An Assessment of Asymptomatic Bacteriuria During Pregnancy and Antimicrobial Resistance to its Common Bacterial Isolates in the Urine
DOI:
https://doi.org/10.51985/JBUMDC202273Keywords:
Urinary tract infection, Bacteriuria, Bacterial Isolates. Anti-microbial resistanceAbstract
Objective: The objective of this study is to assess asymptomatic bacteriuria during pregnancy and its antimicrobial resistance
to the common bacterial isolates in the urine.
Study Design and Setting: The cross-sectional study was carried out in the Antenatal Clinic, Obstetrics and Gynaecology
Unit of Avicenna Medical and Dental Hospital, Lahore, Pakistan.
Methodology: This descriptive, cross-sectional study lasted for nine months and information was collected with the help
of a self-designed questionnaire using non-probability random sampling. The frequency distribution of socio-economic
and demographic factors of 167 pregnant women was observed while the cultural examination was performed on urine
samples of diagnosed cases of asymptomatic bacteriuria through microscopy to find out antimicrobial resistance against
bacterial isolates.
Results: The prevalence rate of asymptomatic bacteriuria was 13.2%. The most common pathogen was E. coli followed
by Klebsiella Pneumoniae and Staphylococci. Resistance of urine pathogens was observed against Ampicillin, Amoxiclav,
Norfloxacin, and Piperacillin/Tazobactam.
Conclusion: E. coli was identified as the most predominant pathogen that showed higher resistance to Cefotaxime. History
of renal stone, trimester, parity, education and low-socio-economic status were the significant factors for ASB
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