Volume : 7, Issue : 4, April - 2018

Prevalence of Asymptomatic Bacteriuria in Pregnant Women Attending Antenatal Clinics of GMC, Kota

Dr. Anita E. Chand, Dr. Anita Sharma, Dr. Saurabh Sharma

Abstract :

<p class="MsoNormal" style="text-align:justify"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">INTRODUCTION</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">:Asymptomatic bacteriuria is the significant presence of bacteria in the urine of an individual without symptoms. In pregnancy, various actors including the apparent reduction in immunity,tends to encourage the growth of pathogens<b>.<o:p></o:p></b></span></p> <p class="MsoNormal" style="text-align:justify">^{<span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;&#10;mso-fareast-font-family:&quot;Times New Roman&quot;;color:black;mso-fareast-language:&#10;EN-IN">&nbsp;</span>}<b><span lang="EN-IN" style="font-size:12.0pt;&#10;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">AIMS AND OBJECTIVES:</span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">To determine the prevalence of ASB in pregnancy ,to identify<span style="mso-spacerun:yes">&nbsp; </span>the causative organism <span style="mso-bidi-font-weight:bold">&amp;</span>to find out the antibiotic susceptibility pattern of isolates.<b><o:p></o:p></b></span></p> <p class="MsoNormal" style="text-align:justify"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">MATERIALS AND METHOD: </span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:&#10;107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">A total of 300 pregnant women were recruited for this study. All subjects were clinically identified to have no signs and symptoms of UTI. Clean catch midstream urine sample was collected from each patient into sterile universal container. The urine samples were examined microscopically and by cultural method. Identification of isolates was done by standard microbiological technique </span><span lang="EN-IN" style="font-size:&#10;12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;;mso-fareast-font-family:&#10;&quot;Times New Roman&quot;;color:black;mso-fareast-language:EN-IN">and subjected to antibiotic sensitivity testing by Kirby Bauer&rsquo;s disc diffusion method.</span><b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;"><o:p></o:p></span></b></p> <p class="MsoNormal" style="margin-bottom:0in;margin-bottom:.0001pt;text-align:&#10;justify"><b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;&#10;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">OBSERVATION &amp; RESULT: </span></b><span lang="EN-IN" style="font-size:12.0pt;line-height:107%;font-family:&quot;Times New Roman&quot;,&quot;serif&quot;">A total of 24 (8.0%) were positive for significant bacteriuria. <span style="color:black;mso-font-width:108%">The prevalence was </span><span style="mso-font-width:108%">found to be higher in the 20-24 years age group, </span>primigravidas&amp; in <span style="mso-font-width:107%">3^rdtrimester pregnant </span>women. Maximum (<span style="letter-spacing:.1pt">70.83%) study subjects<span style="mso-spacerun:yes">&nbsp; </span>belonged to low socioeconomic group.</span> There was a significant association between significant bacteriuria and education level. Escherichia coli was the most predominant organism followed closely by Staphylococcus aureus.<span style="color:black;mso-font-width:106%">83.33% of different isolates were</span><span style="color:black;letter-spacing:.15pt">sensitive to amikacin ,followed by </span>Ciprofloxacin &amp; Cephalexin.<o:p></o:p></span></p>