Predisposing Factors and Aetiology of Urinary Tract Infections in Pregnant Women

This is the authors' abstract. We don't add key points for this paper.

BACKGROUND tract infection (UTI) is a common infection in pregnant women. It is responsible for range of complications causing and maternal morbidity and mortality. assess the associated risk factors, aetiology and their antibiogram of UTI among pregnant women. is a cross-sectional study carried out in Department of Microbiology & Department of Obstetrics from March 2015 to 2016. The patient details and risk factors were recorded. Midstream & catheter urine specimens from pregnant with symptoms of UTI were collected and sent for routine microscopy, culture and sensitivity. 550 pregnant women, 122(22.18%) had significant bacteriuria and 72(17.72%) had low colony count UTI. The most number age group was 25-35 years (58.85%) followed by 15-25 years. Of the associated risk factors, multiparity 45.31%, low socioeconomic status 42.18%, anaemia 39.06% etc. were important. Escherichia coli was most frequently with a percentage of 29.14%, followed by Klebsiella species (17.49%), S. aureus (14.34%) etc. Other isolated -organisms included Enterococci, Proteus mirabilis, Citrobacter, Pseudomonas, Acinetobacter species. The antibiotics more than 50% sensitivity against Gram-negative isolates were Imipenem (74.7%), Levofloxacin (73.17%), (69.10%), Amikacin (57.72%), Amoxiclav (55.28%), and Cefoperazone/Sulbactam (50.40%). The antibiotics Gram-positive isolates were Linezolid (88.46%), Cefoxitin (78.84%), Teicoplanin (69.23%) and Vancomycin (65.22%). found associated risk factors such as multiparity, low socioeconomic status, etc. E. coli was the most common bacteria in our setting. Therefore, pregnant women should be assessed for associated risk factors and evaluated for the organism during their regular follow-up. The drug sensitivity should be taken into consideration with their side related to pregnancy.