Prevalence, antimicrobial susceptibility profile and predictors of asymptomatic bacteriuria among pregnant women in Adigrat General Hospital, Northern Ethiopia

Abstract

ObjectiveApproach to asymptomatic bacteriuria among pregnant women in Ethiopia is mainly based on clinical grounds and urine strip and microscopy tests. On top of this, the treatment is also on an empirical basis which may leads to an increased antimicrobial resistance. The aim of this study was to assess the prevalence, antimicrobial susceptibility profile and associated factors of asymptomatic bacteriuria among pregnant women attending antenatal clinic in Adigrat Hospital, Northern Ethiopia.ResultsOut of 259 pregnant women included in the study, the prevalence of asymptomatic bacteriuria was at 55 (21.2%). Gram negative bacteria, specifically Escherichia coli were the predominant isolates followed by Klebsiella species and Proteus mirabilis. Of the Gram positive identified bacteria, Staphylococcus aureus was main isolate. Age of the mother (18–25 years old) with [AOR = 8.5, 95% CI (2.2, 32.9)], family income (< 1000 ETB) with [AOR = 7.5, 95% CI = (2.4, 23.1)] and gestational period at 1st trimester [AOR = 11.9, 95% CI (4.4, 32.4)] and 2nd trimester [AOR; 5.6, 95% CI (2.0, 15.5%)] were predictors significantly associated with asymptomatic bacteriuria. All Gram negative isolates were found 100% resistance to Ampicllin. Moreover, all Gram positive isolates were found sensitive to Vancomycin at 100%.

Asymptomatic Bacteriuria Bacterial Profile and Antibiotic Susceptibility Pattern Among Pregnant Women Attending Antenatal Care (Anc) Clinic of Assosa General Hospital, Benishangul Gumuz Region, Western Ethiopia

“…Which show that most of the Gram-negative isolates were sensitive to ceftazidm, ceftriaxone, cefotaxime, amikacin, tobramycin and cipro oxacin and resistant to tetracycline and amoxicillin. However, our nding is in contrary to studies done in Kashmir [27], and Adigrat Northern Ethiopia [28]. Which show that most of the Gram-negative isolates were sensitive trimethoprim-sulfamethoxazole augmentin, nalidixic acid and gentamycin.…”

Asymptomatic Bacteriuria among Pregnant Women Attending Antenatal Care at Hiwot Fana Specialized University Hospital, Harar, Eastern Ethiopia: Magnitude, Associated Factors, and Antimicrobial Susceptibility Pattern

“…Direction of wiping after genital wash, catheterization, and postcoital urination increase the odds of asymptomatic bacteriuria. is finding was consistent with previous studies from Adigrat, Ethiopia (21.2%) [5], and Ghana (17.5%) [14]. But it was relatively higher in other studies reported from Bahir Dar, Ethiopia (11.5%) [9], and countries such as India (13.2%) [15] and Nigeria (10.6%) [16].…”

“…Asymptomatic bacteriuria is one of the major risk factors for the development of UTIs during pregnancy which accounts for about 70% of the cases [5]. Globally, asymptomatic bacteriuria affects 2-10% of all pregnant women [6].…”

“…But it was reported at different level in different parts of the world. e burden of this asymptomatic bacteriuria among pregnant women in Ethiopia also varies with the location of study [5,[7][8][9][10]. In Ethiopia, there is no guideline that recommends screening of ASB for the pregnant women regardless of the symptoms and sign.…”

Correction to: Prevalence, antimicrobial susceptibility profile and predictors of asymptomatic bacteriuria among pregnant women in Adigrat General Hospital, Northern Ethiopia

“…Following publication of the original article [ 1 ], the authors reported that one of the authors’ names was spelled incorrectly. In this Correction the incorrect and correct author name are shown.…”