Asymptomatic Bacteriuria, Prevalence Report during Antenatal Period at Pumhsw Nawabshah, Pakistan

Abstract

Objective: The aim of study is the determination of prevalence of asymptomatic bacteriuria during antenatal period in PUMHSW, with prevalence of antenatal asymptomatic bacteriuria in neighboring countries.
 Methodology: This study is Cross Sectional-Prospective, and conducted at the Department of Pathology Peoples University of Medical & Health Sciences (PUMHS) for Women Nawabshah (Shaheed Benazir Abad). All the samples (417) were obtained from the pregnant women attending the Outpatient Department of Gynecology and Obstetrics PUMHS Hospital Nawabshah.All mid-stream clean catch collected urine sample in sterile container processed for urine detailed report (physical, chemical and microscopic examination).All the demographic details were entered and analyzed by SPSS 20.More than 8 international as well as national databases were searched to the year 2020, consisting of google, Pub-med, Science direct, Web of Science, Medline. The data obtained were analyzed and their results reported with a random-effects model with confidence level 95%.
 Result: Out of 417 patients the mean age of the pregnant female was 29.32± 5.74 years.There were females with mean parity of 2.66 ±2.42 and mean gestational age was25.84± 11.80.Age when compared with asymptomatic bacteriuria revealed statistically significant value p value 0.000 with an increased incidence seen among age group of 26-30yrs n=33(44%). The total prevalence of asymptomatic bacteriuria (ASB) was 83(19.9%).Age when compared with asymptomatic bacteriuria revealed statistically significant value p value 0.000 with an increased incidence seen among age group of 26-30yrs.
 Conclusion: Asymptomatic bacteriuria during pregnancy is increasingly found in younger age women, with increasing gestational age. Therefore urine cultures during antenatal period should be done to diagnose asymptomatic bacteriuria in order to make preventative planning and control of asymptomatic bacteriuria among pregnant women.

Asymptomatic Bacteriuria in Pregnancy Causes and Incidence

“…5,6,9 In our study, 25.6% of the patients were positive for ASB which is a high gure in comparison to certain other local studies carried out in other regions of Pakistan e-g the incidence of ASB was 19.9% in Nawab Shah, and 17% in Karachi. 10,11 However, even higher gures were quoted from Saudi Arabia (32.1%) Iraq (42.9%) and Nigeria (37.1%). 12,13,14 Frequency as low as 3.3% has been quoted from India.…”