Asymptomatic Bacteriuria and Antibiotic Susceptibility Pattern in Pregnant Women Attending Shree Birendra Hospital, Chhauni

Abstract

Urinary tract infection (UTI) is a common problem in pregnant woman.This study examined the frequency of UTI in 500 asymptomatic pregnant women visiting Shree Birendra hospital,Chhauni from November 2009 to February 2010.To determine the prevalence of asymptomatic bacteriuria in pregnancy clean catch midstream were collected. Urine samples were examined for UTI microscopically and by culture and sensitivity tests were done for the organisms isolated using a range of antibiotics. Of the 500 pregnant women, 33 had significant bacteriuria giving a prevalence rate of 6.6%. There was significant association between patient with previous UTI and asymptomatic bacteriuria. There was no significant difference in prevalence with age, education status,geographical distribution (rural/urban), increasing parity and age at marriage. The dominant bacteria isolates were E. coli (42.4%) and Staph aureus(24.2%). The isolated bacteria were most sensitive to nitrofurantoin followed by gentamycin, cotrimoxaxole, cephalexin, nor floxacin and of loxaxin. The organisms isolated were least sensitive to amoxicillin and nalidixic acid.There was no significant association between age, education status, geographical distribution(rural/urban), gravida, parity and age at marriage with asymptomatic bacteriuria. There was significant association between patient with previous UTI and asymptomatic bacteriuria. The prevalence of asymptomatic bacteriuria in pregnant women at Shree Birendra Hospital,Chhauni is 6.6%. The predominant organisms are E.coliand Staph aureus, and most isolates are sensitive to nitrofurantoin, cephalexin and gentamicin.