2007, Number 2
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Rev Med Inst Mex Seguro Soc 2007; 45 (2)
Asymptomatic Bacteriuria Among Pregnant Women. An Underestimated Threat
Quiroga-Feuchter G, Robles-Torres RE, Ruelas-Morán A, Gómez-Alcalá AV
Language: Spanish
References: 22
Page: 169-172
PDF size: 53.58 Kb.
ABSTRACT
Background: urinary tract infection is a common pregnancy complication. Asymptomatic bacteriuria (AB) can trigger the development of serious complications affecting both the mother and the fetus.
Objective: determine the frequency of AB among pregnant women attending to antenatal care at the family medicine clinic number 1 of the
Instituto Mexicano del Seguro Social, located in
Ciudad Obregón, Sonora.
Methodology: a longitudinal study was carried out from September to December 2004. Seventy-two 72 pregnant women with gestational age of 24 weeks or less were followed up during four months. All pregnant women were selected by a non-probabilistic method. Every patient had a monthly urine culture during the follow up period.
Results: among the 72 pregnant women, 16.7 % developed symptomatic urinary infections during the follow-up and 25% had at least one positive urine culture without urinary symptoms, being classified as AB, thus receiving treatment. Frequency of positive urine cultures was common at first and fourth months of follow-up.
Conclusion: urine culture is an important component of prenatal care, and helps in identifying a significant number of urinary tract infections, which would go otherwise undetected.
REFERENCES
Williams W, Andrews-Larry C, Gilstrap LC. Infecciones de vías urinarias. En: Gleicher N, editor. Tratamiento de las complicaciones clínicas del embarazo. Tercera edición. Buenos Aires, Argentina: Panamericana; 2000. p. 1236-1249.
Cunningan G, MacDonal P. Adaptaciones maternas al embarazo. En: Wiliams Obstetricia. Décima segunda edición. Buenos Aires, Argentina: Panamericana; 1998. p. 175-207.
Connolly A, Thorp JM. Urinary tract infections in pregnancy. Urol Clin North Am 1999;26:779-787.
Harris RE, Gilstrap LC. Cystitis during pregnancy: a distinct clinical entity. Obstet Gynecol 2001;28:587-591.
Lucas MJ, Cunningham FG. Infection of urinary routes during the pregnancy. Clin Obstet Ginecol 1993;4:807-817.
Schlaepfer I. Bajo peso al nacer en México: evidencias a partir de una encuesta retrospectiva a nivel nacional. Bol Med Hosp Infant Mex 1995;52(3):168-179.
Leyva-González FA, Salas-Romero MF. Bacteriuria asintomática recurrente en el embarazo y bajo peso al nacimiento. Rev Med IMSS 1998; 36(1):39-43.
Andreu-Domingo A. Epidemiología de la bacteriuria asintomática. Servicio de microbiología y parasitología. Disponible en http://www.zambon.es/areasterapeuticas/ 03mujer/atlas/fichas/7063.htm
Gary DV. Infecciones agudas de vías urinarias durante el embarazo. Clin Obstet Ginecol 1985;2:101-110.
Johnson CC. Definiciones, clasificación y cuadro clínico inicial de las infecciones de vías urinarias. Med Clin North Am 1991;2:243-255.
Gilstrap LC. Infecciones del tracto urinario en el embarazo. En: Gleicher N, editor. Medicina clínica en obstetricia. Buenos Aires, Argentina: Médica Panamericana; 1989. p 728-732.
Pappas PG. El laboratorio en el diagnóstico y tratamiento de las infecciones de vías urinarias. Clin Med North Am 1991;2:319-332.
Schieve IA, Handler A, Hershow R, Persky V, Davis F. Urinary tract infection during pregnancy: its association with maternal morbidity and perinatal outcome. Am J Public Health 1994;84:405-410.
González-Pedraza A, Ortiz C, Mota R. Papel de las bacterias asociadas a infecciones de transmisión sexual en la etiología de la infección de vías urinarias bajas en el primer nivel de atención médica. Enferm Infecc Microbiol Clin 2003;21(2):89-92.
Chechile GE. Pautas antibióticas y profiláctico supresoras en urología. Empleo y justificación. En: Urología integrada y de investigación. Madrid: Masson; 2003. p. 131-132.
Sobel JD, Kaye D. Urinary tract infections. En: Mandell GL, Bennett JE, Dolin R, editors. Principles and practice of infectious diseases. Fifth edition. New York: Churchill Livinstone; 2000.
Teppa RJ, Roberts JM. The uriscreen test to detect significant asymptomatic bacteriuria during pregnancy, J Soc Gynecol Invest 2005;12:50-53.
Delzell JE Jr, Levefre ML. Urinary tract infection during pregnancy. Am Fam Physician 2000;61:3567.
Millar LK, Cox SM. Urinary tract Infecction complicating pregnancy. Infect Dis Clin North Am 1997;11:13-26.
Wait RB. Urinary Tract Infection during Pregnancy. Asymptomatic bacteriuria acute cystitis and acute pyelonephritis. Postgrad Med 1984; 75:153-157.
Santos JF, Ribeiro RM, Rossi P, Haddad JM, Guidi HG, Panceta Am et al. Urinary tract infections in pregnant women. Int Urogynecol J Pelvic Floor Dysfunct 2002;13:204-209.
Andriole VT, Patterson TF. Epidemiology, natural history, and management of urinary tract infections in pregnancy. Med Clin North Am 1991;75(2):359-373.