Impact of trimester on morbidity of acute pyelonephritis in pregnancy

Archabald, Karen; Friedman, Alexander; Raker, Christina; Anderson, Brenna L.

doi:10.1016/j.ajog.2009.06.067

Cited by 24 publications

(21 citation statements)

References 8 publications

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“…17,20,128 Pyelonephritis occurs more often in the second and third trimesters, when stasis and hydronephrosis are most evident, and only 10% to 20% of pyelonephritis occur in the first trimester. 17,129 Significance As stated previously, up to 40% of pregnant women with untreated ASB develop pyelonephritis, 2,4-6 which may also be associated with preterm birth and low birth weight, 20,21,96,[98][99][100][101][102] although this remains controversial. [103][104][105] In addition to the potential detrimental effects on the fetus, pyelonephritis is also associated with maternal morbidity.…”

Section: Upper Urinary Tract Infections (Pyelonephritis) Epidemiologymentioning

confidence: 95%

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Urinary Tract Infection and Bacteriuria in Pregnancy

Glaser

Schaeffer

2015

Urologic Clinics of North America

153

115

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Section: Upper Urinary Tract Infections (Pyelonephritis) Epidemiologymentioning

confidence: 95%

“…Maternal complications of pyelonephritis include anemia, acute kidney injury, sepsis, pulmonary insufficiency, and acute respiratory distress syndrome. 17,20,98,[128][129][130] Maternal morbidity of pyelonephritis is similar across all 3 trimesters. 129 …”

Section: Upper Urinary Tract Infections (Pyelonephritis) Epidemiologymentioning

confidence: 95%

Urinary Tract Infection and Bacteriuria in Pregnancy

Glaser

Schaeffer

2015

Urologic Clinics of North America

153

115

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“…Regarding increased risk factors such as nulliparity, younger age, nephrolithiasis, anomalies, higher urinary pH and glucosuria, pyelonephritis is most prevalent during the second trimester (9,10). Since pregnant women uterus develops pressure on the right urethra and causes some degrees of urinary stasis, pyelonephritis occurs mostly in the right kidney.…”

Section: Introductionmentioning

confidence: 99%

“…Since pregnant women uterus develops pressure on the right urethra and causes some degrees of urinary stasis, pyelonephritis occurs mostly in the right kidney. Although, 25% of cases are two-sided, isolated left kidney pyelonephritis can be associated with anomalies or anatomic urinary tract disturbances (9).…”

Section: Introductionmentioning

confidence: 99%

Acute Pyelonephritis in Pregnancy and the Outcomes in Pregnant Patients

Saleh

Noshad

Mallah

et al. 2015

Arch Clin Infect Dis

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Background: Urinary tract infections are the most common bacterial infections during pregnancy. Although asymptomatic bacteriuria is the most prevalent form of infection, acute pyelonephritis is the most serious complication, which occurs in 1% -2% of all pregnancies as the leading cause of septic shock in pregnancy and related to increased risk of cerebral palsy. Objectives: This study was performed regarding various results of previous studies and lack of a similar study to evaluate the prevalence of acute pyelonephritis and its outcomes in pregnant women admitted to Taleghani hospital, Tabriz, Iran. Patients and Methods: All pregnant women admitted with acute pyelonephritis from March 2010 to October 2011 to Taleghani hospital, were enrolled in this study. Antibiotic therapy, urine cultures one or two weeks after treatment and late consequences such as pregnancy outcome, newborn birth weight and Apgar score were evaluated. Results: The mean age was 23 ± 4.88 years. Of 60 patients, 40 (66%) were nulliparous and 19 (31.7%) multiparous. The mean gestational age was 25.73 ± 7.42 weeks. Most of patients (65%) had been diagnosed in the second trimester of pregnancy. Regarding urine culture studies, 42 (70%) had positive and 18 (30%) negative results. The predominant pathogen was E. coli isolated from 33 (78.6%) cultures, Klebsiella from 8 (19%) and negative coagulase staphylococcus from one (2.4%). None of the infants had low birth weight and 4 of them had preterm delivery (less than 37 weeks). The frequency of acute pyelonephritis was 0.46% in total deliveries. Conclusions: Similar to previous studies, most cases diagnosed in the second trimester of gestation, which necessitates more investigation in this field, since timely diagnosis and treatment have a significant role in preventing known complications of the disease.

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“…(1) Karen L. Archabald and et all have observed pyelonephritis goes on worsening as pregnancy advances if not treated correctly. (2) Pyelonephritis in pregnancy is associated with multiple complications, including fetal growth restriction, preterm labour, cerebral palsy and septicaemia, although the underlying mechanisms are poorly understood. (3) CASE REPORT: 24 yrs old lady was seen in emergency department with chief complaints of acute abdomen with 14 weeks pregnancy.…”

Section: Introductionmentioning

confidence: 99%

Pyelonephritis in Pregnancy: A Rare Case

Kale¹

2015

jemds

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ABSTRACT:Urinary tract infection is a very much common during pregnancy. It has been observed it is taken very lightly and may get worsen in the form of pyelonephritis. Pyelonephritis is associated with complications in pregnancy if not treated completely. Here is a case report which was difficult to treat but was treated successfully with good neonatal outcome. She required surgical assistance to relive her symptoms and treat the disease. There are lot of observational comparative studies done for the pyelonephritis during pregnancy. INTRODUCTION:Pyelonephritis is a common complication of pregnancy. It is also exacerbated by immunocompromised states and also the sickle cell gene. (1) Karen L. Archabald and et all have observed pyelonephritis goes on worsening as pregnancy advances if not treated correctly. (2) Pyelonephritis in pregnancy is associated with multiple complications, including fetal growth restriction, preterm labour, cerebral palsy and septicaemia, although the underlying mechanisms are poorly understood. (3)

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Impact of trimester on morbidity of acute pyelonephritis in pregnancy

Cited by 24 publications

References 8 publications

Urinary Tract Infection and Bacteriuria in Pregnancy

Urinary Tract Infection and Bacteriuria in Pregnancy

Acute Pyelonephritis in Pregnancy and the Outcomes in Pregnant Patients

Pyelonephritis in Pregnancy: A Rare Case

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