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282443

The Value of Screening Pregnant Women for Asymptomatic Bacteriuria and Its Impact on Maternal and Neonatal Outcome

Article

Last updated: 28 Dec 2024

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Abstract

Background: Asymptomatic bacteriuria (ASB) is defined as significant growth of pathogenic bacteria of more than 105 CFU/ ml in urine culture without any symptoms suggesting of urinary tract infection. It has many complications on the health of a pregnant woman, her pregnancy and the fetus. Objectives: The present study was conducted to determine the prevalence, risk factors, pathogenic organisms of ASB in pregnant women, to assess antimicrobial susceptibility pattern of uropathogens and to assess maternal and fetal complications. Methodology: Urine samples were collected from 256 asymptomatic pregnant women. All samples were subjected to microscopic examination and cultivation on CLED. Colonies were identified by Gram stain and biochemical reactions. In vitro susceptibility pattern was measured by disk diffusion method.  Results: ASB prevalence rate was 7.8% among the studied group. E. coli was the most common uropathogen isolated (35%). This study revealed that nitrofurantoin (90%) sensitivity, imipenem (85%), norfloxacin (75%) and amikacin (75%) were very effective against most of the urinary isolates, while most of the urinary isolates were resistant to cephalexin, cefuroxime and cefotaxime. Conclusion: Early screening, detection and proper treatment were of considerable importance to reduce maternal and fetal complications. More systematic study covering larger population is recommended to give better insights about risk factors and complications.

DOI

10.21608/ejmm.2019.282443

Keywords

asymptomatic bacteriuria, Pregnancy, urine culture, Antibiotic sensitivity

Authors

First Name

Noha

Last Name

Gohar

MiddleName

M.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

nohagohar@yahoo.com

City

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Orcid

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First Name

Eman

Last Name

Haggag

MiddleName

M.

Affiliation

Department of Medical Microbiology and Immunology, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Mohamed

Last Name

El Sharkawy

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

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City

-

Orcid

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First Name

Mahmoud

Last Name

Alalfy

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Cairo, Egypt

Email

-

City

-

Orcid

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Volume

28

Article Issue

1

Related Issue

39190

Issue Date

2019-01-01

Receive Date

2023-01-26

Publish Date

2019-01-01

Page Start

109

Page End

114

Print ISSN

1110-2179

Online ISSN

2537-0979

Link

https://ejmm.journals.ekb.eg/article_282443.html

Detail API

https://ejmm.journals.ekb.eg/service?article_code=282443

Order

15

Type

New and original researches in the field of Microbiology.

Type Code

2,038

Publication Type

Journal

Publication Title

Egyptian Journal of Medical Microbiology

Publication Link

https://ejmm.journals.ekb.eg/

MainTitle

The Value of Screening Pregnant Women for Asymptomatic Bacteriuria and Its Impact on Maternal and Neonatal Outcome

Details

Type

Article

Created At

28 Dec 2024