Bacteriological profile of Urinary Tract Infections in pregnant women – Future Challenges
Journal Title: INTERNATIONAL JOURNAL OF RECENT TRENDS IN SCIENCE AND TECHNOLOGY - Year 2017, Vol 23, Issue 1
Abstract
Background: Pregnancy causes numerous changes in the woman’s body. Hormonal and mechanical changes increase the risk of urinary stasis and vesicoureteral reflux. These changes, along with an already short urethra and difficulty with hygiene due to a distended pregnant belly, increase the frequency of urinary tract infections (UTIs) in pregnant women. Indeed, UTIs are among the most common bacterial infections during pregnancy, Urinary tract infections remain one of the most common infections and a leading cause of morbidity in human population. Aims and Objectives: To study Bacteriological Profile of Urinary Tract Infections in Pregnant women at a Tertiary health care center Methodology: This was a cross-sectional study carried out in the department of Microbiology in association with department of Obstetrics and Gynaecology of a tertiary health care center during one year period i.e. March 2013 to March 2014 in 280 Samples of Suspected UTI in pregnant women. Fifty six samples were culture positive and were addressed for Antibiotic Sensitivity Testing (AST) as per the standard protocols. Results: The most commonly observed bacteria was E. coli (39.29%) and Staphylococcus aureus (19.64%), followed by Coagulase negative staphylococcus (16.07%), Klebsiella sp. (12.50%), Enterococci sp. (8.93%) and Acinetobacter sp. (3.57 %). Escherichia coli was most commonly sensitive to Nitofurantoin (77.27%), Klebsiella to Norfloxacin (71.43%), and Acinetobacter was 100% senstive to Amoxiclav, Amikacin, Tetracyclines and Norfloxacin. In Gram positive pathogens, Staphylococcus aureus was mostly sensitive to Cotrimoxazole and Erythromycin. Conclusion: It can be concluded from our study that commonly observed bacteria were E. coli and Staphylococcus aureus causing UTI in pregnant women. All pregnant women should be screened for UTI with a urine culture and treated with antibiotics if the culture is positive
Authors and Affiliations
Natasha Sawhney, Rahul Prabhas, Varsha A Singh
Keywords
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