Original Research Article
Year: 2016 | Month: March | Volume: 3 | Issue: 3 | Pages: 45-49
Asymptomatic Bacteriuria in Pregnancy
Shubhangi C Dange1,, Aniruddh Shah2, M. N. Dravid3
1Associate Professor, Microbiology, S.B.H.G.M.C, Dhule.
2Medical Student, S.B.H.G.M.C, Dhule.
3Prof & H. O. D. Department Of Microbiology, S.B.H.G.M.C, Dhule.
Corresponding Author: Shubhangi C Dange
ABSTRACT
Background: Asymptomatic Bacteriuria in pregnant women can lead to maternal as well as foetal complications leading to increase morbidity and mortality. It can be successfully prevented by effective screening and early detection of Asymptomatic bacteriuria by doing routine urine culture tests of all pregnant women attending ANC clinics. It should be done routinely along with haemogram, HIV, HBS Ag and Syphillis screen.
Objectives: To determine the prevalence of Asymptomatic bacteriuria in pregnant women attending ANC clinics in Civil Hospital, Dhule.
Material and Methods: Urine samples from a total of 100 pregnant women were collected; processed and isolated organisms from culture plates were identified using conventional methods during the month of January 2015.
Results: Among 100 pregnant women, 28 women showed significant bacteriuria. Hence prevalence rate was 28%. The highest age specific prevalence (28.57%) was found in 20-24yrs age group, while highest prevalence (40.62%) was seen in second trimester. Increased prevalence (57.14%) was seen in multiparous women. Out of total 28 bacterial isolates, 14(50%) were Staphylococcus aureus, followed by 10(35.71%) Esch. Coli and 2 (7.14%) enterococcus sps. & micrococcus sps each Drug of choice for most of bacterial isolates in our study were Cefaperazone and Nitrofurantoin.
Conclusion: From the present study, we conclude that screening for all pregnant women should be carried out to detect Asymptomatic bacteriuria, by doing routine urine culture tests once in every trimester as the prevalence rate of Asymptomatic bacteriuria was found 28%. It is recommended to detect Asymptomatic bacteriuria in pregnant women and treat with appropriate antibiotic therapy as this could significantly minimize adverse maternal and foetal outcome.
Key words: Asymptomatic bacteriuria, prevalence, UTI.