Role of Routine Urine Culture in Predicting Asymptomatic Bacteriuria in Pregnancy in DMCH Obstetrics & Gynaecology Department
- 1. JR-3, Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Bihar, India
- 2. Associate Professor, Department of Obstetrics and Gynaecology, Darbhanga Medical College and Hospital, Laheriasarai, Bihar, India
Description
Background: Pregnancy-related asymptomatic bacteriuria (ASB) might worsen and progress to pyelonephritis and sepsis. In addition to harming the mother, it also has an impact on the foetus by raising the prevalence of IUGR and preterm. The purpose of this study was to ascertain the prevalence of ASB and the importance of routine urine cultures in pregnant women who attended ANC (antenatal clinic). Materials & Methods: 112 pregnant women who attended the ANC OPD in total were enrolled in the study over the course of six months. Inclusion criteria: All pregnant women who are present at the ANC OPD are free of fever and urine symptoms. Exclusion criteria: (1). Frank UTI like symptoms (Fever, dysuria, increased frequency of urination). (2). Any history of taken antibiotics. (3). Any urinary anomalies. (4). Renal calculi. (5). Immune compromised patients (Like HIV, DM). (6). Mid-stream urine sample was collected and subjected for both microscopy and culture sensitivity. Results: Asbestosis was shown to be 17.85% prevalent, peaking at 55% in the second trimester. According to the study, a routine urine culture can accurately diagnose ASB. Escherichia coli was the most prevalent bacteria isolated (60%) and Nitrofurantoin was the most effective antibiotic. The text discusses the neonatal results. However, there were no neonatal deaths reported during the research period. Although there was no evidence linking asymptomatic bacteruria to anaemia and pre-eclampsia, the odd ratio was greater than one. Conclusion: This study demonstrates that ASB occurs often among expectant women. Regular urine cultures in ANC aid in the diagnosis of the illness, and quick ASB therapy can reduce mother and foetal mortality and prevent any obstetrical complications brought on by an ASB flare-up during pregnancy.
Abstract (English)
Background: Pregnancy-related asymptomatic bacteriuria (ASB) might worsen and progress to pyelonephritis and sepsis. In addition to harming the mother, it also has an impact on the foetus by raising the prevalence of IUGR and preterm. The purpose of this study was to ascertain the prevalence of ASB and the importance of routine urine cultures in pregnant women who attended ANC (antenatal clinic). Materials & Methods: 112 pregnant women who attended the ANC OPD in total were enrolled in the study over the course of six months. Inclusion criteria: All pregnant women who are present at the ANC OPD are free of fever and urine symptoms. Exclusion criteria: (1). Frank UTI like symptoms (Fever, dysuria, increased frequency of urination). (2). Any history of taken antibiotics. (3). Any urinary anomalies. (4). Renal calculi. (5). Immune compromised patients (Like HIV, DM). (6). Mid-stream urine sample was collected and subjected for both microscopy and culture sensitivity. Results: Asbestosis was shown to be 17.85% prevalent, peaking at 55% in the second trimester. According to the study, a routine urine culture can accurately diagnose ASB. Escherichia coli was the most prevalent bacteria isolated (60%) and Nitrofurantoin was the most effective antibiotic. The text discusses the neonatal results. However, there were no neonatal deaths reported during the research period. Although there was no evidence linking asymptomatic bacteruria to anaemia and pre-eclampsia, the odd ratio was greater than one. Conclusion: This study demonstrates that ASB occurs often among expectant women. Regular urine cultures in ANC aid in the diagnosis of the illness, and quick ASB therapy can reduce mother and foetal mortality and prevent any obstetrical complications brought on by an ASB flare-up during pregnancy.
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IJPCR,Vol15,Issue3,Article87.pdf
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Additional details
Dates
- Accepted
-
2023-02-28
Software
- Repository URL
- https://impactfactor.org/PDF/IJPCR/15/IJPCR,Vol15,Issue3,Article87.pdf
- Development Status
- Active
References
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