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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Prevalence and Characteristics of Asymptomatic Bacteriuria among Pregnant Women in Eastern Saudi Arabia
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Prevalence and Characteristics of Asymptomatic Bacteriuria among Pregnant Women in Eastern Saudi Arabia

机译:沙特阿拉伯东部孕妇无症状细菌尿的患病率和特征

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Asymptomatic Bacteriuria (ASB) in pregnancy is not an uncommon clinical condition. It could lead to pyelonephritis and adverse obstetric outcomes. Regional and national difference in its prevalence exist, which are shown to be influenced by socio-demographic, medical and obstetric factors.Aim: The study aimed at finding the prevalence of ASB in pregnancy and to identify its characteristics in Eastern Saudi Arabia. An insight into the current extent of this problem was sought to be established.Materials and Methods: A descriptive cross-sectional study was conducted in three hospitals of Al-Ahsa and Al-Khobar cities of Saudi Arabia. Semi-quantitative urine culture was done to identify ASB. Identification of bacterial isolates from urine culture and their antibiotic sensitivity testing was done by VlTEK 2 Compact bacterial identification system for Gram positive cocci and by standard bacteriological methods for Gram negative bacilli. Data was collected through a structured questionnaire.Results: Of the 449 urine samples, 64 (14.25%) grew bacteria in significant counts. Streptococcus agalactiae was the most frequent cause of ASB (32.81%) followed by Escherichia coli (25%). Other common bacterial isolates were: Klebsiella pneumoniae (17.19%), Enterococcus faecalis (12.5%) and Staphylococcus saprophyticus (6.25%). The relatively higher number of women in the age group of 30-34 years (16.67%, p-value: 0.05), in the third trimester of pregnancy (15.47%, p-value: 0.03) and with a history of Urinary Tract Infections (UTI) (18.18%, p-value: 0.03) were found to have ASB. No significant association of ASB was seen with hypertension, diabetes melitus or gestational diabetes.Conclusion: The prevalence of symptomless bacteriuria in pregnancy is relatively higher in Eastern Saudi Arabia. This is a matter of concern as affected women could develop adverse complications later. Relatively greater prevalence of ASB among pregnant women in our study could be attributed to greater number of subjects from public hospitals, presumably belonging to lower strata of society, multiple gravidity and personal hygiene.
机译:孕妇无症状细菌尿(ASB)并非罕见的临床症状。它可能导致肾盂肾炎和不良的产科预后。存在地区和全国性流行病学差异,这受社会人口统计学,医学和产科因素的影响。目标:该研究旨在寻找阿拉伯孕妇中ASB的流行情况,并确定其特征。 。寻求建立对该问题当前程度的洞察力。材料与方法:在沙特阿拉伯的Al-Ahsa和Al-Khobar市的三家医院进行了描述性横断面研究。进行半定量尿培养以鉴定ASB。通过VlTEK 2 Compact细菌鉴定系统(用于革兰氏阳性球菌)和标准细菌学方法(用于革兰氏阴性杆菌)来鉴定尿液培养物中的细菌分离物及其抗生素敏感性测试。结果通过结构化问卷收集。结果:在449个尿液样本中,有64个(14.25%)细菌大量繁殖。无乳链球菌是引起ASB的最常见原因(32.81%),其次是大肠埃希菌(25%)。其他常见的细菌分离株是:肺炎克雷伯菌(17.19%),粪肠球菌(12.5%)和腐生葡萄球菌(6.25%)。年龄在30-34岁之间的女性相对较高(16.67%,p值:0.05),在孕晚期(15.47%,p值:0.03),有尿路感染史发现(UTI)(18.18%,p值:0.03)具有ASB。没有发现ASB与高血压,糖尿病,妊娠糖尿病有关。结论:孕妇无症状菌尿的患病率在沙特阿拉伯东部相对较高。这是一个令人关注的问题,因为受影响的妇女以后可能会出现不良并发症。在我们的研究中,孕妇中ASB的患病率相对较高,这可能归因于公立医院中更多的受试者,大概属于社会底层,多重妊娠和个人卫生。

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