How to manage urinary tract infections in pregnancy

2000 ◽  
Vol 8 (12) ◽  
pp. 777-777
Author(s):  
Alfred Turner
2021 ◽  
Vol 17 (1) ◽  
pp. 119-129
Author(s):  
R.H. Bello ◽  
Y.K.E. Ibrahim ◽  
B.O. Olayinka ◽  
A.A.G. Jimoh ◽  
N.B. Afolabi-Balogun ◽  
...  

Background: The emergence of multidrug- resistance Enterobacteriaceae especially in E. coli bacteria  associated with Urinary Tract Infections (UTIs) in pregnancy is a serious menace globally posing health challenges and confounding successful empirical treatment as well as increasing pregnancy – related  complications.Objectives: The aim of this study is to determine the phenotypic and genotypic characteristics of Extended Spectrum Beta – Lactamases (ESBLs) producing E. coli (ESBLs – EC) isolates in pregnant women attending ante – natal clinics within Ilorin - Kwara State, Nigeria.Materials and methods: A total of 53 non - repeated E. coli isolates from urine samples of pregnant women were presumptively identified using standard bacteriological method and confirmed by commercially available Microgen® Identification Kits. Phenotypic detection of ESBLs was determined using antibiotics susceptibility test and double disc synergy Method for screening and confirmation respectively. Polymerase Chain Reaction (PCR) was further used for the genotypic detection of ESBLs genes.Results: A total 88.67% (47/53) of E. coli exhibited resistance to the cephalosporins of which aztreonam was the highest (75.47%) and the least was cefpodoxime (35.84%) while 85.10% were confirmed positive for ESBL production. The genotypic detection showed the most occurring genotype was blaTEM (50%) blaOXA (27.7%), blaGES (22.5%), blaSHV (15%), blaCTXM and blaVEB (7.5%) while sixty – four (64%) of isolates co – harbored two or more gene. BlaTEM and blaOXA were dominant.Conclusion: This study showed high resistance of E. coli to the third generation cephalosporins harboring different ESBL genes which increases UTIs complexity and limit therapeutic options in pregnancy. Therefore, continuous monitoring of resistance in E. coli, effective appraisal of antibiotic control policies and rational use of antibiotics is therefore encouraged.


2020 ◽  
Vol 222 (1) ◽  
pp. S660
Author(s):  
Anna DeNoble ◽  
Madison Krischak ◽  
Heather Rosett ◽  
Sarika Sachdeva ◽  
Kristin Weaver ◽  
...  

2014 ◽  
Vol 5 (3) ◽  
pp. 37-41
Author(s):  
Tatyana Alekseyevna Khusnutdinova ◽  
Yuliya Anatolyevna Savochkina ◽  
Aleksandr Yevgenyevich Gushchin ◽  
Yelena Vasilyevna Shipitsyna ◽  
Alevtina Mikhailovna Savicheva

Urinary tract infections (UTIs) represent the most common bacterial infections and often complicate pregnancy. UTIs in pregnancy are classified by site of bacterial proliferation as follows: asymptomatic bacteriuria, cystitis, pyelonephritis. Screening for asymptomatic bacteriuria is a standard of obstetrical care and is included in most international guidelines. The urine microbiologic culture is considered the gold standard for laboratory diagnosis of UTIs. Molecular methods enable to rapidly detect, identify and quantitate causative agents of UTIs in urine and are effective alternative to traditional bacteriological methods.


2006 ◽  
Vol 107 (Supplement) ◽  
pp. 68S
Author(s):  
Eric Forman ◽  
Nagaraj Gabbur

2005 ◽  
Vol 32 (3) ◽  
pp. 749-764 ◽  
Author(s):  
Pooja Mittal ◽  
Deborah A. Wing

1990 ◽  
Vol 1 (3) ◽  
pp. 155-163 ◽  
Author(s):  
W. W. Andrews ◽  
Susan M. Cox ◽  
L. C. Gilstrap

Author(s):  
Stergios K. Doumouchtsis ◽  
S. Arulkumaran ◽  
Stergios K. Doumouchtsis ◽  
Austin Ugwumadu

This chapter discusses sepsis in pregnancy, and outlines the causes, risk factors, symptoms, investigations, and management of maternal sepsis and postpartum infections such as endometritis, septic pelvic thrombophlebitis, urinary tract infections, mastitis and breast abscess, and wound and episiotomy infection.


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