Keywords
pregnant women
urinary tract infection.
How to Cite
Abstract
Introduction: Urinary tract infection (UTI) is one of the most prevailing clinical infection in pregnant women, due to the physiological and anatomical changes occurring during pregnancy, considering the increased risk
Objective: This study focuses on prevalence of UTI in pregnant women, its early detection and timely, adequate treatment to prevent any complications.
Methodology: A descriptive cross-sectional study was conducted among pregnant women in first trimester presenting in the outpatient department (OPD) of Obstetrics and Gynecology of a Tertiary care centre in Nepal. The study period was of 6 months. After obtaining consent from the patients, urine RE and urine culture were sent as part of routine antenatal investigations. Following verbal instructions, clean catch midstream urine samples were collected in two sterile containers. Samples were sent for microscopy and culture sensitivity. UTI was diagnosed either by significant bacteriuria (?10^5 colony-forming units [cfu] per mL) , by positive urine culture or both.
Result: The prevalence of UTI in total of 316 pregnant woman in first trimester was 15.18%. Among all positive cases, 89.58% were asymptomatic and only 10.41% were symptomatic. Primiparous woman (58.33%) were more affected compared to multiparous women (41.66%). More than half of the pregnant women of age 15 – 20 years old had UTI. The most common bacteria causing UTI was Escherichia coli (72.72%) and the most common sensitive antibiotic detected was Amoxi-clav (54.54%).
Conclusion: Pregnant woman have higher likelihood of having asymptomatic UTI. Without visible symptoms the only option is screening test for UTI during pregnancy, so it is important to provide appropriate management to prevent adverse outcome.
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