Asymptomatic bacteriuria in a university teaching hospital in Southern Nigeria: Prevalence, uropathogens, and antibiotic susceptibility

Background: Asymptomatic bacteriuria (ASB) has been documented as the main risk factor for the development of symptomatic urinary tract infection in pregnancy and is associated with maternal and fetal complications. Objective: To determine the ASB prevalence, the causative microorganisms, their drug...

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Published inNigerian journal of medicine Vol. 30; no. 4; pp. 383 - 389
Main Authors Inwang, Imaobong, Umoh, Augustine, Abasiattai, Aniekan, Onwuezobe, Ifeanyi
Format Journal Article
LanguageEnglish
Published Wolters Kluwer India Pvt. Ltd 01.07.2021
Medknow Publications and Media Pvt. Ltd
Wolters Kluwer Medknow Publications
Subjects
asymptomatic bacteriuria
Health aspects
Imipenem
infection of the urinary tract
Pregnant women
southern nigeria
Urinary tract infections
uyo
Nigeria
Ethiopia
Asymptomatic bacteriuria
infection of the urinary tract
Southern Nigeria
Uyo
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Summary:Background: Asymptomatic bacteriuria (ASB) has been documented as the main risk factor for the development of symptomatic urinary tract infection in pregnancy and is associated with maternal and fetal complications. Objective: To determine the ASB prevalence, the causative microorganisms, their drug sensitivity patterns, and the factors associated with its occurrence in pregnant women in the Uyo, Nigeria. Methodology: Three hundred and twenty women were recruited during their first antenatal visit over a period of 13 weeks. A midstream urine specimen was obtained from each patient, cultured, isolates identified and antimicrobial sensitivity done. Data were analyzed using the Statistical Package for the Social Sciences version 20. Results: The ASB prevalence was 9.1% with the two commonest identified isolates being Escherichia coli (41.4%) and Klebsiella pneumoniae (24.1%). Imipenem (100.0%) and gentamycin (37.9%) were the two most sensitive drugs. The association between respondents' educational level and the occurrence of ASB was significant statistically. Conclusion: The prevalence of ASB was relatively high among the respondents. This, therefore, emphasizes the need for routine screening of our antenatal female population for ASB in all our health facilities.
ISSN:1115-2613
2667-0526
DOI:10.4103/NJM.NJM_14_21