Organisms causing asymptomatic bacteriuria in pregnant women attending antenatal clinic of Isra University Hospital Hyderabad
Objective:To determine the common organisms causing asymptomatic bacteriuria in pregnant women attending antenatal clinic of Isra University Hospital Hyderabad.
Methodology:This descriptive cross-sectional study was held at department of Obstetrics and Gynecology at Isra University Hospital, Hyderabad, Sindh Pakistan for antenatal care. Study duration was 6 months form June 2016 to November 2016. All the pregnant women of any age, any gestation attending antenatal clinic of Isra university Hospital on routine first antenatal visit were included. Sample of mid-stream urine about 30 - 50ml was collected in sterile wide mouth100 ml capacity container of each patient. After collection and labeling the specimen, it was immediately sent to Isra Hospital pathology laboratory to evaluate the causative organisms and their sensitivity. All the data was recorded in the self-made proforma. Data analysis was done by SPSS version 20.
Results: Total 210 pregnant women were observed those visiting obstetrics and Gynecology clinic at the Isra Hospital Hyderabad for antenatal care. Mean age of females was 26.43+5.48years and mean gestational age was 23.46+9.57 weeks. Out of 210 pregnant females screened against asymptomatic bacteriuria, 19(19%) were found with positive urine culture. The most common bacteria isolate were Escherichia -coli, in 12 patients, Pseudomonas in 4, Proteus mirabilis in 2 and Klebsiella in 1 patient out of 19. Increasing age, elevated gestational age and parity are on high risk of bacteriuria.
Conclusion:It was concluded that asymptomatic bacteriuria during pregnancy is a common problem. Frequency of asymptomatic bacteriuria was 9% on screening by urine culture. Common organisms isolated were E- Coli, Pseudomonas, Klebsiella and Proteus mirabilis.
Keywords:Asymptomatic bacteriuria, organisms, Pregnancy
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