Frequency Survey of Asymptomatic Bacteriuria in Pregnant Women Attending Boo-Ali Hospital, Tehran
DOI:
https://doi.org/10.31661/gmj.v4i4.537Keywords:
Asymptomatic Bacteriuria, Pregnancy, Frequency, Pyuria, ScreeningAbstract
Background: During pregnancy, asymptomatic bacteriuria is associated with different complications such as pyelonephritis and preterm birth. Pregnancy changes pave the way for the growth and multiplication of pathogenic factors. This study was aimed at exploring the frequency of asymptomatic bacteriuria among pregnant women who attended Boo–Ali Hospital, a teaching center of Islamic Azad University in Tehran. Materials and Methods: This cross-sectional study was performed on 123 pregnant women without urinary symptoms who attended Boo–Ali Hospital from March 2013 to September 2014. Demographic information of the patients including age, gestational age at the time of experiment and parity were recorded. An amount of middle part of urine (20cc) was collected in an appropriate sterile container. Urine samples were examined for WBC, RBC and bacteria. Other parts of the samples were cultivated for urine culture (U/C). Results: Two (1.6%) women had significant bacteriuria (≥105/ml). Pyuria, bacteriuria and hematuria were seen in 49(39.8), 7 (5.6%) and 8 (6.5%) women, respectively. There was a significant association between positive U/C and pyuria (P=0.003). However, positive U/C showed no significance association between bacteriuria and hematuria (P>0.05). Conclusion: Regarding the low frequency of asymptomatic bacteriuria (less than 2%) in the investigated population, the administration of U/C does not seem logical for all pregnant women. Hence, U/C is recommended for those with significant pyuria in their urinalyses. [GMJ.2015;4(4):159-63]
References
Gilbert DN, Moelleving RC, Jr, Eliopoulos GN, Sande NA. Sanford guIde to Antimicrobial therapy. 32nd ed. Hyde Park, Vermont: Antimicrob. Therapy, Inc; 2005. pp. 22–23.
Romero R, Oyarzun E, Mazor M, Sirtori M, Hobbines JC, Bracken M. Meta-analysis of the relationship between asymptomatic bacteriuria and preterm delivery/low birth weight. Obstet Gynecol. 1989;73:576.
Patterson TF, Andrriole VT. Bacteriuria in pregnancy. Infect Dis Clin. North Am. 1987;1:807–22.
Connolly, A, Thorp, JM Jr. Urinary tract infection in pregnancy. Urol Clin North Am. 1999;26(4):779–87.
Kirklam C, Harris S, Grzybowski Evidence-base prenatal care: part II. Third-trimester care and prevention of infectious diseases. Am Fam Physician. 2005;71:1555–60.
Olusanya O, Ogunledum A, Fakoya TA. Asymptomatic significant bacteriuria among pregnant and non-pregnant women in Sagamu, Nigeria. WAJM. 1993;12(1):27–33.
Akerele P, Abhuliren F, Okonofua J. Prevalence of asymptomatic bacteriuria among pregnant women in Benin City, Nigeria. J Obstet Gynaecol. 2001;21(2):141–4.
Gabre-Selassie S. Asymptomatic bacteriuria in pregnancy; epidemiological clinical and microbiological approach. Ethiop Med J. 1998;36:185–192.
CA Turpin, Bridget Minkah, KA Danso, EH Frimpong. Asymptomatic Bacteriuria in Pregnant Women Attending Antenatal Clinic at Komfo Anokye Teaching Hospital, Kumasi, Ghana Med J. Mar 2007; 41(1): 26–9.
Nicolle LE. Screening for asymptomatic bacteriuria in pregnancy. Ottawa Health, Canada: Canadian guide on preventive health care; 1994. pp. 100–106.
Daneshyar E, Mosavibahar SH, Alikhani MY. Association Between Asymptomatic Bacteriuria And Some demographic variables in pregnant women Refered to Health Centers Affilited to Hamadan University of Medical Sciences, Scientific Journal of Ilam University of Medical Sciences. 2010:53–60.
American Academy of Pediatrics, American college of Obstetricians and Gynaecologists: Guidelines for perinatal care, 5th edition, 2002.
Maranchie JK, Capelouto CC, Loughin KR. Urinary tract infections during pregnancy. Infect urol 1997; 10:152-57.
AL- Sibai MH , Saha A, Rasheed P. Socio-biological correlates of bacteriuria in pregnant women . Public Health 1989; 103: 113-21.
Ghaemi E. [The prevalence rate of bacteriuria in pregnant womens refered to health center of GorgaDezbani]. MSc Thesis. Golestan University of Medical Sciences 2000. ( Persian
Wandland Wc , Plate DA. Screening for asymptomatic bacteriuria in pregnancy. J Fam pract 1989; 29: 372-6.
Rouse DJ. Andrew WW,Goldenberg RL,Owen J. Screening and treatment of asymptomatic bacteriuria of pregnancy to prevent pyelonephritis: a cost- effectiveness and cost- benefit analysis. Obstet Gynecol 1995; 86: 119-23.
Boroumand MA, Sam L, Abbasi SH, Salarifar M, Kassaian E, Forghani S. Asymptomatic bacteriuria in type 2 Iranian diabetic women: a crosssectional study. BMC Women's Health 2006 6:4
Paul Erhunmwunse Imade, Patience Emiolu Izekor, Nosakhare Odeh Eghafona, Onaiwu Idahosa Enabulele, Endurance Ophori. Asymptomatic bacteriuria among pregnant women.N Am J Med Sci. 2010 June; 2(6): 263–6.
Published
Issue
Section
License
Copyright (c) 2015 Galen Medical Journal
This work is licensed under a Creative Commons Attribution 4.0 International License.
