Abstract

PREVALENCE OF URINARY TRACT INFECTION AMONG PREGNANT WOMEN INADEN CITY-YEMEN

Mohammed A. A. Al-Baghdadi*, Adel Guman and Nabil Al-Haj

Abstract

Background: Symptomatic and asymptomatic bacteriuria (ASB) is common in pregnant women. Pregnancy will enhance the progression of cases from ASB to symptomatic bacteriuria, which if left untreated, could lead to maternal & infant complications. A higher incidence of perinatal problems in pregnant women occurs with ASB. Acute pyelonephritis and other adverse outcomes such as prematuritypostpartum hypertensive disease, anaemia, Urinary tract infections (UTIs) and higher fetal mortality rates were occurred with ASB. Aims: To identify the prevalence of ASB, the most common causative microorganisms and the antibacterial susceptibilities of the isolated microorganisms at a Maternal-Child Health Care & Al-SADAQ Teaching Hospital in Aden city-Yemen. Subjects and Methods: A total number of 150 pregnant women were screened for either having symptoms of UTIs or not by questionnaire. The type of the study was a cross sectional study conducted from the 1st of December 2018 up to 1st of April 2019. Urine was obtained for culture, and then the isolated bacteria were subjected to the most common antibiotics used in such cases. Results: Out of 150 pregnant women the mean age was 24.4 (±4.8 SD), the minimum and the maximum age of such participants were 15-43 year with rang of 28 year. The overall UTI was 64(42.7%); the asymptomatic UTI among the pregnant women was (4.7%). The most isolated bacteria were E. coli 57/150(38%), followed by Staphylococcus aureus 5/150(3.3%). Escherichia coli were found to be sensitive to Imipenem & Ceftriaxone 100% & 96.5%, respectively, followed by Ciprofloxacin & Norfloxacin 98.2%. The least sensitivity was for Amoxicillin 22.8%. Conclusion: The prevalence of UTI among pregnant women was high, particularly E. coli. Asymptomatic bacteriuria was detected among pregnant women so early screening of ASB is essential to reduce maternal and child complications. Every positive case should be treated with appropriate antibiotic therapy.

Keywords: Symptomatic, asymptomatic bacteriuria, Prevalence, E. coli, Staphylococcus aureus, pregnant women, Aden.