E-ISSN 2231-170X | ISSN 2231-1696
 

Original Article 


Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital

Humera Qudsia Fatima Ansari, Aruna Rajkumari.

Abstract
Asymptomatic bacteriuria (ASB) is the commonest bacterial infection which requires medical treatment in pregnancy. Untreated ASB in 25-30% of can cases lead to pyelonephritis which may lead to increased risk of abortions, intrauterine fetal deaths, prematurity and low birth weight. A cross-sectional study was conducted at Gandhi Hospital over a period of ten months with 125 asymptomatic pregnant women in the age group of 15-35 years. The objectives of the study were to determine prevalence of asymptomatic bacteriuria, to identify its risk factors and to compare the screening methods. Of the 125 pregnant women, significant bacteriuria was seen in 21 (16%). The prevalence of bacteriuria showed a rise with increasing maternal age and increasing gestational period. Anemics and hypertensives were at greater risk. The most common isolates were Klebsiella pneumoniae and Staphylococcus aureus (28% each). Culture proved to be the gold standard for diagnosis. Catalase and Nitrate reduction tests were used as screening methods with a sensitivity of 90.48% and 71.43% respectively. Multiple drug resistance was observed in Gram-positive and Gram-negative isolates. Routine screening for asymptomatic bacteriuria is therefore recommended throughout pregnancy to avoid adverse fetal and maternal outcomes.

Key words: Pregnancy, Asymptomatic bacteriuria (ASB), Significant bacteriuria


 
ARTICLE TOOLS
Abstract
PDF Fulltext
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Humera Qudsia Fatima Ansari
Articles by Aruna Rajkumari
on Google
on Google Scholar

REFERENCES
1. Sescon NI, Garingalao-Molina FD, Ycasiano CE, Saniel MC, Manalastas RM. Prevalence of asymptomatic bacteriuria and associated risk factors in pregnant women. Philippine J Microbiol Infect Diseases 2003; 32(2):63-69.
2. Davison J. Renal disease. In: De Swiet M, editor. Medical disorders in Obstetric practice. 2nd Edition, Blackwell Scientific Publications. pp.306-407, 1989.
3. Schieve LA, Handler A, Hershow, R, V Persky, F Davis. Urinary tract infections during pregnancy, its association with maternal morbidity and perinatal outcome. Am J Pub Health 1994; 84(3):405-410. [DOI via Crossref]   
4. Rouse DJ, Andrews WW, Goldenberg RL, Owen J. Screening and treatment of asymptomatic bacteriuria in pregnancy to prevent pyelonephritis: A cost effectiveness and cost-benefit analysis. J Obstet Gynecol. 1995; 86:119-123. [DOI via Crossref]   
5. Kriplani A, Bukshee K, Ratan A. Asymptomatic bacteriuria in pregnancy, Indian patients at A.I.I.M.S, new delhi and treat-ment with single dose antimicrobial therapy. The J Obstet Gynecol India. 1993; 43:489-491.
6. Lavanya SV, Jogalakshmi D. Asymptomatic bacteriuria in antenatal cases. Indian J Med Microbiol. 2002; 20(2):105-106. [Pubmed]   
7. American Academy of Pediatrics, American college of Obstetricians and Gynaecologists: Guidelines for perinatal care, 5th edition, 2002.
8. Maranchie JK, capelouto CC, Loughlin KR. Urinary tract infections during pregnancy. Infect urol 1997; 10:152-157.
9. Hsu CD, Witler FR. Urogenital infection in pre-eclampsia. Internat J Gynaecol Obstet. 1995; 49(3):271-275. [DOI via Crossref]   
10. Andriole V, Patterns on TF. Epidemology, natural history and management of urinary tract infection in pregnancy. Med Clin North Am 1991; 75(2):359-371. [DOI via Crossref]   
11. Marchant D. Urinary tract infections in pregnancy. Clin Obstet Gynecol 1978; 21(3):359-371.
12. Koneman EW, Allen SD, Janda WM, Schrekenberger PC, Winn Jr. WC. Color atlas and textbook of diagnostic Microbiology 5th Edition, Lippincott, Philadelphia, New York, pp-136-141, 1997.
13. Kincaid-Smith P, Bullen M, Mills J, et al. The reliability of screening tests for bacteriuria in pregnancy. Lancet 1964; 2:61-62. [DOI via Crossref]   
14. Robertson AW, Duff P. The nitrite and leukocyte esterase tests for the evaluation of asymptomatic bacteriuria in obstetric patients. Obstet Gynecol. 1988; 71:878-881. [Pubmed]   
15. Abalos EJ (2003). Review of two rapid screening test for asymptomatic bacteriuria during pregnancy. Geneva Foundation for Medical Education and Research. Accessed from:-http://www.gfmer.ch/Endo/PGC_network/Review_of_two_rapid_screening_tests_Abalos.htm
16. Kass EH. Asymptomatic infections of the urinary tract. Transactions of the Association of American Physi-cians.1956; 69:56-64. [Pubmed]   
17. Nicolle LE. Management of asymptomatic urinary tract infections in women. Medscape Women's Health 1996; 1(3). [Pubmed]   
18. American College of Obstetricians and Gynecologists: Antibiotics and Gynecologic Infections. In: ACOG Educational Bulletin. No.237. Washington D.C. American College of Obstet Gynecologists; 1997:1-8.
19. Woodman PJ, Seymour SD, Ruiz HE. Urinary tract infection in pregnancy. emedicine.com 2002:1-28.
20. Goldaber K. Urinary tract infection during pregnancy. Infect Urol 1997; 10:152-157.

How to Cite this Article
Pubmed Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. J Med Allied Sci. 2011; 1(2): 74-78.


Web Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. https://jmas.in/?mno=210465 [Access: January 12, 2023].


AMA (American Medical Association) Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. J Med Allied Sci. 2011; 1(2): 74-78.



Vancouver/ICMJE Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. J Med Allied Sci. (2011), [cited January 12, 2023]; 1(2): 74-78.



Harvard Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari (2011) Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. J Med Allied Sci, 1 (2), 74-78.



Turabian Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. 2011. Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. Journal of Medical and Allied Sciences, 1 (2), 74-78.



Chicago Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. "Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital." Journal of Medical and Allied Sciences 1 (2011), 74-78.



MLA (The Modern Language Association) Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari. "Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital." Journal of Medical and Allied Sciences 1.2 (2011), 74-78. Print.



APA (American Psychological Association) Style

Humera Qudsia Fatima Ansari, Aruna Rajkumari (2011) Prevalence of asymptomatic bacteriuria and associated risk factors among antenatal patients attending a tertiary care hospital. Journal of Medical and Allied Sciences, 1 (2), 74-78.