in pregnant women who were prenatal outpatients and inpatients at a tertiary care hospital was the goal of the current investigation.
 Methods: During a one-year period, a total of 234 prenatal women from the OP and IP (GYN and OBG dept.) department representing various age and parity groups and gestational ages attended tertiary care teaching hospital. The samples were subjected to standard microbiological techniques for identification of microorganisms. Amsel's criteria and Nugent scoring system were applied for diagnosis of bacterial vaginosis.
 Results: Out of 234 study subjects, Increased homogenous vaginal discharge was found in 132 patients (56.4%), whiff’s test positive was seen in 59 patients (25.2%), clue cells were observed in 48 patients (20.5%) and pH greater than 4.5 was seen in 115 patient high vaginal swabs (49.1%). Maximum numbers of cases 109 were reported in the Nugent’s score 7-10 (80.7%) out of 135 cases. Among 234 urine samples subjected to microbiological analysis, 82 urine samples showed microbial growth. The major isolate was E. coli 34 (41.4%) followed by Proteus species 18 (21.9%).
 Conclusion: In order to avoid pregnancy difficulties, it is advised that antenatal health care institutions examine pregnant women for vaginitis. Moreover, women with BV should get a UTI screening. Antibiotic usage should be promoted responsibly, while misuse of antibiotics should be discouraged. Douching and having several sexual partners are risk factors for BV, hence precautions should be done.