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首页> 外文期刊>Nepal Journal of Obstetrics and Gynaecology >Asymptomatic bacteriuria in pregnancy
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Asymptomatic bacteriuria in pregnancy

机译：怀孕的无症状细菌

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Aims: To estimate the prevalence of asymptomatic bacteriuria, its causative agents and their antimicrobial susceptibility pattern; and to determine the relationship of asymptomatic bacteriuria and pyuria in pregnant women. Methods: A cross sectional study was conducted in a total of 240 asymptomatic pregnant women in Paropakar Maternity and Women’s Hospital from August 2016 to January 2017. Clean catch midstream urine samples were collected from each participant. Urine samples were cultured using standard microbiological methods. Identification of isolates and antibiotic sensitivity testing were done. Results: Out of 240 pregnant women, 17 (7.1%) were positive for asymptomatic bacteriuria [colony forming unit (CFU) 10 5 /ml]. There was no any significant difference in the prevalence of asymptomatic bacteriuria with respect to age, gestational age and parity. The prevalence of asymptomatic bacteriuria was significantly different with respect to education level (p=0.01) and number of pus cells in urine specimen (p=0.04). The most frequently isolated microorganisms were E.coli (70.6 %) followed by Klebsiella spp (11.8%). Ciprofloxacin followed by Nitrofurantoin and Norfloxacin had the highest sensitivity to all the isolates. Conclusions: Asymptomatic bacteriuria is common in pregnancy. Routine urine culture should be done on all pregnant women to detect asymptomatic bacteriuria. Treatment should be based on antimicrobial sensitivity pattern due to increased antibiotic resistance to commonly used antimicrobial agents.
机译：目的：估算无症状菌尿的患病率，其造型剂及其抗微生物易感模式;并确定孕妇无症状菌和脓尿的关系。方法：从2016年8月至2017年1月，共240例普通妇女医院进行了240例无症状孕妇进行了横截面研究。从每个参与者收集清洁捕获中尿液样本。使用标准微生物方法培养尿液样品。完成了分离物和抗生素敏感性测试的鉴定。结果：240例孕妇中，17（7.1％）对无症状菌菌呈阳性[菌落形成单位（CFU）> 10 5 / mL]。关于年龄，孕龄和平等的无症状细菌患病率没有任何显着差异。相对于教育水平（p = 0.01）和尿标本中的脓细胞数量显着不同（P = 0.04），无症状的菌血症的患病率显着不同。最常见的微生物是大肠杆菌（70.6％），然后是Klebsiella SPP（11.8％）。然后用氮嘌呤素和诺氟沙星对所有分离物具有最高的敏感性。结论：妊娠期患有无症状的细菌。常规尿培养物应在所有孕妇上进行，以检测无症状的细菌。治疗应基于抗微生物敏感性图案，由于常用抗微生物剂的抗生素抗性增加。

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