Prevalence of asymptomatic Bacteriuria among Pregnant Women Attending Antenatal Clinic at Plateau State Specialist Hospital, Jos, Nigeria

Banda, Jim Monday; Cletus, Deborah; Sheyin, Z; Junaid, Surajudeen A.; John, B Jacob; Mohammed, Sani Sd; Damen, James G.

doi:10.26502/ami.93650051

Cited by 6 publications

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“…3 In females, urethra is short and located close to the anal canal due to which it can be easily contaminated with fecal to completely reabsorb the filtered glucose and it provides good environment for the growth of bacteria in glycosuric urine. 5 "When a same microorganism with colony count of more than 10 5 /ml of urine is obtained in a clean catch midstream urine in a women without symptoms is defined as asymptomatic bacteriuria". 6 Two to eleven percentage of prevalence of asymptomatic bacteriuria have been reported worldwide and in various studies.…”

Section: Introductionmentioning

confidence: 99%

Asymptomatic bacteriuria in South Indian pregnant women and treatment effect on outcome of pregnancy

Neelima

Gopalan

Jayakumar³

2021

IJOGR

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Asymptomatic bacteriuria is defined as bacteriuria where colony count of same species is more than 10 colonies/ml of urine in a clean catch midstream urine sample in an asymptomatic women”. This if left untreated in pregnancy, may progress to pyelonephritis. Due to the physiological and anatomical changes in the genitourinary tract during pregnancy, urinary tract infection is more common in pregnant women. Our aim was to study the effect of asymptomatic bacteriuria on pregnancy outcome and to find the most common organism responsible for asymptomatic bacteriuria in pregnant women.This was a prospective observational hospital based study conducted in the Department of Obstetrics and Gynaecology at a tertiary care teaching hospital. A total of 85 pregnant women were included in the study. Clean catch mid stream urine sample was collected and cultured. The organism was identified and patient was treated according to the antibiotic sensitivity pattern. Patient was followed up till delivery to look for maternal and fetal outcomes.In our study, the prevalence of ASB in pregnancy was 24.7%. 61.9% were in age group of 18-25 years and 42.9% were 2 gravida. 85.7% were in 3rd trimester. Of the ASB cases 90.5% had term babies and 85.7% had babies with birth weight of >2.5 Kg. It is important to do Urine culture and sensitivity in all pregnant women irrespective of the symptoms and gestational age so as to detect ASB as early as possible and by treating this we can avoid the adverse effects in the mother and the fetus.

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Section: Introductionmentioning

confidence: 99%

Asymptomatic bacteriuria in South Indian pregnant women and treatment effect on outcome of pregnancy

Neelima

Gopalan

Jayakumar³

2021

IJOGR

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“…Variation in geographical location, uses of antibiotic with or with-out prescription by qualify medical personnel are common in rural and urban settlements which may have accounted for these differences. 10,[36][37] Some Gram-negative and Gram-positive asymptomatic bacteriuria isolates were susceptible to antimicrobial drugs in varying degree; from our results in this study. For instance Pseudomonas aeruginosa (Gram-negative bacteria) was more susceptible to seven antimicrobial drugs namely: gentamicin (92%), Ciprofloxacin (83%) imipenam (83%) and azetronam (75%), sulphamethoxazole-trimethoprim (75%), amoxicillinclavulinic acid (67%) and nitrofurantoin (58%), while Staphylococcus saprophyticus (Gram-positive bacteria) was more susceptible to imipenam (90%), followed by gentamicin and ceftazidime at 80%.…”

Section: Microorganisms (N) Discussionmentioning

confidence: 86%

“…29,9,31 in Jos, Nigeria, and 8.9% in Northern Tanzania. 7,28,[34][35][36][37] Other documented study reported a lower prevalence of 7.8% among hospitalized pregnant women having ASB in Ankara, Turkey, whereas 5.7% was seen in Douala, Cameroon, 4.5% in Bangladesh, India, and 3.7% in Mbale; Eastern Uganda among pregnant women visiting orthodox clinics for antenatal care. 2,23,38,39 The varying prevalence of ASB among pregnant women from one country to another and among regions of the same country might be due to difference in risk factors associated with a particular geographical region and the methodology adopted by different researchers.…”

Section: Microorganisms (N) Discussionmentioning

confidence: 99%

Uropathogens and antimicrobial susceptibility profiles of asymptomatic bacteriuria among pregnant women receiving antenatal care in traditional birth attendants homes in Ikono, Akwa- Ibom State, Nigeria

Umoyen

Akpan

Sunday

et al. 2021

Int J Reprod Contracept Obstet Gynecol

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Background: Asymptomatic bacteriuria (ASB) in pregnancy is associated with adverse maternal and obstetric outcomes if untreated. The aim of this study was to determine the prevalence and susceptibility profile of ASB among pregnant women attending antenatal clinics in traditional birth attendant homes in Ikono, Akwa-Ibom State.Methods: The study was a cross sectional survey using 350 pregnant women with ASB. Mid-stream clean catch urine samples were collected from the women using sterile containers. The urine samples were cultured, bacterial colonies were identified and antibiotic sensitivity was done. Data was analyzed using SPSS version 20.0 and significant was set at ≤0.05.Results: The overall prevalence was 33.4% using 350 asymptomatic pregnant women. The mean age was 26.21±3.6 years and aged 27-32 have the highest prevalence (13.4) of ASB. 55.1% attained primary school, while 33.4% had informal education, monoparous (54%), 3rd trimester was 44.6% with 15.8% positive cases. Multigravidae was 71.1% with 19.4% positive cases. There was significant association of age, education, parity, occupation, monthly income, etc with ASB. The most common isolates were Escherichia coli (29.9%), then Klebsiella pneumonia (19.7%). Pseudomonas aeruginosa was susceptible to gentamicin (92%), Ciprofloxacin (83%) imipenam (83%) and azetronam (75%), while Staphylococcus saprophyticus was susceptible to imipenam (90%), then gentamicin at 80%. Multi-drug resistant were widespread in most of the isolates.Conclusions: Multi-drug resistant were observed in most of the isolates. Continuous and collaborative surveillance of ASB and antimicrobial resistance pattern are essential to reduce the consequence of asymptomatic bacteriuria in pregnant women.

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“… [24] 2010 Nigeria West Clean catch midstream urine cross sectional 161 25 6 15.5 (9.9, 21.1) 7 Banda JM., et al. [25] 2020 Nigeria West Clean catch midstream urine cross sectional 136 14 6 10.3 (5.2, 15.4) 8 Belete MA. et al.…”

Section: Study Characteristicsmentioning

confidence: 99%

Bacterial Profile and asymptomatic bacteriuria among pregnant women in Africa: A systematic review and meta analysis

et al. 2021

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Background: Different physiologic changes that occur during pregnancy, such as Hydroureter, dilatation of the renal pelvis, glycosuria and aminoaciduria, and low urine production predispose pregnant women for ascending urinary tract infection. Globally, 2% to 15% of the pregnant women have urinary tract infection without specific symptoms. Therefore, this study aimed to estimate the prevalence of asymptomatic bacteriuria (ABU) in pregnant women in Africa. Methods: Systematic search of published studies done on PubMed, EMBASE, Web of Science, SCOPUS, Psy-chInfo, CINAHL, and google scholar for gray literature. All published observational studies until October 30, 2020 were included. This meta-analysis follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Quality of studies was assessed by modified Newcastle-Ottawa Scale (NOS). Meta-analysis was carried out using a random-effects method with the double arcsine transformation approach using the STATA TM Version 14 software. Trim and fill analysis was done to correct presence of significant publication bias. The study protocol is prospectively registered on PROSPERO, registration number CRD42020212601. Findings: From 3393 obtained studies, 48 studies from 12 African countries involving 15, 664 pregnant women included in this Meta-analysis. The overall pooled prevalence of asymptomatic bacteriuria among pregnant women in Africa after correction for publication bias by trim and fill analysis was found to be 11.1% (95% CI: 7.8, 14.4). The most common bacterial isolates involved in the etiology of ABU was Escherichia coli with pooled prevalence 33.4% (95% CI: 27.3 -39.4) Interpretation: Asymptomatic bacteriuria is substantial among pregnant women in Africa. Therefore, all pregnant women should be tested for the presence of asymptomatic bacteriuria. A screening program must be based not only on the incidence but also on a cost-efficacy evaluation and a microbiological evaluation.

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Prevalence of asymptomatic Bacteriuria among Pregnant Women Attending Antenatal Clinic at Plateau State Specialist Hospital, Jos, Nigeria

Cited by 6 publications

References 0 publications

Asymptomatic bacteriuria in South Indian pregnant women and treatment effect on outcome of pregnancy

Asymptomatic bacteriuria in South Indian pregnant women and treatment effect on outcome of pregnancy

Uropathogens and antimicrobial susceptibility profiles of asymptomatic bacteriuria among pregnant women receiving antenatal care in traditional birth attendants homes in Ikono, Akwa- Ibom State, Nigeria

Bacterial Profile and asymptomatic bacteriuria among pregnant women in Africa: A systematic review and meta analysis

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