Research and Reviews : A Journal of Medical Science and Technology Original Research
A Screening Study on Occurrence and Distribution of Urinary Tract Infections Among Suspected Cases (Pyuria, With or Without Symptoms) During Pregnancy
Abstract
Background: Urinary tract infection is one of the most frequently seen medical complications in pregnancy.
Methods: Ethical approval was granted for this research. The study employed a time-bound prospective design; total pregnant women (900) were categorized into those suspected of having UTI (pyuria, with or without symptoms) and those not suspected. Asymptomatic bacteriuria is diagnosed through a urine specimen with an appropriate microscopic examination, followed by culture.
Results: The occurrence of urinary tract infections among suspected cases (pyuria, with or without symptoms) is estimated at 16.7%. Pregnant women attributed 82.2% of UTI to Gram-negative bacilli, 13.3% to Gram-positive cocci, and 4.4% to other categories (candida species). The most common organism responsible for urinary tract infections among suspected cases in the present study is Escherichia coli (66.7%), followed by Klebsiella pneumoniae (13.3%).
Conclusion: We recommend performing routine urine culture tests periodically for all pregnant women in order to detect asymptomatic bacteriuria. This will facilitate the early detection of pregnant women who are at risk of UTIs and require appropriate antibiotic treatment to prevent potential obstetric complications during pregnancy. We also recommend specific preventive measures for reducing the prevalence of major etiological agents (E. coli) and ensuring safe motherhood.
Keywords
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