Incidence of Urinary Tract Infection among Pregnant Women Attending Antenatal Clinic at Federal Medical Centre, Bida, Niger-State, North Central Nigeria

Abstract

OBJECTIVE: To determine the bacteriological aetiology and incidence of Urinary Tract Infections (UTIs) and antibacterial susceptibility patterns among pregnant women attending antenatal clinics at Federal Medical Centre, Bida, Niger-State, using the gold standard of culture. STUDY DESIGN: Data were obtained from the Medical Microbiology Department Registry from Ante-natal women coming for routine ante natal clinic between January 2010 and December 2012. Mid-stream urine samples were collected from a total of 1242 pregnant women between the ages of 15 and 54 years. Samples were collected inside sterile disposable universal bottles from pregnant women suspected to have UTIs at first antenatal booking. Data was coded, computed and analysed using SPSS version 16.0 and p values ≤0.05 were considered to be statistically significant. RESULT: Out of 1242 pregnant women with in the age bracket 15 and 54years in this study, our research showed that the incidence of UTI in this population was 46.1%, statistically significant (p = 0.046, with mean age of 30.92 years and standard deviation of ± 5.46). Escherichia coli were the most prevalence uropathogen (60%), followed by Staphylococcus aureus (28.3%). Escherichia coli was susceptible to Nitrofurantoin and Gentamycin (61.4%) and (51.5%) respectfully. CONCLUSION: The incidence of urinary tract infection of 46.1% uropathogen in this study is of public concern. Therefore, periodic screening should be carried out on pregnant women during antenatal clinics for symptomatic or asymptomatic UTIs.