Maternal Markers for Detecting Urinary Tract Infection among Pregnant Women in Port Said City, Egypt

Abstract

Background: Urinary tract infection (UTI) is one of the highest frequently problem caused by bacterial factors in a pregnant woman, which can lead to significant complications for both fetus and mother that hasten early detection for problems and prevention. The study aimed to identify the maternal markers for detecting urinary tract infection among pregnant women in port said City, Egypt. Subjects and Methods: A cross-sectional descriptive design was performed on 101 pregnant women who attend the obstetrics and gynecology clinic at Port Said general hospital with the inclusion criteria from first September 2017 to end of February 2018. The structured interviewing questionnaire and Laboratory test record were used to collect the data using a purposive sample. Result: In this study, 53.5 % of the studied women had positive bacteria in the urine culture. E. coli (39%) had the highest percentage of the isolated bacteria followed by Staphylococcus aureus (26%). The frequency of micturition, followed by dysuria, lower abdominal pain, urine color change, painful burning sensation, incomplete bladder evacuation were the most common maternal markers, predisposing factors associated with UTI during pregnancy were age, occupation, family income, previous treatment for UTI during current pregnancy, regular urination, diabetes mellitus, and previous urinary tract infection. Recommendations: A guidelines about preventive measures of UTI for pregnant women should be providing. Since the symptoms are considered reliable markers for detecting UTI during pregnancy, so suitable screening for early detection and provide proper treatment for infected cases should be implemented.