The goal of this study was to see if there was a link between asymptomatic bacteriuria (ABU) and the clinical profile, causative organisms, and antibiotic resistance pattern in pregnant women.
The study comprised 500 pregnant women who came in for antenatal care on a regular basis. Clinical data was collected and entered into the pre-tested proforma. The urine culture was carried out according to conventional procedures. Following the identification of isolates, antibiotic susceptibility patterns were identified.
Out of 500 women, 42 were found to have significant bacteriuria (8.4 percent ). The most commonly isolated organism was Escherichia coli (64.3%), followed by Klebsiella spp (11.9 percent ). Fosfomycin (100%) and nitrofurantion were shown to be the most efficient antibiotics against urine isolates (92.6 percent ). Antibiotics used to treat urinary tract infections (UTI), such as ampicillin, cotrimoxazole, and norfloxacin, have demonstrated growing resistance. There was no statistically significant link between bacteriuria and the clinical profile of pregnant women, such as age, trimester, gravidity, or parity status.
Conclusion: Asymptomatic bacteriuria is prevalent in pregnant women. Urine cultures and antibiotic susceptibility testing are necessary to detect and treat it. Oral Nitrofurantoin and Fosfomycin are the antibiotics of choice for treating UTI in pregnant women.
Author (s) Details
A. Mohan Kumar
Department of Microbiology, All India Institute of Medical Sciences, Mangalagiri, Andhra Pradesh – 522503, India.
J. Kaur
Department of Microbiology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi – 110029, India.
M. Deb
Department of Microbiology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi – 110029, India.
S. Prateek
Department of Obstetrics & Gynecology, Vardhman Mahavir Medical College & Safdarjung Hospital, New Delhi – 110029, India.
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