Volume : 7, Issue : 12, December - 2018

The Study Of Prevalence Of Asymptomatic Bacteriuria In Antenatal Women.

Dr. Sakshi Mishra, Dr. Rohit Chaturvedi

Abstract :

<p>&nbsp;<b><span lang="EN-IN">Background: </span></b><span lang="EN-IN">Asymptomatic becteriuria (ASB) is one of the manifestations of UTI in which urine culture reveals a significant growth of pathogenic bacteria (greater than 10⁵ bacteria/ml) without the presence of symptoms of urinary tract infection (UTI).Urine culture is the gold standard test for detecting ASB. Most Common organisms isolated is<i> Escherichia coli </i>.The Prevalence of ASB in developing countries is 5-12%.ASB is more common in pregnant females and if left untreated can cause adverse maternal and fetal outcomes . Hence, the present study was aimed to know the prevalence of ASB, and to highlight the importance of universal screening for ASB in antenatal women in our population. .</span></p> <p class="Default" style="line-height:150%"><b><span lang="EN-IN">Methods: </span></b><span lang="EN-IN">A total of 200 antenatal women having no clinical features of urinary tract infection were recruited for this study over a period of 6 months. Midstream urine sample was collected and sent for routine examination and culture-sensitivity testing. <o:p></o:p></span></p> <p class="Default" style="line-height:150%"><b><span lang="EN-IN">Results: </span></b><span lang="EN-IN">Significant bacteriuria was detected in 19 (9.5%) antenatal women. Of them 36.8% were in the age group of 26-30 years. Maximum no. of culture positive cases were multi-gravida (63.2%) and were in their second trimester (63.2%). Majority of the women were illiterate or educated upto primary school only (36.8%, 31.5%). Maximum cases were from class IV and V (47.4% and 31.6%), The most common organism isolated was <i>E. coli </i>(68.4%)<b> <o:p></o:p></b></span></p> <p><b><span style="font-size:11.0pt;line-height:200%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;&#10;mso-ascii-theme-font:minor-latin;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-theme-font:minor-fareast;mso-hansi-theme-font:minor-latin;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:EN-US">Conclusions: </span></b><span style="font-size:11.0pt;line-height:200%;font-family:&quot;Calii&quot;,&quot;sans-serif&quot;;&#10;mso-ascii-theme-font:minor-latin;mso-fareast-font-family:&quot;Times New Roman&quot;;&#10;mso-fareast-theme-font:minor-fareast;mso-hansi-theme-font:minor-latin;&#10;mso-bidi-font-family:&quot;Times New Roman&quot;;mso-bidi-theme-font:minor-bidi;&#10;mso-ansi-language:EN-US;mso-fareast-language:EN-US;mso-bidi-language:EN-US">Screening of pregnant women for ASB may safeguard maternal and fetal health and reduce all the sequelae of ASB during pregnancy. Hence urine culture should be a part of routine antenatal investigations&nbsp; and also health education on personal hygiene should&nbsp; be incorporated in all ANC clinics</span></p>