Characteristics of bacteriuria in a homogeneous maternity hospital population

Dempsey, Casey J; Harrison, R.F.; Moloney, A. C.; Darling, Michael; Walshe, J. Joseph

doi:10.1016/0028-2243(92)90097-i

Cited by 10 publications

(8 citation statements)

References 9 publications

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“…More recently, Gilstrap et al [8] found no difference in adverse perinatal outcome (perinatal mortality, mean gestational age and birthweight) between bacteriuric patients and controls. Dempsey et al [5], in a prospective study of 3123 antenatal women, found the prevalence of bacteriuria to be 4.7% and that patients with bacteriuria experienced no maternal or fetal complications.…”

Section: Discussionmentioning

confidence: 97%

“…During the reproductive years estimated prevalence ranges from 5% to 10% [1][2][3]. In a pregnant population most studies estimate a range of prevalence from 4% to 11% [4,5], rates comparable to those among non-pregnant women. However, the consequences loom greater in pregnant women because 20%-40% are likely to develop acute symptomatic infection [6,7], which increases the risk of ascending infection and its deleterious impact on fetal growth and maturity [1,6,[8][9][10][11][12][13].…”

Section: Introductionmentioning

confidence: 98%

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Bacteriuria in pregnancy: A comparison of Bangladeshi and Caucasian women

1997

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During a 5-year period all urine culture results from pregnant Caucasian and Bangladeshi women booked for confinement at the Royal London Hospital, London, UK, were reviewed to determine race-specific rates of bacteriuria. The results showed that the overall prevalence of bacteriuria in the Caucasian group was 6.3% compared to 2.0% for the Bangladeshi women. Caucasian women were found to be at significantly greater risk across all pregnancy outcome and history categories, with the greatest risk observed in grand multiparous women (RR: 4.7, 95% CI: 2.8-8.3). Pregnancies that resulted in preterm delivery showed a strong association of bacteriuria in Caucasian women which was not seen in the Bangladeshi women (RR: 4.4, 95% CI: 2.0-8.7). The data suggest that Caucasian women have a significantly higher prevalence of bacteriuria in pregnancy than their Bangladeshi neighbors. Differences in hygiene practices and clothing may explain the observed differences in the bacteriuria rates.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 98%

Bacteriuria in pregnancy: A comparison of Bangladeshi and Caucasian women

1997

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“…Urinary tract infection (UTI) is a relatively common medical complication of pregnancy, and asymptomatic bacteriuria is the most prevalent of these conditions 265 , 266 . The prevalence of this condition in pregnancy is similar to that seen in nonpregnant women, ranging from 4% to 7%, 267 –271 although lower or higher rates have been reported in certain populations 272 , 273 . It has been shown that, when untreated, 20–40% of pregnant women with asymptomatic bacteriuria will develop acute pyelonephritis 266 , 274 …”

Section: Interventions In Pregnancy Related To Major Causes Of Maternmentioning

confidence: 99%

How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence

Carroli

Rooney

Villar

2001

Paediatric Perinatal Epid

391

259

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This is an overview of evidence of the effectiveness of antenatal care in relation to maternal mortality and serious morbidity, focused in particular on developing countries. It concentrates on the major causes of maternal mortality, and traces their antecedent morbidities and risk factors in pregnancy. It also includes interventions aimed at preventing, detecting or treating any stage along this pathway during pregnancy. This is an updated and expanded version of a review first published by the World Health Organization (WHO) in 1992. The scientific evidence from randomised controlled trials and other types of intervention or observational study on the effectiveness of these interventions is reviewed critically. The sources and quality of available data, and possible biases in their collection or interpretation are considered. As in other areas of maternal health, good-quality evidence is scarce and, just as in many aspects of health care generally, there are interventions in current practice that have not been subjected to rigorous evaluation. A table of antenatal interventions of proven effectiveness in conditions that can lead to maternal mortality or serious morbidity is presented. Interventions for which there is some promising evidence, short of proof, of effectiveness are explored, and the outstanding questions formulated. These are presented in a series of tables with suggestions about the types of study needed to answer them.

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“…[24][25][26][27] There are, however, studies which report even higher percentages of Escherichia coli among the isolated urinary tract pathogens, such as studies conducted in Brazil (83%), Ireland (74.4%), Portugal (71.4%), and the Netherlands (71%). 17,[28][29][30][31] The second most often isolated bacterial species was Streptococcus agalactiae both in adolescents (18%) and in Cephalothin 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 24 ( 24) 82 (22.9) 0.94 (0.56-1.58) 0.819 Cefuroxime 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 7 ( 7) 17 (4.7) 0.66 (0.27-1.64) 0.388 Cefotaxime 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 ( 1) 1 (0.3) 0.94 (0.41-2.13) 0.389 Ceftazidime 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 ( 1) 0 (0) 0.09 (0.004-2.29) 0.218 Levofloxacin 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 ( 1) 1 (0.3) 0.28 (0.017-4.47) 0.389 Gentamicin 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 5 ( 5) 15 (4.2) 1.24 (0.46-3.37) 0.451 Streptomycin 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 0 (0) 1 ( 1 adults (20.11%). These percentages are much superior to the results found in the international literature, which range from 0% to 10%, and they point to an increased risk for pregnant females and a higher risk of streptococcal disease for the newborn.…”

Section: Discussionmentioning

confidence: 99%

Urinary Bacterial Profile and Antibiotic Susceptibility in Pregnant Adolescents and Pregnant Low Obstetric Risk Adult Women

Souza¹,

Hase²,

Galletta³

et al. 2021

IDR

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Introduction: Significant bacteriuria is associated with clinical and obstetric complications. The existing studies on the profile of urinary pathogens in pregnant women have widely divergent results and they hardly include data on pregnant adolescents. Methods: This observational retrospective study was conducted in a tertiary hospital in the city of São Paulo with 388 pregnant adolescents and 2547 pregnant low-risk obstetric care adults who began prenatal care between January 2010 and January 2016. They were compared in terms of urine sediment, urine culture, and antibiogram results. Results: The prevalence of bacteriuria was 17.01% (66/388) among adolescents and 10.13% (258/2547) among adults. Adolescence was a risk factor for bacteriuria in pregnancy (OR=1.82, CI95%=1.35-2.44, p=0.08). The most frequently isolated pathogen in urine culture was Escherichia coli, both in adolescents (49%) and in adults (42.18%). In positive urine cultures, urinary leukocytes were present in greater numbers in adolescents than in adults (p<0.001). Resistance to quinolones in general was more frequent among adults (OR=5.86, CI95%=0.78-44.20, p<0.001), but the tendency was not statistically significant. Conclusion: Escherichia coli and the less frequent Streptococcus agalactiae were the etiologic agents most often found in the urine cultures both of adolescents and adults. Higher rates of bacteriuria and of abnormal urine sediments prevailed among adolescents.

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Characteristics of bacteriuria in a homogeneous maternity hospital population

Cited by 10 publications

References 9 publications

Bacteriuria in pregnancy: A comparison of Bangladeshi and Caucasian women

Bacteriuria in pregnancy: A comparison of Bangladeshi and Caucasian women

How effective is antenatal care in preventing maternal mortality and serious morbidity? An overview of the evidence

Urinary Bacterial Profile and Antibiotic Susceptibility in Pregnant Adolescents and Pregnant Low Obstetric Risk Adult Women

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