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April 4, 2021
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April 4, 2021
Published
April 4, 2021
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Abstract

This cross sectional study was carried out to determine  asymptomatic urinary tract infection among pregnant women with special emphasis to personal hygiene practice during sexual activity, mid stream specimen from healthy pregnant women was collected and cultured following standard microbiological technique. Colony count yielding bacterial growth 105/mil or more was considered significant. Out of 215 healthy pregnant woman 38 (17.7%) had asymptomatic urinary tract infection, educational level for pregnant women was taken and it was found statistically significant in relation to asymptomatic urinary tract infection. Urinary tract infection increase with increasing gestational age, in second trimester it was found to be (11.6%) while in third trimester (37.7%). Personal hygiene, washing before and after sexual activity, drying after urination, changing under clothing, direction of wash, has no significant relationship to asymptomatic urinary tract infection. Frequency of sexual activity increase prevalence of asymptomatic urinary tract infection. 31.9% of pregnant women who had a history of previous UTI had a positive growth with high significant differences as compared with those who had no history of UTI. Fluid intake decreases prevalence of urinary tract infection among pregnant women (significant relationship). Bacterial pathogens isolated were predominantly E. Coli (36%) and klebsiella pneumonia (15%), while enterococcus, streptococcus and staphylococcus account only for (7.8%) for each. Candida (3.8%) and mixed pathogens (7.8%)

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References

  1. Lndsay E-Nicolle, Screening for asymptomatic bacteruria in pregnancy, associated professor of med. Medical microbiology, university of Manitoba, wiruipeg, Manitoba -1993.
  2. Gilbert DN, Moellering RC, Jr, Elipoulos GN, Sande NA, Sanford guide to antimicrobial therapy, 32nd ed, Hyde Park, Vermont, Antimicrobial therapy. Inc, 2005- 22-23.
  3. Connolly A, Thorp JM. Jnr urinary tract infection in pregnany. Urol Clin North Am. 1999; 26-(4) 779-787 (PubMed).
  4. Nicolle LE, screening for asymptomatic bacteruria in pregnancy, Canadian guide on prevention health care, Ohawa Health, Canada 1994 : 100-106.
  5. Delzell JE, Jr, Leferre ML. Urinary tract infection during pregnancy. Am Fam Physician – 2000, 61(3) : 713-712 (PubMed).
  6. Wolday D, Erge W. Increased incidence of resistance to antimicrobials by urinary pathogens isolated at Tikur Anbessa hospital. Ethiop Med J. 1997, 35 (2): 127-135 (PubMed).
  7. Ca Turpin, Bridget Minkah, KA Danso and EH Frimpong, asymptomatic bacteruria in pregnant women attending antenatal clinic at Komfo Anokye teaching hospital, Kumasi, Ghana. Ghana Med J 2007 March; 41(1): 26-29.
  8. Akerele P, Abhuliren F, Okonofua J. prevalence of asymptomatic bacteruria among pregnant women in Benin City, Nigeria, J Obstet Gynaecol. 2001; 21(2): 141-144 (PubMed).
  9. Tadesse A, Negashm, Ketema LS. Asymptomatic bacteruria in pregnancy, assessment of prevalence in microbial agents and antimicrobial sensitivity pattern in Gondar Teaching hospital, North west Ethiopia. Ethiop Med J. 2007 April, 45(2): 143-9.
  10. Enayat K, Fariba F, Bahram N, Asymptomatic bacteruria among pregnant women referred to outpatient clinics in Sanandaj, Iran. Int Braz J Urol. 2008 Nov-Dec;34(6):699-704.
  11. Kasraeian M, Asadi N, Ghaffar Pasand F. Prevalence of asymptomatic bacteruria among pregnant women in Shiraz, Iran, Saudi Med J, 2009 Jul; 30(7). 917-20.
  12. M.A Sheikh, M.S Khan, A. Khatoon, and G.M.Arain. Incidence of urinary tract infection during pregnancy. Volume 6, Issue 2/3, 2000, P 265-271.
  13. Nicole LE (2008), uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis, Urol. Clin. North Am. 35(1): 1-12, 2007.
  14. UTI prevalence. www.urologychannel.com. Retrieved 2001-6-25.