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Original Research Articles

Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan

Authors:

Tabinda Naseer Qazi,

Dow University of Health Sciences, Ojha Campus Scheme 33, Karachi, PK
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shagufta naseer ,

Dow University of Health Sciences, Ojha Campus Scheme 33, Karachi, PK
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Jahan Ara Ainuddin

Dow University of Health Sciences, Ojha Campus Scheme 33, Karachi, PK
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Abstract

Introduction: During pregnancy, urinary tract experiences various anatomical as well as physiological changes which lead to the development of urinary tract infections. Of these, asymptomatic bacteriuria is prevalent during pregnancy and the adverse outcomes could include intrauterine growth retardation, pyelonephritis, preterm delivery, low birth weight, hypertension, and anaemia. Hence, screening for asymptomatic bacteriuria should be included in antenatal care.

 

Objectives: To determine the prevalence of asymptomatic bacteriuria and the frequency of different organisms causing asymptomatic bacteriuria among pregnant women attending the outpatient department at Dow University Hospital in Karachi, Pakistan

 

Methods: A cross-sectional study was conducted in the obstetric outpatient department (OPD) of Dow University Hospital, Karachi for six months. A total of 161 pregnant women with no clinical symptoms of urinary tract infection were included in this study. The method of urine sample collection was explained to all the enrolled participants. After collection, samples were labeled and processed. The result of the urine cultures was available after three days and was entered in the Performa. Participants with positive culture reports were treated according to the antibiotic sensitivity.

 

Results: The prevalence of asymptomatic bacteriuria among pregnant women was found in 17% (SD=0.61) with maximum prevalence in the age group of ≤25 years among primigravidae. The common organisms responsible for urinary tract infection in asymptomatic pregnant women were Escherichia coli (39.3%), Klebsiella pneumonia (17.9%), Staphylococcus spp. (17.9%) and Enterococcus spp. (14.3%).

 

Conclusions & Recommendations: As asymptomatic bacteriuria is associated with complications in pregnancy; hence it is essential that pregnant women should be screened for bacteriuria, regularly in every trimester of the gestational period.
How to Cite: Qazi, T.N., naseer, . shagufta . and Ainuddin, J.A., 2021. Prevalence and Causative Organisms of Asymptomatic Bacteriuria among Pregnant Women in Karachi, Pakistan. Journal of the College of Community Physicians of Sri Lanka, 27(2), pp.360–367. DOI: http://doi.org/10.4038/jccpsl.v27i2.8392
Published on 14 Sep 2021.
Peer Reviewed

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