Asymptomatic UTI in Pregnancy Women Attending at AnteNatal Care Clinic at Minia Obstetrics University Hospit | ||||
| Minia Journal of Medical Research | ||||
| Volume 31, Issue 4, October 2020, Page 43-45 PDF (149.59 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/mjmr.2022.217061 | ||||
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| Authors | ||||
| Lamiaa H. Abdel-Hak1; Omima M. M.1; Salwa H. Fawzy.2 | ||||
| 1Department of Clinical Pathology, Faculty of Medicine, Minia University, Egypt | ||||
| 2Department of Clinical Pathology, Faculty of Medicine, Minia University, Egyp | ||||
| Abstract | ||||
| Background: Urinary tract infections (UTI) during pregnancy issued by inappropriate laboratory investigations situate women at high risk of several complications. Untreated and neglected asymptomatic UTI may lead to pyelonephritis, preterm birth, low birth weight, etc. Urine culture is used to confirm the diagnosis of UTI. Objectives: This work aims to find the prevalence of asymptomatic UTI and to establish antimicrobial drug susceptibility of the pathogens resulting asymptomatic UTI in pregnant women attending at ante-natal care clinic at Minia Obstetrics University Hospitals. Methods: The urine samples were collected through mid-stream clean catch method from 90 pregnant women of age15-45 years visiting for ante-natal clinic. All the urine samples were subjected to biophysical, biochemical, microscopic, and microbiological analysis. The prevalence of UTI in three trimesters and in different age groups was obtained together with antimicrobial drug susceptibility tests. Results: On overall (38.8%) of urine samples revealed with significant bacteriuria and considered as the asymptomatic UTI. On One way ANOVA test, there was significant (P<0.001) prevalence of asymptomatic UTI when compared among different trimesters, higher prevalence of asymptomatic UTI being in the third trimester (84%). Prevalence of culture positivity with respected age was maximum between the age group of 25-30 (41.4%). Escherichia coli were the most implicated organism (52.8%) followed by Klebsiella pneumonae (18.6%). The gramnegative bacteria (E. coli and K. pneumonae) were more sensitive against Amikacin, Gentamycin, and Nitrofurantointhan. Other drugs whereas; gram positive bacteria had high susceptibility with Vancomycin. Conclusion: There was remarkable incidence of asymptomatic UTI among the pregnant women in the study region; therefore, screening of urine of all pregnant women is very important and should be included in the routine antenatal checkups to detect the symptomatic UTI to prevent the maternal and obstetric complications in them. | ||||
| Keywords | ||||
| Asymptomatic UTI; Pregnancy; Prevalence of UTI | ||||
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