The Study Of Prevalence Of Asymptomatic Bacteriuria In Antenatal Women.

Dr. Sakshi Mishra; Dr. Rohit Chaturvedi

Volume : VII, Issue : XII, December - 2018

The Study Of Prevalence Of Asymptomatic Bacteriuria In Antenatal Women.

Dr. Sakshi Mishra, Dr. Rohit Chaturvedi

Abstract :

Background: 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 Escherichia coli .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. .

Methods: 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.

Results: 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 E. coli (68.4%)

Conclusions: 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 and also health education on personal hygiene should be incorporated in all ANC clinics