Bacteriological profile and anti-biogram pattern of asymptomatic UTI in pregnant Women at Tertiary Care Teaching Hospital, Vadodara, Gujarat

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Original Article

Author Details : Hetal G. Vaghela, Hitesh R. Ahir

Volume : 3, Issue : 4, Year : 2016

Article Page : 392-397

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Abstract

Background and Aims: Urinary tract infection in pregnancy has higher rate of morbidity for both mother and baby. Asymptomatic bacteriuria occurring in 2-12% of pregnancy is mainly responsible for the occurrence of Pyelonephritis which occur with complication, such as premature labour and Low birth weight baby. Aim of study was to decide bacteriological profile and antibiotic sensitivity patterns of urinary isolates from pregnant women.
Material and Methods: A total of 501 pregnant women without symptoms of Urinary tract infection, attending antenatal OPD at S.S.G. Hospital and Medical College Baroda from April 2005 to March 2006, were enrolled in our study. Organisms were identifed from Midstream urine specimen and antibiotic susceptibility test was performed using bacteriological standard tests. Data were collected using predesigned performa.
Results: Out of 501 pregnant women 60 (11.97%) were culture positive. Multiparous women had highest percentage of culture positivity of 26.92%. Staph. aureus was the predominant organism isolated (in 23 out of 60 cases) and E.coli was 2^nd most common organism isolated (in 21 out of 60 cases). There were also Pseudomonas Spp., Streptococcus Spp., Proteus mirabilis, Acinetobactor Spp., Enterococcus Spp., Klebsiella Spp., and Candida Spp. The organisms were sensitive to Cefotaxime, Ciprofloxacin, Nitrofurantoin, Gentamicin, Cephalexin and Nalidixic acid in decreasing order. Gram positive organism and gram negative bacteria showed high sensitivity against Cefotaxime, Ciprofloxacin and Nitrofurantoin with a rate of 66.15%, 64.61% & 63.07% respectively.
Conclusion: In present study, the isolated organisms from suspected pregnant women were resistance to the routinely used antibiotics. Therefore, it requires screening of all the pregnant women to urinary tract infection and treat those infected with appropriate antimicrobial regimens in order to reduce its complication.

Key words: Bacterial profile, Antibiotic resistance, Asymptomatic bacteruria, Pregnancy

How to cite : Vaghela H G, Ahir H R, Bacteriological profile and anti-biogram pattern of asymptomatic UTI in pregnant Women at Tertiary Care Teaching Hospital, Vadodara, Gujarat. Indian J Microbiol Res 2016;3(4):392-397

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