Prevalence of Asymptomatic Bacteriuria in Pregnant Women Attending for Antenatal Checkup in Tertiary Care Hospital, Bihar, India.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 4
Abstract
Introduction Due to the morphological and physiological changesUrinary Tract Infections (UTIs) common in pregnancy[1]. Features of urinary tract infection are urgency, frequency, and dysuria. Asymptomatic Bacteriuria (ASB) is defined as the presence of actively multiplying bacteria, which is greater than 105/ ml of urine within the urinary tract, excluding the distal urethra, at a time when the patient has no symptoms of a UTI[2,4] . Aims and objective The objective of this prospective study was to identify the prevalence of ASB and most common causative microorganisms among pregnant women who attended a tertiary care centre at Bihar, India so that appropriate antibiotic therapy should be given as early as possible to prevent any obstetric and maternal complication associated with pregnancy. Method This prospective study includedatotal 180 pregnant women with no sign and symptom of UTI attendingantenatal clinic in Department of Obs&GynaeAnmmch, Gaya over a period of 8 months, starting from November 2016 to June2017. All patient after taking formal consent ,Urine samples were collected by standard mid-stream “clean catch” method in sterile, wide mouthed containers that were covered with tight-fitting lids in department of microbiology Anmmch, Gaya for culture and sensitivity. Result: Of 180 pregnant women who were screened, Significant bacteriuria (CFU≥105 /mL)was found in only 23 cases giving an overall prevalence of 12.78 %. E. coli was the most predominant organism followed by Klebsiella.E-coli Sensitivity was 100% with nitrofurantoin, Imepenem. Conclusion: Each pregnant woman attending antenatal clinic should undergo routine urine culture test in order to screen for asymptomatic bacteriuria. Appropriate antibiotic therapy should be given as early as possible to prevent any obstetric and maternal complication associated with pregnancy. Awareness regarding personal hygiene, educating regarding proper antenatal checkup with relevant investigations can reduce co morbidities during and after pregnancy related to asymptomatic bacteriuria.
Authors and Affiliations
Drsweta rani, DrAnupam Ranjan, DrJyoti Bala
Keywords
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- EP ID EP573739
- DOI 10.9790/0853-1804113134.
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