Prevalence and associated risk factors of asymptomatic bacteriuria in ante-natal clients in a large teaching hospital in Ghana

Labi, AK; Yawson, AE; Ganyaglo, GY; Newman, Mercy J.

doi:10.4314/gmj.v49i3.5

Cited by 43 publications

(67 citation statements)

References 11 publications

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“…19 In the present study, insufficient presented a probability of being admitted for a sensitive condition which was 2.40 times higher than for the other variables. The quality of the process of the prenatal care, ascertained from the records of the procedures undertaken during the consultation, such as the clinical approach, physical examination, checking blood pressure, obstetric palpation, auscultation of FHB and assessment of nutritional status, among others, showed this not to be meeting the needs of the pregnant women, revealing a worse prognosis and the occurrence of unnecessary admissions, in the light of other studies undertaken in the States of Espírito Santo and Rio de Janeiro.…”

Section: Discussioncontrasting

confidence: 56%

Primary Care Sensitive Admissions in Pregnant Women: Associated Factors Based on the Prenatal Care Process

Pitilin

Pelloso

2017

Texto contexto - enferm.

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Objective: to analyze admissions for primary care sensitive conditions among pregnant women, and the associated factors, based on the process of prenatal care, in a city of the center-west of the Brazilian State of Paraná (Brazil).Method: this is an inquiry into hospital morbidity undertaken with a sample of 86 pregnant women admitted to hospitals serving the Unified Health System.Results: the percentage of admissions was 70.97% (n=59), with emphasis placed on admissions specifically during the period of pregnancy (51.17%), among which, admissions due to infections in the genitourinary tract were the most frequent. The following were associated with the risk of admission due to a sensitive condition: incomplete records in the woman's 'pregnancy card' (cartão da gestante), delayed initiation of prenatal care (after the second trimester), insufficient number of consultations and insufficient care during the consultation. Conclusion:the results suggest that a minimumlevel of care for these pregnant women would reduce the risk of unnecessary admission, evidencing that the quality of care provided during the prenatal period in this region is inadequate. DESCRIPTORS: Pregnant women. Hospitalization. Prenatal care. Primary health care. Health evaluation. INTERNAÇÕES SENSÍVEIS À ATENÇÃO PRIMÁRIA EM GESTANTES: FATORES ASSOCIADOS A PARTIR DO PROCESSO DA ATENÇÃO PRÉ-NATAL RESUMOObjetivo: analisar as internações por condições sensíveis à atenção primária em gestantes e os fatores associados a partir do processo da atenção pré-natal em um município pólo do Centro-oeste paranaense (Brasil).Método: trata-se de um inquérito de morbidade hospitalar realizado com amostra de 86 gestantes internadas em hospitais conveniados ao Sistema Único de Saúde.Resultados: o percentual de internações foi de 70,97% (n=59), com destaque para as internações específicas do período gravídico (51,17%), das quais as internações por infecções no trato geniturinário foram as mais frequentes. Associaram-se ao risco de internar por condição sensível: registro incompleto do cartão da gestante, início tardio da assistência pré-natal (a partir do 2° trimestre), número insuficiente de consultas e conduta clínica inadequada durante a consulta.Conclusão: os resultados sugerem que um acompanhamento mínimo dessas gestantes diminuiria o risco de internações desnecessárias pressupondo que a qualidade da assistência prestada durante o pré-natal na região apresenta-se insuficiente. DESCRITORES: INTERNACIONES SENSIBLES A LA ATENCIÓN PRIMARIA EN GESTANTES: FACTORES ASOCIADOS A PARTIR DEL PROCESO DE ATENCIÓN PRE-NATAL RESUMENObjetivo: analizar las internaciones por condiciones sensibles a la atención primaria en gestantes y los factores asociados a partir del proceso de atención pre-natal en una municipalidad polo del Centro-oeste paranaense (Brasil).Método: encuesta de morbilidad hospitalaria realizado con una muestra de 86 gestantes internadas en hospitales con convenio al Sistema Único de Salud.Resultados: el porcentual de internaciones fue de 70,97% (n=59)...

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Section: Discussioncontrasting

confidence: 56%

Primary Care Sensitive Admissions in Pregnant Women: Associated Factors Based on the Prenatal Care Process

Pitilin

Pelloso

2017

Texto contexto - enferm.

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“…This could be imputed to the fact that CoNS and S. aureus are normally encountered in UTIs in the 20-30 year group and more than 64% of our study population came from this group. In Ghana, Gram positive bacteria appears to be conventional in pregnant women presenting with ASB as S. aureus and Enterococcus dominated in similar analysis in the country [23,32] Susceptibility of isolates to gentamicin and amikacin were highest which could possibly be the infrequent prescription of these drugs in the treatment of UTI infections at both hospitals as these drugs are only used in the management of severe and vulnerable cases (Personal communication).…”

Section: Resultsmentioning

confidence: 97%

Assessment of Asymptomatic Bacteriuria and Sterile Pyuria among Antenatal Attendants in hospitals in Northern Ghana

Karikari

Saba

Yamik

2020

Preprint

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Background Asymptomatic bacteriuria (ASB) and sterile pyuria (SP) are complexities of UTI whose prevalence are not known in the northern sector of Ghana. Our aim was to determine the occurrence of sterile pyuria and asymptomatic bacteriuria among pregnant women accessing antenatal care at a secondary and tertiary care hospitals in Tamale, northern Ghana.Methods A cross sectional study was conducted by screening 530 pregnant women with no signs of acute urinary tract infection attending antenatal clinic for a period of 6 months. Midstream urine was collected for microscopy, quantitative urine culture and antibiotic susceptibility testing. Data analysis was carried out using the Statistical Package for Social Sciences version 20.Results Of the 390 and 90 women screened for ASB, prevalence was 20% and 35.5% respectively at Tamale Central and Tamale Teaching Hospital. Sterile pyuria was found among 66% of the 50 women presenting at Tamale Central Hospital. More than 64% of isolates recovered from ASB patients were S. aureus and coagulase negative Staph. ( CoNS ). Escherichia coli was the dominant species among members of the enterobacteriaceae isolated. Highest susceptibility was recorded against gentamicin and amikacin while most resistance was to Ampicillin, cotrimoxazole, chloramphenicol and nitrofurantoin. Resistance to imipenem and vancomycin were 28.8% and 52%, with strains showing multiple drug resistance of between 81-92%.Conclusion The prevalence of asymptomac bacteriuria is appreciably higher (20-35.5%) than documented rates in the southern sector of the country. The presence of sterile pyuria which may be an indication of asymptomatic renal impairment and most often overlooked in antenatal management is 66%. Empirical treatment of UTIs at the Tamale Central and Teaching Hospital without confirmation of susceptibility may result in treatment failure. It is necessary to screen and treat pregnant women for ASB and SP due to the complications associated with these conditions.

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“…These results agree with Labi et al, in his study in Ghana found that 26.7% of the positive cultures were infected by Enterococcus. 14 Molina et al, reported that E.coli and proteus mirabilis were the most frequent isolated bacteria in positive ASB cases. 17 Anku G et al, reported that most of gram positive organisms were sensitive to teicoplanin, linzolid, and chloramphenicol.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of asymptomatic bacteriuria among low risk pregnant women attending antenatal care clinic in tertiary hospital: a cross sectional study

Abbas

Kamel

Abdelrahman³

et al. 2019

Int J Reprod Contracept Obstet Gynecol

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Background: The current study aims to identify the prevalence of asymptomatic bacteriuria among low-risk pregnant women attending the antenatal care clinic of tertiary University Hospital and to detect the most common causative organisms.Methods: A prospective cross-sectional study conducted at a tertiary University Hospital in the period between 1st November 2017 and 31st June 2018. All eligible women attending the outpatient clinic for antenatal care were approached to participate in the study. The recruited women were assessed through detailed history and clinical examination. Urine samples were taken for culture and sensitivity within two hours, in order to avoid bacterial multiplication. Urine culture and antibiotic sensitivity test were done.Results: The study included 250 women. The mean age of included women was 25.89±5.49 (18-42 years). The urine analysis results showed that 32% of cases had pus cells >5 per high power field and 10.4% of cases have protein (+). Casts were present in 0.8% of cases. RBCs >5 per high power field were present in 4.8% of cases. ASB is defined as urine culture with more than 100,000 colony forming unit; this was present in 30 cases. This indicates that the prevalence of ASB among studied cases was 12%. Enterococcus was the most prevalent organism as it was present in 36.7% among positive cases. Antibiotic sensitivity test was performed to the growing organisms indicated that teicoplanin, imipenem, cefoxitin, cefotaxime + clavulanic acid, Entrapenem, and trimethoprim + sulfamethoxazole are the most effective antibiotics against the most common organisms causing asymptomatic bacteriuria.Conclusions: The prevalence of asymptomatic bacteriuria among low-risk pregnant women is about 12%. Urine culture for asymptomatic bacteriuria should be the standard of care for evaluation of pregnant patient during antenatal care as regard presence or absence of UTI.

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Prevalence and associated risk factors of asymptomatic bacteriuria in ante-natal clients in a large teaching hospital in Ghana

Cited by 43 publications

References 11 publications

Primary Care Sensitive Admissions in Pregnant Women: Associated Factors Based on the Prenatal Care Process

Primary Care Sensitive Admissions in Pregnant Women: Associated Factors Based on the Prenatal Care Process

Assessment of Asymptomatic Bacteriuria and Sterile Pyuria among Antenatal Attendants in hospitals in Northern Ghana

Prevalence of asymptomatic bacteriuria among low risk pregnant women attending antenatal care clinic in tertiary hospital: a cross sectional study

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