A prospective study of asymptomatic bacteriuria in pregnant women in a teaching hospital of semi urban setup

Prof.Dr.SUDHA RANI BALLA; Dr.SRIVIDYA NEMANI; Mrs.ARCHANA VOLETI; Prof.Dr.BANDARU NARASINGA RAO

Volume : V, Issue : XI, November - 2016

A prospective study of asymptomatic bacteriuria in pregnant women in a teaching hospital of semi urban setup

Prof. Dr. Sudha Rani Balla, Dr. Srividya Nemani, Mrs. Archana Voleti, Prof. Dr. Bandaru Narasinga Rao

Abstract :

Background:Asymptomatic bacteriuria is the significant number of bacteria in the urine of an individual without symptoms. In pregnancy the apparent reduction in immunity of pregnant women along with stagnation of urine tends to encourage the growth of pathogens. This study was carried out to determine the prevalence of asymptomatic bacteriuria in pregnant women attending the antenatal OP of a teaching hospital of semi urban setup. Patients and Methods: Urine of a total of 1334 pregnant women were tested for a possible asymptomatic bacteriuria and identification of isolates and their antimicrobial sensitivity testing was done by standard microbiological techniques. Result: A total of 91 women were positive for significant bacteriuria among 1334 pregnant women giving a prevalence rate of 6.82%. Age group 31–35 years had the highest percentage of infection (29.67%) followed by age group 36–40 (25.74%). The dominant organisms were Esch.coli (30.28%) from Gram negative group followed by Staphylococcus aureus (19.72%) from Gram positive group. Gentamicin (88 to 98%) was the most effective against most of the urinary isolates in both gram positive and gram negative isolates followed by amikacin (75% to 94%) and ceftriaxone (67% to 94%) Conclusion: Asymptomatic bacteriuria is not uncommon among antenatal patients attending the OPs. All governments and health organizations should make the urine culture mandatory for all antenatal women during their checkups so as to reduce the morbidity and mortality of the newborn due to pyelonephritis and adverse obstetric outcomes such as prematurity, low–birth weight .