Prevalence of Asymptomatic Bacteriuria Among Pregnant Women Attending a Tertiary Care Hospital in Western India
Keywords:Bacteriuria, Pregnant women, Asymptomatic, Culture, Microscopy
Introduction: Asymptomatic bacteriuria refers to the presence of bacteria in urine having overall incidence during pregnancy ranges between 2%-10%. The study was conducted to assess prevalence of asymptomatic bacteriuria in pregnant women. The study also aimed to find out the most common Pathogenic organism isolates from urine sample.
Methodology: Pregnant women with varying gestational periods attending the tertiary care hospital without any symptoms of UTI were included in the study. Their urine was tested for routine microscopy, culture, and certain biochemical testing.
Results: Prevalence rate of asymptomatic bacteriuria was seen 13.8% in pregnant women. Proportion of asymptomatic bacteriuria is highest 14.70% in age group 26-30 year, 23.33% in first trimester. Both gram negative and gram-positive bacteria were isolated, but gram-positive cocci isolates were higher comparatively gram-negative bacilli. Organisms recovered in order of frequency were E. coli, Coagulase Negative Staphylococci (CONS), S. aureus, Klebsiella spp, Acinetobacter spp, Citrobacter spp and Enterobacter spp.
Conclusion: High prevalence of asymptomatic bacteriuria demands routine bacteriological screening of pregnant women. This will help in early treatment of asymptomatic bacteriuria which will help in prevention of acute and chronic pyelonephritis.
Hiralal Konar. Dc Dutta's textbook of Obstetrics including perinatology and contraception by hiralalkonar, 8th edition, The Health Science Publisher, NewDelhi, 2015: 134-38. Doi: https://doi.org/10.5005/jp/books/12540_14
Mark D. Walters and Mickey M. Karram. Urogynecology and reconstructive pelvic surgery, 2nd edition 1993.
Emil A. Tanagho and Jack W. McAninch. Smith's General urology. 15th edition.
Imade PE, Izekor PE, Eghafona NO, Enabulele OI, Ophori E. Asymptomatic bacteriuria among pregnant women. N Am J Med Sci. 2010 Jun;2(6):263-6. doi: 10.4297/najms.2010.2263. PMID: 22574301; PMCID: PMC3347633.
Forbes BA. Sahm DF, Weissfeld AS. Infection of urinary tract, Diagnostic Microbiology, 12th edition, Mosby-An affiliate of Elsevier, china.
Viday A. Heffner, Marc H. Gorelick. Pediatric Urinary Tract Infection. Clinical Pediatric Emergency Medicine 2008;9(4):233-237. Doi: https://doi.org/10.1016/j.cpem.2008.09.009
Collee, J.G., Miles, R.S. and Watt, B. Tests for the Identification of Bacteria. In: Collee, J.G., Marmion, B.P., Fraser, A.G. and Simmons, A., Eds., Mackie & McCartney Practical Medical Microbiology, 14th Edition, Churchill Livingstone, New York, 1996:131-151.
KASS EH. Asymptomatic infections of the urinary tract. Trans Assoc Am Physicians. 1956;69:56-64. PMID: 13380946..
Kaswser Parveen, Prevalence of Urinary Tract Infection During Pregnancy. J Dhaka National Med. Coll. Hos. 2011; 17(20):8-12. Doi: https://doi.org/10.3329/jdnmch.v17i2.12200
Abbas N, Javaid R, Gul S. Prevalence of Asymptomatic Bacteriuria in Pregnancy. JIMDC. 2017; 6(2):162-165
Mukherjee, Kheya, Saroj Golia, Vasudha CL, Babita, Debojyoti Bhattacharjee, & Goutam Chakroborti. A study on asymptomatic bac-teriuria in pregnancy: prevalence, etiology and comparison of screening methods. Intl J Res Med Sci [Online], 2.3 (2014): 1085-1091. Web. 15 Sep. 2022. Doi: https://doi.org/10.5455/2320-6012.ijrms20140886
Anjana Verma, Smita Baheti, Medhavi Sharma. Asymptomatic bacteriuria in pregnancy and its relation to perinatal outcome. Int J Reprod Contracept Obstet Gynecol. 2016 Dec;5(12):4390-4396. Doi: https://doi.org/10.18203/2320-1770.ijrcog20164350
R Sandhiya. Prevalence of asymptomatic bacteriuria among pregnant women attending the tertiary care center. Department of ob-stetrics and gynaecology-Tamil Nadu. 2018.
Campbell's Urology: Vol 4, 1954, 1505-1525.
Pritchard JA, MacDonald, PC. Maternal adaptation to pregnancy. William's obstetrics. 16th Edition Appleton Century Croff, New York, 1976:211.
C.H. Obiogbolu, Incidence of Urinary Tract Infection (UTIs) among pregnant women in Akwa metropolis, Southeastern Nigeria, Sci-entific Research and Essay 2009;4(8):820-824
Joseph F.John, JR, Species identification of Coagulase-Negative Staphylococci from Urinary Tract Isolates, Journal of Clinical Micro-biology, oct, 1978, p. 435-437. Doi: https://doi.org/10.1128/jcm.8.4.435-437.1978 PMid:363741 PMCid:PMC275267
Gillespie WA, Sellin MA, Gill P, Stephens M, Tuckwell LA, Hilton AL. Urinary Tract Infection in young women with special reference to Staphylococcus saprophyticus. Journal of Clinical Pathology, 1978, 31: 348. Doi: https://doi.org/10.1136/jcp.31.4.348 PMid:580432 PMCid:PMC1145272
Darell JH, Shreshtha TL. Urinary infection with coagulase negative staphylococci in a teaching hospital. Journal of Clinical Pathology, 1979; 32: 299. Doi: https://doi.org/10.1136/jcp.32.3.299 PMid:429597 PMCid:PMC1145639
How to Cite
Copyright (c) 2022 Paresh Patel, Manish Patel, Khanjan Desai
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
Author/s retain the copyright of their article, with first publication rights granted to Medsci Publications.