Original article
English
Yousef Bashir Gadmour ¹, Mahmoud Khbuli ¹, Mona Mortaga Raheel ²
1-Department of Obstetrics and Gynaecology, Faculty of Medicine Al-Fateh University, Tripoli. 2- Department of Obstetric and Gynaecology, Zawia Hospital
JMJ Vo1. 8 No.4 (Winter) 2008:270-274
Abstract
Objective: screening of pregnant women during antenatal period to find out; the incidence of symptomatic urinary tract infection (UTI), incidence of asymptomatic bacteruria, predisposing factors, presenting symptoms, results of mid stream urine routine examination and culture and to detect the most common complications. Setting: Zawia Teaching Hospital and second March polyclinic in Zawia city, Libya. Design: Prospective study. Patients and Methods: Between February 2005 and February 2006, 250 pregnant women were requested to collect midstream urine routine examination every month. Urine microscopy results with more than 6-8 pus cells were sent for culture and sensitivity. The incidence of urinary tract infection was made according to the cases with positive culture in relation to total women screened. The incidence of UTI according to gestation age was calculated. The results of urine routine examination and culture were recorded. In presence of UTI the presenting symptom was recorded. The predisposing factors were looked for in all cases of UTI. Results: Among 250 women screened, 57 (22.8%) were positive on routine urine examination. However, 193(77.2%) the urine routine was normal. Among 57 patients, only 34 patients were positive for culture, making the incidence of UTI is 13.6% out of 34 patient with UTI, nine patients have no symptom so the incidence of asymptomatic bacteruria is 3.6% and 25 patients with symptoms making the incidence of symptomatic bacteruria of 96.4%. There are no differences in the incidence of UTI’s according to gestational age of pregnancy. Out of 34 patient with positive culture 19 patients has predisposing factors, of them; 16 patients (47.06%) has previous history of UTI, 2 patients (5.88%) has history of renal stone and one patient (2.94%) has history of right nephrectomy, there were 15 patients (44.12%) has no predisposing factors. Comparing results of urine routine examination with that of culture;16 patients has 6-8 pus cells only 7 were positive for culture i.e. 43%, 20 patients has 8-12 pus cells, 11 (66%) were culture positive, 21 patients has >12 pus cells, 16 (76.19%) were culture positive. The type of organism isolated were E.coli in 12 patients (35.2%), staphylococcus in 7 patients (20.5%), streptococcus in 5 patients (14.7%), Klebsiella in 4 patients (11.7%) enterococcus, proteus and Acintobacter were each 2 patients (5.8%). Regarding complications: 10 patients (29.4%) have recurrence, 9 patients (26.47%) has anaemia, 4 patients (11.77%) has preterm delivery, 2 patients (5.8%) has low birth weight and 9 patients (26.47%) has no complication.
Keywords: Urinary tract infection (UTI), Asymptomatic bacteruria , Predisposing factors, Complication of UTI
Link/DOI: http://www.jmj.org.ly/PDF/winter2008/270.pdf