A Study On Urinary Tract Infections Among Pregnant Women Attending Antenatal Clinic Of A Tertiary Care Center Of Bihar
Keywords:Urinary Tract Infections, Pregnant Women
Introduction: UTI has been reported among 20% of the pregnant women and it is the most common cause of admission in obstetrical wards. Urinary tract infection in pregnancy is associated with significant morbidity for both mother and baby. The combination of mechanical, hormonal and physiologic changes during pregnancy contributes to significant changes in the urinary tract, which has a profound impact on the acquisition and natural history of bacteriuria during pregnancy. Methodology: This study was carried out in the Dept. of Microbiology, Shri Krishna Medical College & Hospital, Muzaffarpur, Bihar. Prior ethical approval was obtained from the Institutional Ethics Committee. The urinary pathogens and their antibiotic susceptibility patterns from December 2020 to November 2021 were recorded for this study. Clean catch midstream urine sample was collected in sterile container from pregnant women from the antenatal clinic. Bacterial identification was done by colony morphology, Gram staining and standard biochemical tests. Antibiotic susceptibility testing was done by Kirby Bauer disk diffusion method as per CLSI guidelines. Descriptive statistics was used to analyze the data and results expressed as percentages. Results: A total of 240 urine samples were received from pregnant women and processed in Microbiology laboratory during the study period. Among 240 samples, 95 (39.6%) samples yielded significant bacterial growth. E.coli was isolated as predominant pathogen followed by Staphylococcus aureus. Only 29 (10.1%) isolates of E.coli were sensitive to ampicillin and 14 (73.7 %) were sensitive to nitrofurantoin. Conclusion: All pregnant women should be screened for UTI with a urine culture and treated with antibiotics if the culture is positive. The early diagnosis and treatment of UTI during pregnancy can prevent complications to the mother and the fetus.
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Copyright (c) 2022 Arunima, Chandan Kumar, Poonam Kumari, Ranjit Kumar
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