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Article
Asymptomatic Bacteriuria in Pregnant and Diabetic Women

Authors: Shaymaa Ali Gauad --- Falah Salim Manhal غلاح سالم منهل
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2011 Volume: 7 Issue: 1 Pages: 39-46
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Asymptomatic bacteriuria (ASB) is defined as isolation of a specified quantitative count of bacteria in an appropriately collected urine specimen from an individual without symptoms or signs of urinary tract infection. Aim of study: To evaluate the frequency of bacteriuria according to age, pregnancy, and type II diabetes mellitus in a sample of Iraqi women. Patients and Methods: A total of 125 female individuals were involved. The study participants were classified into the following groups: non-pregnant women with type II diabetes mellitus, pregnant women with type II diabetes mellitus, pregnant women without type II diabetes mellitus, and apparently healthy non-pregnant women. Urine and blood specimens were tested to record positive urine culture, pyuria, and blood glucose according to standard microbiological and biochemical methods. Results: Frequency of positive urine culture and pyuria in the total pregnant women was 7 (14%) and 15 (30%), respectively, whereas frequency of positive urine culture and pyuria in the total diabetic women was 8 (16%) and 23 (46%), respectively. The bacterial isolation rate in the studied groups was 13 (10%). E-coli recorded the highest isolation rate, 6(5%). There was no significant culture positive of urine specimens in the groups of diabetic non-pregnant, diabetic pregnant, and women with normal pregnancy (P-value< 0.05). Pregnant women with culture positive urine and pyuria were more likely to have perinatal mortality. Sterile pyuria was detected in pregnant women aged 18-45, those in third trimester, and in multiparous pregnant women. There was significant positive urine culture and a highly significant pyuria in diabetic women with BMI > 25. Conclusions: Asymptomatic bacteriuria is an independent risk factor for perinatal mortality. Sterile pyuria is a significant observation in pregnant and diabetic women; therefore it should bring more attention. Recommendations Treatment of asymptomatic bacteriuria is appropriate for pregnant women but it is not recommended for diabetics. The study advised to perform urine culture as a part of the antenatal check-up for pregnant women.


Article
Prevalence of Symptomatic Urinary Tract Infections and Asymptomatic Bacteriuria in Iraqi Pregnant Women of Babylon Governorate

Author: Najlaa Abass Al-Mamoryi, Abdulrazzaq Salman Al‑Salman
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2019 Volume: 16 Issue: 1 Pages: 5-12
Publisher: Babylon University جامعة بابل

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Abstract

Background: Urinary tract infections (UTIs) are the most common infections among pregnant women. It can be lead to poor maternal andperinatal outcomes. Objective: The objective of the study is to determine the prevalence rate of symptomatic UTIs and asymptomatic bacteriuriaof pregnant women in the Babylon Governorate and to determine its association with sociodemographic, obstetrical, and other factors.Materials and Methods: Cross‑sectional study between March 2018 and June 2018 involves examining 300 pregnant women at primary healthcenters; Maternity and Pediatrics Hospital of Hilla city, with and without symptoms of UTI were employed for this study. Midstream urinesamples were taken, and general urine examination was performed. Results: The results of this study revealed that the overall prevalence ofUTI among pregnant was 64.6% which include (symptomatic bacteriuria 8.0%, asymptomatic bacteriuria 6.3%, and UTI 50.3%). The higherrate of UTI was found in lower age, multiparous women, and during the second trimester. Factors such as socioeconomic status, history ofUTI, dysuria, and positive laboratory results were found to be significantly associated with UTI. Conclusion: UTI is still the common healthproblem in pregnant women especially during their second trimester. Urinalyses are essential for all pregnant women during the antenatal period.The screening will be assisted to early detection and treatment of asymptomatic bacteriuria which prevent complication for mother and baby.


Article
Prevalence and Antibiogram Pattern of Bacteriuria during Pregnancy
انتشار واختبار تحسس البيلة الجرثومية للمضادات الحيوية اثناء الحمل

Authors: Hassan M. Tawfeeq حسن محمد توفيق --- Kameran M. Ali كامران محمد علي --- Khalil A. Mustafa خليل عزيز مصطفى
Journal: Diyala Journal For Pure Science مجلة ديالى للعلوم الصرفة ISSN: 83732222 25189255 Year: 2016 Volume: 12 Issue: 3 - part 1 Pages: 135-148
Publisher: Diyala University جامعة ديالى

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Abstract

Numerous studies reported that symptomatic and asymptomatic bacteriuria is common in pregnant women. It may be related with serious obstetric complications. Therefore, the current study aimed to finding the prevalence of bacteriuria, bacterial profile and antibiotic resistance pattern of uropathogens. A total of 140 pregnant women were participated in this study from November 2015 to February 2016. The result revealed that the overall prevalence of bacteriuria was 47.14%, while prevalence of bacteriuria with symptomatic and asymptomatic were (43.28%) and (50.68%) respectively, which shows that there was not statistically significant differences between the two studied groups. The pregnant women with age between 15-19 years had the highest rate of bacteriuria (85.71%). The high frequent bacteriuria also was found in third trimester (56.25%) compared with first (30.43%) and second (43.40%). Escherichia coli (22.73%), Staphylococcus aureus (19.7%), and Staphylococcus epidermidis (10.61%) were the predominant isolated uropathogens. Antibacterial susceptibility test was achieved for all isolated strains by the Kirby-Bauer’s disk-diffusion method. Our result revealed that more than 90% of the isolates were resistant to cephalexin and amoxicillin/clavulanic acid. However amikacin was the most potent of all studied antibiotic 77.3% of uropathogens were sensitive to it. The resistance rates to ≥3 antimicrobial agents was 98.5% while, only 1.5% were resist to all antimicrobial tested

عدة دراسات ذكرت ان البيلة الجرثومية ذات الاعراض وبدون اعراض شائعة في النساء الحوامل, قد تترافق هذه مع مضاعفات الولادة. وبالتالي, فإن هذه الدراسة تهدف إلى تحديد مدى انتشار البيلة الجرثومية, لمحة بكتيرية ونمط المقاومة للمضادات الحيوية من البكتيريا الممرض للمجاری البولية. تم تسجيل مجموع 140 امرأة حوامل في هذه الدراسة من نوفمبر 2015 إلى فبراير 2016 . وكشفت النتيجة أن معدل انتشار البيلة الجرثومية كان 47.14 ٪, بينما بلغ معدل انتشار البيلة الجرثومية ذوات أعراض وبدون أعراض (43.28 ٪) و (50.68 ٪) على التوالي, مما يدل على أنه لا توجد فروقمعنوية بين المجموعتين. وكان للنساء الحوامل مع التقدم في العمر بين 15 - 19 سنة أعلى معدل للبيلة الجرثومية (85.71 ٪). و البيلة الجرثومية ذو المتكررات العالية وجد أيضا في الثلث الثالث (56.25٪) مقارنة مع الأولى (30.43 ٪), والثانية (43.40 ٪) للحمل. نسبة بكتيريا (%19.7), Escherichia coli (%22.73), Staphylococcus aureus Staphylococcus epidermidis (%10.61) كانوا من العزل السائدة. تم إجراء اختبار الحساسية المضادة للبكتيريا لجميع السلالات المعزولة بطريقة القرص نشر كيربي باور. كشفت لنا النتيجة أن أكثر من 90 ٪ من العزلات مقاومة للسيفالكسين وأموكسيسيلين / حمض كلافولانيك. ومع ذلك كان أميكاسين الأكثر فعالية من كل المضادات الحيوية المدروسة 77.3 ٪ من العزلات كانت حساسة لذلك. وكانت معدلات مقاومة ل ≤ 3 من مضادات الميكروبات 98.5 ٪ في حين كانت 1.5 ٪ فقط مقاومة لجميع المضادات الحيوية المستخدمة التي تم اختبارها.

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