A Screening Study on Occurrence and Distribution of Urinary Tract Infections Among Suspected Cases (Pyuria, With or Without Symptoms) During Pregnancy

Year : 2024 | Volume :14 | Issue : 03 | Page : 1-8
By

Jinu Varghese,

Mahendra Kumar Varma,

  1. PhD Scholar Department of Paramedical Technology, Nims College of Paramedical Technology, Nims University Rajasthan India
  2. Principal Department of Paramedical Technology, Nims College of Paramedical Technology, NIMS University Rajasthan India

Abstract

Background: Urinary tract infection is one of the most frequently seen medical complications in pregnancy. Methods: Ethical approval was granted for this research. The study employed a time-bound prospective design; total pregnant women (900) were categorized into those suspected of having UTI (pyuria, with or without symptoms) and those not suspected. Asymptomatic bacteriuria is diagnosed through a urine specimen with an appropriate microscopic examination, followed by culture. Results: The occurrence of urinary tract infections among suspected cases (pyuria, with or without symptoms) is estimated at 16.7%. Pregnant women attributed 82.2% of UTI to Gram-negative bacilli, 13.3% to Gram-positive cocci, and 4.4% to other categories (candida species). The most common organism responsible for urinary tract infections among suspected cases in the present study is Escherichia coli (66.7%), followed by Klebsiella pneumoniae (13.3%). Conclusion: We recommend performing routine urine culture tests periodically for all pregnant women in order to detect asymptomatic bacteriuria. This will facilitate the early detection of pregnant women who are at risk of UTIs and require appropriate antibiotic treatment to prevent potential obstetric complications during pregnancy. We also recommend specific preventive measures for reducing the prevalence of major etiological agents (E. coli) and ensuring safe motherhood.

Keywords: Urinary tract infection in pregnancy, significant bacteriuria, symptomatic bacteriuria, asymptomatic bacteriuria, acute cystitis, pyelonephritis.

[This article belongs to Research & Reviews : A Journal of Medical Science and Technology(rrjomst)]

How to cite this article: Jinu Varghese, Mahendra Kumar Varma. A Screening Study on Occurrence and Distribution of Urinary Tract Infections Among Suspected Cases (Pyuria, With or Without Symptoms) During Pregnancy. Research & Reviews : A Journal of Medical Science and Technology. 2024; 14(03):1-8.
How to cite this URL: Jinu Varghese, Mahendra Kumar Varma. A Screening Study on Occurrence and Distribution of Urinary Tract Infections Among Suspected Cases (Pyuria, With or Without Symptoms) During Pregnancy. Research & Reviews : A Journal of Medical Science and Technology. 2024; 14(03):1-8. Available from: https://journals.stmjournals.com/rrjomst/article=2024/view=167817



References

  1. MacLean AB. Urinary tract infection in pregnancy. Int J Antimicrob Agents. 2001 Apr;17(4):273-6; discussion 276-7. doi: 10.1016/s0924-8579(00)00354-x. PMID: 11295407.
  2. Chan MY, Smith MA. Infections in Pregnancy. Comprehensive Toxicology. 2018:232–49. doi: 10.1016/B978-0-12-801238-3.64293-9. Epub 2017 Nov 27. PMCID: PMC7152168. Infections in Pregnancy – PMC (nih.gov
  3. Chandra, Nabanita, and Moonjelly Vijayan Smitha. “Functional status, social support, and anxiety among postnatal women of Eastern India.” European Journal of Obstetrics & Gynecology and Reproductive Biology: X 20 (2023): 100238.
  4. Habak PJ, Griggs Jr RP; Urinary Tract Infection in Pregnancy. In: StatPearls. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK537047/
  5. Jayalakshmi, J.; Jayaram, V. S.1. Evaluation of various screening tests to detect asymptomatic bacteriuria in pregnant women. Indian Journal of Pathology and Microbiology 51(3):p 379-381, Jul–Sep 2008. | DOI: 10.4103/0377-4929.42516
  6. Salari a b, Y. Khoshbakht et al; Global prevalence of urinary tract infection in pregnant mothers: a systematic review and meta-analysis; November 2023; Volume 224; https://doi.org/10.1016/j.puhe.2023.08.016).
  7. Gebuza G, Kaźmierczak M, Mieczkowska E, Gierszewska M. Social support as a determinant of life satisfaction in pregnant women and women after surgical delivery. Psychiatr Pol. 2018 Jun 30;52(3):585-98.
  8. Sheffield JS, Cunningham FG. Urinary tract infection in women. Obstet Gynecol. 2005 Nov;106(5 Pt 1):1085-92. PMID: 16260529 DOI: 10.1097/01.AOG.0000185257. 52328.a2
  9. Hankins, Gary D. MD1; Whalley, Peggy J. MD2. Acute Urinary Tract Infections in Pregnancy. Clinical Obstetrics and Gynecology 28(2): p 266-278, June 1985.
  10. Abdullah, A. A., & Al-Moslih, M. I. (2005). Prevalence of asymptomatic bacteriuria in pregnant women in Sharjah, United Arab Emirates. Eastern Mediterranean Health Journal, Vol.11(5/6)
  11. Misra, R. (2014). Ian Donald’s Practical Obstetric Problems (7th ed.). Wolters Kluwer India Pvt Ltd.
  12. Konar, H. (2015). DC Dutta’s Textbook of Obstetrics Including Perinatology and Contraception (8th ed.). Jaypee The Health Sciences Publisher.
  13. Nicolle LE, Gupta K et al; Clinical Practice Guideline for the Management of Asymptomatic Bacteriuria: 2019 Update by the Infectious Diseases Society of America. Clin Infect Dis. 2019 May 2;68(10):e83-e110. doi: 10.1093/cid/ciy1121. PMID: 30895288.
  14. Gilstrap LC 3rd, Ramin SM. Urinary tract infections during pregnancy. Obstet Gynecol Clin North Am. 2001 Sep;28(3):581-91. doi: 10.1016/s0889-8545(05)70219-9. PMID: 11512502.
  15. Alkhawaldeh R, Abu Farha R, Abu Hammour K, Alefishat E. Optimizing antimicrobial therapy in urinary tract infections: a focus on urine culture and sensitivity testing. Frontiers in Pharmacology. 2022 Nov 30; 13:1058669.
  16. Tansarli GS, Karageorgopoulos DE et al Iron deficiency and susceptibility to infections: evaluation of the clinical evidence. Eur J Clin Microbiol Infect Dis. 2013 Oct;32(10):1253-8. doi: 10.1007/s10096-013-1877-x. Epub 2013 Apr 18. PMID: 23595586.
  17. GILES C, BROWN JA. Urinary infection and anemia in pregnancy. Br Med J. 1962 Jul 7;2(5296):10-3. doi: 10.1136/bmj.2.5296.10. PMID: 13898576; PMCID: PMC1925524; 10.full.pdf (bmj.com)
  18. Loh K, Sivalingam N. Urinary tract infections in pregnancy. Malays Fam Physician. 2007 Aug 31;2(2):54-7. PMID: 25606081; PMCID: PMC4170332.
  19. Bera T, Karkada S. Biopsychosocial wellbeing of high-risk pregnant women: A descriptive study. International Journal of Nursing & Midwifery Research (E-ISSN: 2455-9318). 2019;6(4):39-43.
  20. Malhotra, N., Shah, P. K., & Divakar, H. (2014). Principles of Obstetrics and Gynecology for Postgraduates (4th ed.). Federation of Obstetric and Gynaecological Societies of India.
  21. Dube R, Al-Zuheiri STS, Syed M, Harilal L, Zuhaira DAL, Kar SS. Prevalence, Clinico-Bacteriological Profile, and Antibiotic Resistance of Symptomatic Urinary Tract Infections in Pregnant Women. Antibiotics (Basel). 2022 Dec 25;12(1):33. doi: 10.3390/antibiotics12010033. PMID: 36671233; PMCID: PMC9855124.

Regular Issue Subscription Original Research
Volume 14
Issue 03
Received May 22, 2024
Accepted July 20, 2024
Published August 20, 2024

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