Cargando…
Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women
BACKGROUND & OBJECTIVES: Asymptomatic bacteriuria during pregnancy if left untreated, may lead to acute pyelonephritis, preterm labour, low birth weight foetus, etc. Adequate and early treatment reduces the incidence of these obstetric complications. The present study was done to determine prese...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2013
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3724257/ https://www.ncbi.nlm.nih.gov/pubmed/23703344 |
_version_ | 1782476665848332288 |
---|---|
author | Jain, Vaishali Das, Vinita Agarwal, Anjoo Pandey, Amita |
author_facet | Jain, Vaishali Das, Vinita Agarwal, Anjoo Pandey, Amita |
author_sort | Jain, Vaishali |
collection | PubMed |
description | BACKGROUND & OBJECTIVES: Asymptomatic bacteriuria during pregnancy if left untreated, may lead to acute pyelonephritis, preterm labour, low birth weight foetus, etc. Adequate and early treatment reduces the incidence of these obstetric complications. The present study was done to determine presence of asymptomatic bacteriuria (ASB) and obstetric outcome following treatment in early versus late pregnancy. METHODS: A prospective cohort study was conducted at a tertiary care teaching hospital of north India. Pregnant women till 20 wk (n=371) and between 32 to 34 wk gestation (n=274) having no urinary complaints were included. Their mid stream urine sample was sent for culture and sensitivity. Women having > 10(5) colony forming units/ml of single organism were diagnosed positive for ASB and treated. They were followed till delivery for obstetric outcome. Relative risk with 95% confidence interval was used to describe association between ASB and outcome of interest. RESULTS: ASB was found in 17 per cent pregnant women till 20 wk and in 16 per cent between 32 to 34 wk gestation. Increased incidence of preeclamptic toxaemia (PET) [RR 3.79, 95% CI 1.80-7.97], preterm premature rupture of membrane (PPROM)[RR 3.63, 45% CI 1.63-8.07], preterm labour (PTL) [RR 3.27, 95% CI 1.38-7.72], intrauterine growth restriction (IUGR)[RR 3.79, 95% CI 1.80-79], low birth weight (LBW) [RR1.37, 95% CI 0.71-2.61] was seen in late detected women (32-34 wk) as compared to ASB negative women, whereas no significant difference was seen in early detected women (till 20 wk) as compared to ASB negative women. INTERPRETATION & CONCLUSIONS: Early detection and treatment of ASB during pregnancy prevents complications like PET, IUGR, PTL, PPROM and LBW. Therefore, screening and treatment of ASB may be incorporated as routine antenatal care for safe motherhood and healthy newborn. |
format | Online Article Text |
id | pubmed-3724257 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-37242572013-08-06 Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women Jain, Vaishali Das, Vinita Agarwal, Anjoo Pandey, Amita Indian J Med Res Original Article BACKGROUND & OBJECTIVES: Asymptomatic bacteriuria during pregnancy if left untreated, may lead to acute pyelonephritis, preterm labour, low birth weight foetus, etc. Adequate and early treatment reduces the incidence of these obstetric complications. The present study was done to determine presence of asymptomatic bacteriuria (ASB) and obstetric outcome following treatment in early versus late pregnancy. METHODS: A prospective cohort study was conducted at a tertiary care teaching hospital of north India. Pregnant women till 20 wk (n=371) and between 32 to 34 wk gestation (n=274) having no urinary complaints were included. Their mid stream urine sample was sent for culture and sensitivity. Women having > 10(5) colony forming units/ml of single organism were diagnosed positive for ASB and treated. They were followed till delivery for obstetric outcome. Relative risk with 95% confidence interval was used to describe association between ASB and outcome of interest. RESULTS: ASB was found in 17 per cent pregnant women till 20 wk and in 16 per cent between 32 to 34 wk gestation. Increased incidence of preeclamptic toxaemia (PET) [RR 3.79, 95% CI 1.80-7.97], preterm premature rupture of membrane (PPROM)[RR 3.63, 45% CI 1.63-8.07], preterm labour (PTL) [RR 3.27, 95% CI 1.38-7.72], intrauterine growth restriction (IUGR)[RR 3.79, 95% CI 1.80-79], low birth weight (LBW) [RR1.37, 95% CI 0.71-2.61] was seen in late detected women (32-34 wk) as compared to ASB negative women, whereas no significant difference was seen in early detected women (till 20 wk) as compared to ASB negative women. INTERPRETATION & CONCLUSIONS: Early detection and treatment of ASB during pregnancy prevents complications like PET, IUGR, PTL, PPROM and LBW. Therefore, screening and treatment of ASB may be incorporated as routine antenatal care for safe motherhood and healthy newborn. Medknow Publications & Media Pvt Ltd 2013-04 /pmc/articles/PMC3724257/ /pubmed/23703344 Text en Copyright: © The Indian Journal of Medical Research http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Jain, Vaishali Das, Vinita Agarwal, Anjoo Pandey, Amita Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women |
title | Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women |
title_full | Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women |
title_fullStr | Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women |
title_full_unstemmed | Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women |
title_short | Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women |
title_sort | asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north indian women |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3724257/ https://www.ncbi.nlm.nih.gov/pubmed/23703344 |
work_keys_str_mv | AT jainvaishali asymptomaticbacteriuriaobstetricoutcomefollowingtreatmentinearlyversuslatepregnancyinnorthindianwomen AT dasvinita asymptomaticbacteriuriaobstetricoutcomefollowingtreatmentinearlyversuslatepregnancyinnorthindianwomen AT agarwalanjoo asymptomaticbacteriuriaobstetricoutcomefollowingtreatmentinearlyversuslatepregnancyinnorthindianwomen AT pandeyamita asymptomaticbacteriuriaobstetricoutcomefollowingtreatmentinearlyversuslatepregnancyinnorthindianwomen |