Urinary tract infection among pregnant women at a secondary level hospital in Northern India

Background: Urinary tract infection (UTI) during pregnancy is frequently associated with complications. Currently, in India, there is no regular screening for UTI, and facility for diagnosis of UTI is not available at peripheral government health centers. Objective: To estimate the proportion of pre...

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Main Authors: Shashi Kant, Ayush Lohiya, Arti Kapil, Sanjeev Kumar Gupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Indian Journal of Public Health
Subjects:
Online Access:http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=2;spage=118;epage=123;aulast=Kant
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author Shashi Kant
Ayush Lohiya
Arti Kapil
Sanjeev Kumar Gupta
author_facet Shashi Kant
Ayush Lohiya
Arti Kapil
Sanjeev Kumar Gupta
author_sort Shashi Kant
collection DOAJ
description Background: Urinary tract infection (UTI) during pregnancy is frequently associated with complications. Currently, in India, there is no regular screening for UTI, and facility for diagnosis of UTI is not available at peripheral government health centers. Objective: To estimate the proportion of pregnant women with UTI among antenatal clinic attendees in rural Haryana. Methods: Eligible participants were pregnant women attending antenatal clinic of secondary care center of rural Haryana from March to May 2015. Consecutive sampling was done to select pregnant women. Interview schedule was administered to the selected women, and midstream urine sample was collected. Urine sample was plated on MacConkey agar, and colony count was done using standard methods. Results: A total of 1253 pregnant women were included in the study. The proportion of women with symptoms of UTI on the basis of history was 33.3% (95% confidence interval [CI] - 30.7, 35.9), and UTI by colony count was 3.3% (95% CI - 2.4, 4.5). The presence of UTI was found to be significantly associated with the presence of any symptom of UTI on multivariate analysis (odds ratio [95% CI] - 7.35 [1.95, 27.77]). Conclusions: The burden of UTI among pregnant women attending antenatal clinic of a sub-district hospital was considerable, more so among the women that presented with symptoms suggestive of UTI. The study suggested that considering the burden of UTI and its complications, diagnosis of UTI at a resource-constrained setting like a secondary care hospital can be done after screening women for symptoms suggestive of UTI.
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spelling doaj.art-bb96334ebc844b94addd17a4f4869c4a2022-12-21T18:13:42ZengWolters Kluwer Medknow PublicationsIndian Journal of Public Health0019-557X2017-01-0161211812310.4103/ijph.IJPH_293_15Urinary tract infection among pregnant women at a secondary level hospital in Northern IndiaShashi KantAyush LohiyaArti KapilSanjeev Kumar GuptaBackground: Urinary tract infection (UTI) during pregnancy is frequently associated with complications. Currently, in India, there is no regular screening for UTI, and facility for diagnosis of UTI is not available at peripheral government health centers. Objective: To estimate the proportion of pregnant women with UTI among antenatal clinic attendees in rural Haryana. Methods: Eligible participants were pregnant women attending antenatal clinic of secondary care center of rural Haryana from March to May 2015. Consecutive sampling was done to select pregnant women. Interview schedule was administered to the selected women, and midstream urine sample was collected. Urine sample was plated on MacConkey agar, and colony count was done using standard methods. Results: A total of 1253 pregnant women were included in the study. The proportion of women with symptoms of UTI on the basis of history was 33.3% (95% confidence interval [CI] - 30.7, 35.9), and UTI by colony count was 3.3% (95% CI - 2.4, 4.5). The presence of UTI was found to be significantly associated with the presence of any symptom of UTI on multivariate analysis (odds ratio [95% CI] - 7.35 [1.95, 27.77]). Conclusions: The burden of UTI among pregnant women attending antenatal clinic of a sub-district hospital was considerable, more so among the women that presented with symptoms suggestive of UTI. The study suggested that considering the burden of UTI and its complications, diagnosis of UTI at a resource-constrained setting like a secondary care hospital can be done after screening women for symptoms suggestive of UTI.http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=2;spage=118;epage=123;aulast=KantIndiapregnant womenruralurinary tract infection
spellingShingle Shashi Kant
Ayush Lohiya
Arti Kapil
Sanjeev Kumar Gupta
Urinary tract infection among pregnant women at a secondary level hospital in Northern India
Indian Journal of Public Health
India
pregnant women
rural
urinary tract infection
title Urinary tract infection among pregnant women at a secondary level hospital in Northern India
title_full Urinary tract infection among pregnant women at a secondary level hospital in Northern India
title_fullStr Urinary tract infection among pregnant women at a secondary level hospital in Northern India
title_full_unstemmed Urinary tract infection among pregnant women at a secondary level hospital in Northern India
title_short Urinary tract infection among pregnant women at a secondary level hospital in Northern India
title_sort urinary tract infection among pregnant women at a secondary level hospital in northern india
topic India
pregnant women
rural
urinary tract infection
url http://www.ijph.in/article.asp?issn=0019-557X;year=2017;volume=61;issue=2;spage=118;epage=123;aulast=Kant
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AT ayushlohiya urinarytractinfectionamongpregnantwomenatasecondarylevelhospitalinnorthernindia
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AT sanjeevkumargupta urinarytractinfectionamongpregnantwomenatasecondarylevelhospitalinnorthernindia