Antibiotics for asymptomatic bacteriuria in pregnancy

Smaill, Fiona; Vázquez, Juan C

doi:10.1002/14651858.cd000490.pub4

Cited by 87 publications

(84 citation statements)

References 72 publications

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“… 14 , 15 , 16 , 17 , 18 , 19 Some studies have also suggested an association between infection with pathogens that do not cross the utero-placental interface and placental dysfunction. 20 , 21 Antenatal risk stratification for placental disorders is of paramount importance, given that impaired placental development and function are important factors associated with multiple pregnancy complications, including preeclampsia, placental abruption, preterm birth, infants born small for their gestational age, and stillbirth.…”

Section: Introductionmentioning

confidence: 99%

Perinatal Outcomes Among Patients With Sepsis During Pregnancy

et al. 2021

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IMPORTANCE Rates of maternal sepsis are increasing, and prior studies of maternal sepsis have focused on immediate maternal morbidity and mortality associated with sepsis during delivery admission. There are no data on pregnancy outcomes among individuals who recover from their infections prior to delivery. OBJECTIVE To describe perinatal outcomes among patients with antepartum sepsis who did not deliver during their infection hospitalization.

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Section: Introductionmentioning

confidence: 99%

Perinatal Outcomes Among Patients With Sepsis During Pregnancy

et al. 2021

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“…If left untreated, up to 30% can progress to acute pyelonephritis. 45 Given the anatomy of the transplanted ureter, this risk is significantly higher in transplant recipients. Therefore, we recommend screening for asymptomatic bacteriuria with urinalysis every 2-4 weeks and treating with antibiotics based on culture results if infection is present.…”

Section: Urinary Tract Infections During Pregnancymentioning

confidence: 99%

Sexuality, Contraception, and Pregnancy in Kidney Transplantation

Agarwal

Pavlakis

2021

Kidney Medicine

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Sexual dysfunction is defined as any abnormality in sexual arousal, libido, intercourse, orgasm, or satisfaction. It is prevalent in patients with chronic and end-stage kidney disease, with 70% to 84% of men and 30% to 60% of women reporting some form of sexual dysfunction. Although kidney transplantation improves the overall quality of life for patients receiving dialysis, it can have unexpected effects on sexual function owing to the use of immunosuppressive medications and comorbid illnesses. It is important to recognize these adverse effects and pre-emptively discuss them with patients to help mitigate consequent psychosocial discontent. Women of reproductive age will often recover fertility after kidney transplantation and therefore need to be empowered to prevent unwanted pregnancies and plan for a safe pregnancy if desired. Complications such as preeclampsia, pregnancy-induced hypertension, gestational diabetes, ectopic pregnancy, still birth, low birth weight, and preterm birth are more common in pregnant women with a kidney transplant. Careful monitoring for infection, rejection, and immunosuppressive dose adjustment along with comanagement by a high-risk obstetrician is of utmost importance. Breast-feeding is safe with most immunosuppressive medications and should be encouraged.

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“…60,61 Ascending infections and pyelonephritis are associated with poor maternal and fetal outcomes, including: maternal sepsis, maternal hypertension, preeclampsia, preterm birth, low birthweight, intrauterine growth retardation (IUGR), acute respiratory distress syndrome (ARDS), preterm rupture of membranes, and perinatal death. [61][62][63][64] Preterm birth is the primary contributor to fetal morbidity and mortality. 65 Pyelonephritis may result in preterm birth in 20-50% of cases.…”

Section: Urinary Tract Infections In Pregnancymentioning

confidence: 99%

Urological issues in pregnancy: A review for urologists

White

Ory

Powers

et al. 2020

CUAJ

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Urological issues in the pregnant patient present a unique clinical dilemma. These patients may be challenging to treat due to risks associated with medications and surgical procedures. This review aims to provide an update on the physiological changes and surgical risks in pregnancy. In addition, we review the approach for management of urolithiasis and urinary tract infections (UTIs) in pregnancy. Lastly, we highlight the importance of a multidisciplinary approach to placenta percreta, a condition not commonly addressed in urological education.

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Antibiotics for asymptomatic bacteriuria in pregnancy

Cited by 87 publications

References 72 publications

Perinatal Outcomes Among Patients With Sepsis During Pregnancy

Perinatal Outcomes Among Patients With Sepsis During Pregnancy

Sexuality, Contraception, and Pregnancy in Kidney Transplantation

Urological issues in pregnancy: A review for urologists

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