Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan
<p><strong>Introduction: </strong>During pregnancy, urinary tract experiences various anatomical as well as physiological changes which lead to the development of urinary tract infections. Of these, asymptomatic bacteriuria is prevalent during pregnancy and the adverse outcomes cou...
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| Format: | Article |
| Language: | English |
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College of Community Physicians of Sri Lanka
2021-09-01
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| Series: | Journal of the College of Community Physicians |
| Subjects: | |
| Online Access: | https://jccpsl.sljol.info/articles/8392 |
| _version_ | 1811306929231757312 |
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| author | Tabinda Naseer Qazi shagufta naseer Jahan Ara Ainuddin |
| author_facet | Tabinda Naseer Qazi shagufta naseer Jahan Ara Ainuddin |
| author_sort | Tabinda Naseer Qazi |
| collection | DOAJ |
| description | <p><strong>Introduction: </strong>During pregnancy, urinary tract experiences various anatomical as well as physiological changes which lead to the development of urinary tract infections. Of these, asymptomatic bacteriuria is prevalent during pregnancy and the adverse outcomes could include intrauterine growth retardation, pyelonephritis, preterm delivery, low birth weight, hypertension, and anaemia. Hence, screening for asymptomatic bacteriuria should be included in antenatal care.</p><p><strong> </strong></p><p><strong>Objectives: </strong>To determine the prevalence of asymptomatic bacteriuria and the frequency of different organisms causing asymptomatic bacteriuria among pregnant women attending the outpatient department at Dow University Hospital in Karachi, Pakistan</p><p><strong> </strong></p><p><strong>Methods: </strong>A cross-sectional study was conducted in the obstetric outpatient department (OPD) of Dow University Hospital, Karachi for six months. A total of 161 pregnant women with no clinical symptoms of urinary tract infection were included in this study. The method of urine sample collection was explained to all the enrolled participants. After collection, samples were labeled and processed. The result of the urine cultures was available after three days and was entered in the Performa. Participants with positive culture reports were treated according to the antibiotic sensitivity.</p><p><strong> </strong></p><p><strong>Results: </strong>The prevalence of asymptomatic bacteriuria among pregnant women was found in 17% (SD=0.61) with maximum prevalence in the age group of ≤25 years among primigravidae. The common organisms responsible for urinary tract infection in asymptomatic pregnant women were <em>Escherichia coli </em>(39.3%), <em>Klebsiella pneumonia </em>(17.9%), <em>Staphylococcus </em>spp. (17.9%) and <em>Enterococcus spp. (14.3%).</em></p><p><strong> </strong></p><strong>Conclusions & Recommendations</strong>: As asymptomatic bacteriuria is associated with complications in pregnancy; hence it is essential that pregnant women should be screened for bacteriuria, regularly in every trimester of the gestational period. |
| first_indexed | 2024-04-13T08:55:17Z |
| format | Article |
| id | doaj.art-5628c825ba604652b3544c103dc00262 |
| institution | Directory Open Access Journal |
| issn | 1391-3174 2579-1451 |
| language | English |
| last_indexed | 2024-04-13T08:55:17Z |
| publishDate | 2021-09-01 |
| publisher | College of Community Physicians of Sri Lanka |
| record_format | Article |
| series | Journal of the College of Community Physicians |
| spelling | doaj.art-5628c825ba604652b3544c103dc002622022-12-22T02:53:19ZengCollege of Community Physicians of Sri LankaJournal of the College of Community Physicians1391-31742579-14512021-09-0127236036710.4038/jccpsl.v27i2.83925974Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, PakistanTabinda Naseer Qazi0shagufta naseer1Jahan Ara Ainuddin2Dow University of Health Sciences, Ojha Campus Scheme 33, KarachiDow University of Health Sciences, Ojha Campus Scheme 33, KarachiDow University of Health Sciences, Ojha Campus Scheme 33, Karachi<p><strong>Introduction: </strong>During pregnancy, urinary tract experiences various anatomical as well as physiological changes which lead to the development of urinary tract infections. Of these, asymptomatic bacteriuria is prevalent during pregnancy and the adverse outcomes could include intrauterine growth retardation, pyelonephritis, preterm delivery, low birth weight, hypertension, and anaemia. Hence, screening for asymptomatic bacteriuria should be included in antenatal care.</p><p><strong> </strong></p><p><strong>Objectives: </strong>To determine the prevalence of asymptomatic bacteriuria and the frequency of different organisms causing asymptomatic bacteriuria among pregnant women attending the outpatient department at Dow University Hospital in Karachi, Pakistan</p><p><strong> </strong></p><p><strong>Methods: </strong>A cross-sectional study was conducted in the obstetric outpatient department (OPD) of Dow University Hospital, Karachi for six months. A total of 161 pregnant women with no clinical symptoms of urinary tract infection were included in this study. The method of urine sample collection was explained to all the enrolled participants. After collection, samples were labeled and processed. The result of the urine cultures was available after three days and was entered in the Performa. Participants with positive culture reports were treated according to the antibiotic sensitivity.</p><p><strong> </strong></p><p><strong>Results: </strong>The prevalence of asymptomatic bacteriuria among pregnant women was found in 17% (SD=0.61) with maximum prevalence in the age group of ≤25 years among primigravidae. The common organisms responsible for urinary tract infection in asymptomatic pregnant women were <em>Escherichia coli </em>(39.3%), <em>Klebsiella pneumonia </em>(17.9%), <em>Staphylococcus </em>spp. (17.9%) and <em>Enterococcus spp. (14.3%).</em></p><p><strong> </strong></p><strong>Conclusions & Recommendations</strong>: As asymptomatic bacteriuria is associated with complications in pregnancy; hence it is essential that pregnant women should be screened for bacteriuria, regularly in every trimester of the gestational period.https://jccpsl.sljol.info/articles/8392asymptomatic bacteriuria, escherichia coli, staphylococcus species |
| spellingShingle | Tabinda Naseer Qazi shagufta naseer Jahan Ara Ainuddin Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan Journal of the College of Community Physicians asymptomatic bacteriuria, escherichia coli, staphylococcus species |
| title | Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan |
| title_full | Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan |
| title_fullStr | Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan |
| title_full_unstemmed | Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan |
| title_short | Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan |
| title_sort | prevalence and causative organisms of asymptomatic bacteriuria among pregnant women in karachi pakistan |
| topic | asymptomatic bacteriuria, escherichia coli, staphylococcus species |
| url | https://jccpsl.sljol.info/articles/8392 |
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