scholarly journals Urological issues in pregnancy: A review for urologists

2020 ◽  
Vol 14 (10) ◽  
Author(s):  
Joshua White ◽  
Jesse Ory ◽  
Andrea G. Lantz Powers ◽  
Michael Ordon ◽  
Jamie Kroft ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Surgical Procedures ◽  
Multidisciplinary Approach ◽  
Pregnant Patient ◽  
Placenta Percreta ◽  
Physiological Changes ◽  
Clinical Dilemma ◽  
Tract Infections ◽  
In Pregnancy

Urological issues in the pregnant patient present a unique clinical dilemma. These patients may be challenging to treat due to risks associated with medications and surgical procedures. This review aims to provide an update on the physiological changes and surgical risks in pregnancy. In addition, we review the approach for management of urolithiasis and urinary tract infections (UTIs) in pregnancy. Lastly, we highlight the importance of a multidisciplinary approach to placenta percreta, a condition not commonly addressed in urological education.

Renal disease

2020 ◽  
pp. 185-220
Author(s):  
Charlotte Frise ◽  
Sally Collins
Keyword(s):  
Chronic Kidney Disease ◽  
Blood Flow ◽  
Urinary Tract ◽  
Management Strategies ◽  
Pregnant Patient ◽  
Physiological Changes ◽  
Renal Size ◽  
Tract Infections ◽  
Increased Blood Flow ◽  
In Pregnancy

This chapter begins by describing the normal physiological changes that occur in pregnancy, including changes in tubular function, increased renal size, and increased blood flow. It then describes management strategies in a range of renal disorders, including haematuria, proteinuria, urinary tract infections, and both acute and chronic kidney disease. Hyperkalaemia, dialysis (and haemodialysis in pregnancy), transplantation, and medications suitable for use in the pregnant patient are all described, among others.

Molecular Characterization of Extended Spectrum Beta – Lactamase Producing Escherichia Coli Isolated from Pregnant Women with Urinary Tract Infections Attending Ante–Natal Clinics in Ilorin Metropolis

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 ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Pregnant Women ◽  
Urinary Tract Infections ◽  
Extended Spectrum Beta Lactamase ◽  
E Coli ◽  
Extended Spectrum ◽  
Bacteriological Method ◽  
Antibiotics Susceptibility ◽  
Tract Infections ◽  
In Pregnancy

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.

scholarly journals 1069: Bad bugs: antibiotic-resistant lower urinary tract infections and risk of pyelonephritis in pregnancy

2020 ◽  
Vol 222 (1) ◽  
pp. S660
Author(s):  
Anna DeNoble ◽  
Madison Krischak ◽  
Heather Rosett ◽  
Sarika Sachdeva ◽  
Kristin Weaver ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Lower Urinary Tract ◽  
Antibiotic Resistant ◽  
Tract Infections ◽  
In Pregnancy ◽  
Lower Urinary

Application of quantitative multiplex real-time polymerase chain reaction for identification of causative agents of urinary tract infections in pregnancy

2014 ◽  
Vol 5 (3) ◽  
pp. 37-41
Author(s):  
Tatyana Alekseyevna Khusnutdinova ◽  
Yuliya Anatolyevna Savochkina ◽  
Aleksandr Yevgenyevich Gushchin ◽  
Yelena Vasilyevna Shipitsyna ◽  
Alevtina Mikhailovna Savicheva
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Bacterial Infections ◽  
Asymptomatic Bacteriuria ◽  
Laboratory Diagnosis ◽  
Obstetrical Care ◽  
Bacterial Proliferation ◽  
Causative Agents ◽  
Tract Infections ◽  
In Pregnancy

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.

Urinary Tract Infections in Pregnancy

2006 ◽  
Vol 107 (Supplement) ◽  
pp. 68S
Author(s):  
Eric Forman ◽  
Nagaraj Gabbur
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Tract Infections ◽  
In Pregnancy

Urinary Tract Infections in Pregnancy

2005 ◽  
Vol 32 (3) ◽  
pp. 749-764 ◽  
Author(s):  
Pooja Mittal ◽  
Deborah A. Wing
Keyword(s):  
Urinary Tract ◽  
Urinary Tract Infections ◽  
Tract Infections ◽  
In Pregnancy
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