Prevalence of Asymptomatic Bacteriuria in Patients with Preterm Labor

Kamel, H A; Hegab, Mostafa Hussein; Al-sehrawey, Ahmad Al-saeed; Hassan, Hassan Mohammed

doi:10.21608/ejhm.2018.18699

Cited by 6 publications

(5 citation statements)

References 4 publications

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“…The most common organism for positive urinary culture in the present investigation was Escherichia coli, which was similar to the findings of other investigations. 9,15,20,21 The current work also found 2 women with Streptococcus agalactiae (Group B Streptococcus; GBS), both presented with PPROM which might have increased the risk of urinary infection from the rectovaginal colonization of GBS. Antenatal screening of GBS colonization and the use of an appropriate intrapartum antibiotic prophylaxis should be considered to prevent newborn infections.…”

Section: Discussionsupporting

confidence: 50%

“…The reported prevalence of ASB among preterm labor or presumptive preterm labor groups has varied between studies. [14][15][16]20 The current investigation revealed a lower prevalence of positive urine culture Original Article SMJ (2.4% vs 5%) among pregnant women admitted with premature uterine contractions than an older study at our institute. 15 More recent research at our hospital in 2015 revealed a comparable prevalence among pregnancies in any trimester without premature uterine contraction.…”

Section: Discussionmentioning

confidence: 83%

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Prevalence of Urinary Tract Infection in Pregnancies with Premature Uterine Contractions

Talungchit,

Ruangvutilert,

Panchalee Boonbowornpong

et al. 2023

Siriraj Med J

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Objective: This study aimed to determine the prevalence of urinary tract infection (UTI) among pregnant women with premature uterine contractions. Roles of the current practice of routine simultaneous urinalysis and urine culture in these cases were also evaluated. Materials and Methods: Medical records of pregnant women admitted with premature uterine contractions at Siriraj Hospital between January 2013 and December 2017 were reviewed. Prevalence of UTI in these women was determined. Women were divided into 2 groups based on diagnosis at admission; group 1 included preterm labor/preterm prelabor rupture of membranes (PTL/PPROM), and group 2 was threatened preterm labor (TPL). Evaluations of urinalysis and/or urine culture were performed in these two groups to establish a strategy to reduce unnecessary urine culture. Results: The prevalence of UTI among 2,286 women with premature uterine contractions was 4.9%. Prevalence of UTI were not different between the two groups of women. A positive urine culture was found in 2.4%. The most common organism identified in both groups of women was Escherichia coli. Urinalysis with abnormal cell counts and/or significant presence of bacteria could be used to screen for women in TPL group who should have urine culture with a positive screening rate of 6.5% and 90.9% sensitivity. With this strategy, unnecessary urine culture could be reduced. Conclusion: The prevalence of UTI among pregnant women admitted with premature uterine contractions was 4.9% and was not different between PTL/PPROM group and TPL group. Urinalysis with abnormal cell counts or significant bacteriuria could be a screening tool to reduce number of urine culture in women with TPL.

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Section: Discussionsupporting

confidence: 50%

Section: Discussionmentioning

confidence: 83%

Prevalence of Urinary Tract Infection in Pregnancies with Premature Uterine Contractions

Talungchit,

Ruangvutilert,

Panchalee Boonbowornpong

et al. 2023

Siriraj Med J

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“…Kamel et al, (2018) demonstrated that asymptomatic bacteriuria was present in 5% in preterm group vs.2.5% in full-term group without significant differences (p>0.05). E.COLI was the most common pathogen [14]. Vrishali et al, (2017) showed that UTI was present in 22% of pregnant with preterm labor vs. 6% in full-term labor (p<0.05) [15].…”

Section: Resultsmentioning

confidence: 87%

“…Indu et al, (2014) demonstrated that UTI was more frequent in pregnant women with preterm labor (13.4% vs.1.92%, p<0.05), and the most frequent isolated pathogens were E. COLI in both groups [13]. Kamel et al, (2018) demonstrated that asymptomatic bacteriuria was present in 5% in preterm group vs.2.5% in full-term group without significant differences (p>0.05). E.COLI was the most common pathogen [14].…”

Section: Resultsmentioning

confidence: 99%

العلاقة بين التهاب المسالك البولية والمخاض الباكر للنساء الحوامل في سوريا

صيوح¹,

حسن²,

الدالي³

2022

Journal of Medical and Pharmaceutical Sciences

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Objective: The aim of this study is to determine the prevalence of urinary tract infection (UTI) in pregnant women with preterm labor. In addition to, estimating the association between UTI and occurrence of preterm labor. Patients and Methods: Descriptive Case- Control Study conducted for the period one year (June 2020 –June 2021) at Tishreen University Hospital in Lattakia- Syria. The study included 125 pregnant women without risk factors for preterm labor who were divided into case group (70): with preterm labor, and control group (55) with full term labor. Investigations for presence of UTI were performed in two groups. Results: The mean age was 25.5±5.3 years in the case group and 26.2±4.89 years in control group without significant difference. Previous history of preterm labor was more frequently in case group (17.5% vs.2.7%, p: 0.03). E.COLI was more frequently in the two groups. It was found that 16 patients (22.8%) in the case group and 4 patients (7.3%) in the control group had UTI with significant difference (p<0.05). In the multivariate regression model, UTI was significantly associated with preterm labor (OR: 3.7[1.18- 12.05], P: 0.02. Conclusion: UTI is associated with the risk of preterm labor. Therefore, early detection and treatment of the infection can reduce effectively the risk of preterm labor.

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“…This was similar to study conducted by Acosta-Terriquez JE et al 20 which was 74.4%. Similarly Kamal HA et al 21 Verma I et al 22 Tedesco RP et al 23 study showed E.coli as the most common organism isolated from urine culture.…”

Section: Resultsmentioning

confidence: 92%

Evaluation of Genitourinary Infection in Preterm Labour: A Descriptive Cross-Sectional Study

Shrestha,

Mushtaq,

Shah

et al. 2023

Medphoenix

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Introduction: Preterm labour is defined as the occurrence of regular uterine contractions (≥ 4 in 20 minutes or ≥ 8 in 1 hour) and cervical changes (effacement ≥ 80% and dilatation ≥ 1cm) in women with intact fetal membrane and gestational age less than 37 weeks. Genitourinary infection is the most important cause of preterm labour. The aim of this study was to determine the role of Genitourinary infection in causation of preterm labour. Methods: This is a descriptive cross sectional study done at National Medical College Teaching Hospital from 10 November 2021 to 9 November 2022 after obtaining IRC (F-NMC/549/078-79). Total of 90 patients in preterm labour fulfilling the inclusion criteria were enrolled in this study after taking informed consent. Clinical examination was done, vaginal swab, endocervical swab and urine samples were sent to microbiological department for examination. Preformed proforma were used to record the demographic, clinical finding and result of investigation. The data was analyzed statistically using SPSS 22 and mean age, frequency and prevalence of genitourinary infection were calculated. Results: In this study, 90 patients of preterm labour were enrolled. The mean age group of patients was 23.61 ± 4.25 years. Genital infection compromised of 41%, high vaginal swab showed 30% prevalence and endocervical swab showed 20% prevalence. The most common organism identified in genital infection was Gardenella vaginalis 55.55%. The prevalence of Urinary tract infection was 40% where E.coli was the most common organism 66.66%. Conclusions: Genitourinary tract infection plays an important role in causation of preterm labour and can easily be diagnosed with routine urine examination, urine culture and vagino-cervical swab. The prevalence of genital infections and urinary tract infection was 41% and 40% respectively. Gardnerella vaginalis was the most common pathogen identified in genital tract whereas E.coli was leading cause of UTI in Preterm labour patients.

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Prevalence of Asymptomatic Bacteriuria in Patients with Preterm Labor

Cited by 6 publications

References 4 publications

Prevalence of Urinary Tract Infection in Pregnancies with Premature Uterine Contractions

Prevalence of Urinary Tract Infection in Pregnancies with Premature Uterine Contractions

العلاقة بين التهاب المسالك البولية والمخاض الباكر للنساء الحوامل في سوريا

Evaluation of Genitourinary Infection in Preterm Labour: A Descriptive Cross-Sectional Study

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