A study on asymptomatic bacteriuria in pregnancy: prevalence, etiology and comparison of screening methods

Mukherjee, Kheya; Golia, Saroj; Cl, Vasudha; Babita, .; Bhattacharjee, Debojyoti; Chakroborti, Goutam

doi:10.5455/2320-6012.ijrms20140886

Cited by 21 publications

(28 citation statements)

References 16 publications

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“…Antibiotic sensitivity testing showed that all the isolates were sensitive to imipenam which is in line with studies by Sujatha [16][17][18][19]25 Among the gram positive isolates, all isolates were 100% sensitive to cefepime, vancomycin, linezolid, imipenam and nitrofurantoin. Studies by Patnaik et al and Bose et al, reported similar results, the increase in antibiotic resistance patterns were may be due to self medication and antibiotic abuse.…”

Section: Discussionsupporting

confidence: 89%

“…In present study, prevalence of ASB is 9.2% which correlates with studies done by Sujatha R et al, [16] . 19,21,17 In present study Escherichia coli was the predominant isolate accounting 56.5%, similar results were reported by Sujatha [16][17][18]21,19,23 A study from Nigeria showed Staphylococcus aureus (72%) as commonest isolate and E. coli being the least (2%). 24 The organisms isolated can be faecal in origin colonizing in the periurethral area.…”

Section: Discussionsupporting

confidence: 88%

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Study of asymptomatic bacteriuria in pregnant women: prevalence, isolates and their antibiotic sensitivity pattern

Sandhya¹,

Mispah

Kelamane

2019

Int J Res Med Sci

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Background: Asymptomatic bacteriuria (ASB) is common in pregnant women due to morphological and physiological changes in the genitor-urinary tract, which untreated may lead to complications like pyelonephritis and may also effect the fetus. The objective of our study was to determine the prevalence of ASB in pregnant women, to identify the organisms responsible and their antibiotic sensitivity pattern.Methods: A clean catch midstream urine was collected from 250 pregnant women in different trimesters attending antenatal OPD in a tertiary care hospital. Isolates and their antibiogram were obtained by conventional methods.Results: Among 250 pregnant women, 23(9.2%) had shown significant bacteriuria, and majority (52.1%) were in 3rd trimester. Escherichia coli (56.5%) was the commonest isolate followed by Klebsiella pneumoniae (17.4%). Most of the isolates showed sensitivity to imipenam, nitrofurantoin and cefepime.Conclusions: Asymptomatic bacteriuria is common during pregnancy which requires a routine examination of urine for culture and sensitivity and the positive cases should be treated with appropriate antibiotics to prevent any further complication.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionsupporting

confidence: 88%

Study of asymptomatic bacteriuria in pregnant women: prevalence, isolates and their antibiotic sensitivity pattern

Sandhya¹,

Mispah

Kelamane

2019

Int J Res Med Sci

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“…33 According to another study conducted by Kheya Mukherjee et al from West Bengal, Gram negative organisms were predominant (80.95%) causative agents than Gram positive organisms (19.05%) and E. coli (57.14%) was the most common organism isolated. 34 According to a study by Madhu Udawat et al in India, there was an increasing trend in the prevalence of S. aureus infection (15.28%). 35 This dramatic increase in prevalence rate can be attributed to the emergence and global spread of Staphylococcus aureus.…”

Section: Microbiological Profile Of Asymptomatic Bacteriuria In Pregnmentioning

confidence: 99%

Microbiological profile of asymptomatic bacteriuria in pregnancy

Bose

Sreekumary

Pulikkottil

2017

Int J Reprod Contracept Obstet Gynecol

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Background: Asymptomatic bacteriuria is the presence of actively multiplying bacteria within the urinary tract in the absence of any symptoms. Anatomical and physiological changes make women more susceptible to UTI in pregnancy. The objective of present study was to determine the percentage of pregnant women with asymptomatic bacteriuria and its microbiological profile.Methods: A total of 555 antenatal women who had no clinical features of urinary tract infection were recruited for this study over a period of one year. Clean catch mid-stream urine sample was collected and semi quantitatively cultured immediately. Significant bacteriuria was identified and antibiotic sensitivity found out by conventional methods.Results: Significant growth was observed in 26 samples. There was no association between age, parity, gravidity, period of gestation and asymptomatic bacteriuria. Gram stain was found to be the best screening test. Escherichia coli were the commonest organism isolated. Escherichia coli and Staphylococcus saprophyticus were the most resistant organisms.Conclusions: Escherichia coli, the most common organism isolated, was resistant to most of the commonly used antibiotics. Wet film examination, the most commonly used screening test in our set up, was less sensitive and specific. So culture has to be done in all antenatal cases for screening asymptomatic bacteriuria of pregnancy.

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“…The species of isolated uropathogens are relatively limited, with the eternal leadership of Eschericia coli as a major cause accounting for 75%--90% of uncomplicated UTI isolates. Other players are involved; S. saprophyticus, Klebsiella pneumoniae, Proteus mirabilis and group B Streptococci (Mukherjee et al, 2014;Bose and Revankar, 2018).…”

Section: Introductionmentioning

confidence: 99%

Multidrug Resistant Uropathogens among Egyptian Pregnant Women

Metwally¹,

Elnagar²

2019

American Journal of Infectious Diseases

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Urinary Tract Infections (UTIs) in pregnancy is a common medical problem associated with significant increase in the risk of fetal morbidity and mortality. The effective appropriate antimicrobial agent is a major concern as many effective antimicrobial groups cannot be used due to their potential toxicity to the fetus as well as the increasing rates of Multidrug-Resistant (MDR) strain isolation. This crosssectional study was conducted on women attending the antenatal care of Zagazig University. This study aimed to estimate prevalence of various uropathogens in UTI among the pregnant women and determine their antimicrobial resistance patterns. Clean catch mid-stream urine samples were obtained, complete microbiological examination and antibiotic susceptibility testing were carried out. More than half of culture positive samples was obtained from asymptomatic pregnant women. Asymptomatic bacteriuria was more common among primigravida, women of low socioeconomic class and with history of previous Cesarean section. Gram negative bacterial isolates were the most prevalent (71%). The most frequently isolated pathogens were: E. coli 34%, K. pneumoniae 26% and S. saprophyticus 23%, among the total Gram negative isolates, 95.0% were MDR. Meropenem was the antibiotic with the highest susceptibility rate (96%) on E coli isolates, followed by nitrofurantoin (74%) and tobramycin (72%). Recommendations: Urine culture and sensitivity must be the role as MDR pathogens are increasing, rationalization of antibiotic administration is a must.

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A study on asymptomatic bacteriuria in pregnancy: prevalence, etiology and comparison of screening methods

Cited by 21 publications

References 16 publications

Study of asymptomatic bacteriuria in pregnant women: prevalence, isolates and their antibiotic sensitivity pattern

Study of asymptomatic bacteriuria in pregnant women: prevalence, isolates and their antibiotic sensitivity pattern

Microbiological profile of asymptomatic bacteriuria in pregnancy

Multidrug Resistant Uropathogens among Egyptian Pregnant Women

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