Research Articles

      Abstract    

        

INCIDENCE OF URINARY TRACT INFECTION IN PREGNANT WOMEN: OBSERVATIONS FROM A TERTIARY CARE HOSPITAL

 

Sueallen Lorna D’souza, Ramakrishna Pai Jakribettu, Prema D’cunha, Rekha Boloor, Princy Louis Palatty, Manjeshwar Shrinath Baliga

ABSTRACT: BACKGROUND: Urinary tract infection (UTI) is a common problem among the pregnant women, which can complicate the outcome of the pregnancy. The objective of this study was to identify the most common pathogens causing UTI in pregnant women and their antimicrobial susceptibility pattern METHODS: This was a retrospective study and was carried out checking in to the medical records for one year (January 2016 to December 2016). The incidence and drug resistance pattern for various clinically used antibiotics against these isolated bacteria were analyzed. RESULTS: Data on a total of 117 pregnant women with UTI were retrieved and classified. Majority of the women were primi (52.13%, 61/117), and it found that UTI was common in III rd trimester (66.66%, 78/117). Among Gram negative pathogens, E coli and Klebsiella sp were the most common and among gram positive organisms, Streptococcus was seen only around 5% of the study population. Some women were infected by Candida albicans (2.6%) also. The isolates were resistant to commonly prescribed antibiotics like Ampicillin, amoxyclav. Low level of resistance to Norfloxacin/Ciprofloxacin and Ceftriaxone in the study population makes them drug of choice for empirical antibacterial therapy by oral and intravenous route, respectively. CONCLUSIONS: These results indicate that UTI was high in the third trimester and that gram negative organisms were more common. The isolates were resistant to commonly prescribed antibiotics like Ampicillin, amoxyclav. Low level of resistance to Norfloxacin/Ciprofloxacin and Ceftriaxone in the study population makes them drug of choice for empirical antibacterial therapy by oral and intravenous route, respectively.

KEY WORDS: Urinary tract infection; pregnancy, antibiogram, third trimester.

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