Urinary tract infection in prenatal care: role of public health nurses

Objetivo: Explorar y describir el rol de la enfermera de salud pública en la consulta prenatal para prevenir y controlar la infección del tracto urinario. Métodos: Estudio descriptivo cualitativo realizado en 24 unidades básicas de salud en el sur de Piauí, noreste de Brasil. El estudio involucró a 22 enfermeras de salud pública y se llevó a cabo de febrero a marzo de 2016. Los datos se recolectaron a través de un cuestionario semiestructurado que contenía datos sociodemográficos seguido de las preguntas de la entrevista. Para el análisis de datos se utilizó el software IRAMUTEQ mediante el método de Clasificación Jerárquica Descendente. Resultados: Se desarrollaron las siguientes clases a partir de las palabras evocadas: 1 - Atención de rutina a enfermeras de salud pública que atienden a gestantes; 3 - Actuación de las enfermeras de salud pública en el tratamiento y prevención de la infección del tracto urinario en mujeres embarazadas; 4 - Dificultades en el diagnóstico de infección del tracto urinario en mujeres embarazadas; 2 - La educación sanitaria como principal medida adoptada por las enfermeras de salud pública para prevenir la infección del tracto urinario en la gestante. Conclusiones: Las enfermeras de salud pública carecen de protocolos y cumplimiento de las guías. Las principales medidas para la prevención y el control de la infección del tracto urinario en mujeres embarazadas fueron una adecuada higiene íntima, mayor ingesta de líquidos e higiene antes y después de las relaciones sexuales. Objective: To explore and describe public health nurses' role in the prenatal consultation to prevent and control urinary tract infection. Methods: A qualitative, descriptive study was conducted in 24 basic health units in southern Piauí, northeastern Brazil. The study included 22 public health nurses and was carried out from February to March 2016. Data were collected through a semi-structured questionnaire containing sociodemographic data followed by the interview questions. The IRAMUTEQ software was used for data analysis using the Descending Hierarchical Classification method. Results: The following classes were created based on the evoked words: 1 - Routine care of public health nurses assisting pregnant women; 3 - Public health nurse's conduct for treatment and prevention of urinary infection in pregnant women; 4 - Difficulties in diagnosing urinary tract infection in pregnant women; 2 - Health education as the main measure adopted by public health nurses to prevent urinary tract infection in pregnant women.Conclusions: Public health nurses lacked protocols and agreement to guidelines. The main measures for preventing and controlling urinary tract infection in pregnant women were adequate intimate hygiene, increased fluid intake, and hygiene before and after sexual intercourse. Objetivo: Explorar e descrever o papel do enfermeiro de saúde pública na consulta de pré-natal para prevenir e controlar a infecção do trato urinário. Métodos: Estudo qualitativo descritivo realizado em 24 unidades básicas de saúde do sul do Piauí, nordeste do Brasil. O estudo envolveu 22 enfermeiros de saúde pública e foi realizado no período de fevereiro a março de 2016. Os dados foram coletados por meio de um questionário semiestruturado contendo dados sociodemográficos seguidos das questões da entrevista. O software IRAMUTEQ foi utilizado para a análise dos dados pelo método de Classificação Hierárquica Descendente. Resultados: As seguintes classes foram elaboradas a partir das palavras evocadas: 1 - Rotina de atendimento dos enfermeiros de saúde pública que atendem gestantes; 3 - Conduta do enfermeiro de saúde pública no tratamento e prevenção de infecção urinária em gestantes; 4 - Dificuldades no diagnóstico de infecção do trato urinário em gestantes; 2 - A educação em saúde como principal medida adotada pelos enfermeiros de saúde pública para prevenir a infecção do trato urinário em mulheres grávidas. Conclusões: Enfermeiros de saúde pública carecem de protocolos e concordância com as diretrizes. As principais medidas de prevenção e controle da infecção do trato urinário em gestantes foram higiene íntima adequada, aumento da ingestão de líquidos e higiene antes e após a relação sexual.

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Risk Factors in Diabetes and Pregnant Women with Urinary Tract Infections Compared to Younger Aged Female.

International Journal of Medical Sciences ◽

10.32441/ijms.v1i3.99 ◽

2018 ◽

Vol 1 (3) ◽

pp. 26-38

Author(s):

Abdulghani Mohamed Alsamarai ◽

Shler Ali Khorshed

Keyword(s):

Risk Factors ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Female Student ◽

Mean Value ◽

Infected Female ◽

Significant Difference ◽

Tract Infections

Background: Urinary tract infection is common with health impact in women and characterised by failure to treatment and recurrent episodes. Aim: This study was conducted to determine the risk factors for the development of urinary tract infection in diabetic and pregnant women in comparison to student female. Materials and methods: A prospective cross-sectional study conducted during the period from 1st of June 2015 to the end of January 2016. The population included in the study are 563 women, of them 425 were outpatients, and 138 were inpatients. Their age range between 18 and 80 years, with a mean age of 33.59±15.29 years. Urine samples collected and cultured on blood agar and MacConkey agar by spread plate technique. Bacterial colonies with different morphology were selected, purified and identified according to their biochemical characteristics using conventional standard methods. Results: In diabetic women, there were no significant difference in mean age and BMI values between culture positive and culture negative groups. However, pus cell mean scale was significantly higher [P=0.000] in women with urinary tract infection [1.76±1.25] than in those with negative culture [0.69±1.00]. In pregnant women, BMI mean value was significantly [P=0.013] lower in pregnant women with UTI [26.14] as compared to those without infection [26.99]. Pus cell scale mean value was significantly [P=0.000] higher in pregnant women with UTI [1.55] than women with negative UTI [0.85]. While there was no significant difference in mean age between UTI positive and negative pregnant women. In female student, there was a significant difference between UTI infected and non-infected in mean age [P=0.041] and pus cell scale [P=0.000]. However, BMI was not significantly different between infected and non-infected female student. Other risk factors association are variables in the 3 groups when analysed using X2, while AUC and OR show different trends of association between risk factors and UTI. Conclusion: BMI, pus cell scale, child number, delivery method, operation history and hospital setting were significantly associated with culture positivity in the 3 studied groups as determined by AUC. While OR confirmed association with pus sale scale in the 3 groups.

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Susceptibility to Antibiotics among Isolated Gram Negative Bacilli from Urine Sample in non Pregnant Women with Urinary Tract Infection

10.24086/bios17.27 ◽

2017 ◽

Author(s):

Sahla Abbas ◽

Najdat Mahdi ◽

Khalaf Ahmed

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Urine Sample ◽

Gram Negative

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Isolation, Identification, and characterization of Microbial that caused Urinary Tract Infection in pregnant women/Iraq

International Journal of Pharmaceutical Research ◽

10.31838/ijpr/2020.12.01.094 ◽

2020 ◽

Vol 12 (1) ◽

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Identification And Characterization

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Effect of An Educational Intervention on Pregnant Women’s Knowledge and Self-Care Practices Regarding Urinary Tract Infection

Evidence-Based Nursing Research ◽

10.47104/ebnrojs3.v2i4.194 ◽

2021 ◽

Vol 2 (4) ◽

pp. 11

Author(s):

Hemmat M. El-bana ◽

Hanan A. Ali

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Educational Intervention ◽

Self Care ◽

Post Intervention ◽

Care Practices ◽

Women's Knowledge ◽

Women’S Knowledge

Contents: The most prevalent type of infection during pregnancy is urinary tract infections (UTIs). It affects up to ten percent of pregnant women and may cause serious adverse pregnancy outcomes for both mother and fetus. Aim: The research aimed to evaluate the effect of an educational intervention on pregnant women’s knowledge and self-care practices regarding urinary tract infection. Methods: A quasi-experimental (pre/post-test) design was adopted to fulfill this study's aim. The study was conducted at the Obstetrics and Gynaecological outpatient clinic in Benha university hospital on a purposive sample of 68 pregnant women among those attending the setting mentioned above. Two key instruments were used to collect data: A structured interviewing questionnaire, self-care practices checklist. Results: revealed a highly statistically significant difference in pregnant women's knowledge and self-care practices related to urinary tract infection at post-intervention compared to their pre-intervention phase (p-values < 0.001). A highly significant positive correlation was illustrated between studied women's total knowledge and total practice scores at pre (p=0.04) and post-intervention (p=0.000) phases. Conclusion: The study concluded that the research hypothesis is supported, and pregnant women exhibited better knowledge and self-care practices regarding (UTI) during pregnancy after implementing an educational intervention than before. The study recommended that knowledge and self-care concepts regarding UTI through antenatal screening programs in early pregnancy should be empowered as an essential part of all women's health care levels and strategies.

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Isolation and diagnosis of bacteria causing urinary tract infection in pregnant and non pregnant females with diabetes mellitus type2

Al-Mustansiriyah Journal of Science ◽

10.23851/mjs.v29i4.465 ◽

2019 ◽

Vol 29 (4) ◽

pp. 23

Author(s):

Faraj Hatto Joni

Keyword(s):

Diabetes Mellitus ◽

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Diabetic Patients ◽

Microscopical Examination ◽

Symptomatic Infection ◽

Pregnant Females ◽

Esherichia Coli

Diabetic patients have more outcomes of urinary tract infection than non diabetes, mortality of urinary tract infection (UTI) is 5 times higher in patients with diabetes old age, the incidence of urinary tract infection in pregnant women is slightly higher than non pregnant women, urinary tract infection in pregnant women either as a symptomatic bacteriiuria or symptomatic infection, which is more complication during pregnancy this present study was done in March 2016 to July 2016, the patients were females, total samples of 80 patient of pregnant and non pregnant with diabetes mellitus, selected from medical and general surgical wards, the samples were sending to teaching laboratories from the same hospital, the present study show that the incidence of UTI at non pregnant diabetic women occur at age (9-11) years (45%), the most common causative agents of UTI in diabetic pregnant females is Esherichia coli 20(50%), the results of microscopical examination of urine of pregnant with diabetes mellitus of urine of pregnant with diabetes mellitus revealed that (43), pyuria and (28) had crystals, and the result of microscopical examination of urine of non pregnant females with diabetes mellitus revealed that the common causative agent is Esherichia coli 3(30%), (9) had pyuria and (4) had crystals.

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Analysis of urine as an indicator of specific body conditions in pregnant women in rural mountainous region

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20202641 ◽

2020 ◽

Vol 6 (7) ◽

pp. 264

Author(s):

Nazia Tabbasum ◽

Sumat Ul Khurshid

Keyword(s):

Urinary Tract Infection ◽

Urinary Tract ◽

Tract Infection ◽

Pregnant Women ◽

Biochemical Analysis ◽

Microscopic Analysis ◽

False Negatives ◽

Strong Indicator ◽

A Minor ◽

Primary Care Medicine

Background: Urinalysis is a procedure for examining physical properties, particulate matter, cells, casts, crystals, organisms and solutes. Urinalysis is a routine screening and diagnostic tool used to identify infections including renal, urological, liver disease, diabetes mellitus and urinary tract infection (UTI). Urinalysis can be used to screen, glucose, leucocytes, nitrite and blood. Although urinalysis is an effective screening tool it should not be used in isolation to guide treatment because false positives, for example, nitrites, and false negatives, for example, glucose, can occur if the sample is contaminated or left to stand for too long. UTI is among the leading reasons for treatment in adult primary care medicine, accounting for a considerable percentage of antibiotic prescriptions. Aim of this study is to identify the markers of urinary tract infection by urine routine microscopic analysis in pregnant women.Methods: This was a two months prospective study from June 1st 2019 to July 31st 2019. Urine samples of 72 pregnant women coming routinely to OPD of GMC, Doda were examined by physical and biochemical analysis by microscopy methods. Results: Majority of samples were pale yellow with turbid appearance. Protein was present in most of the samples whereas glucose was present in a minor number of samples. Microscopy revealed increase in pus and epithelial cells count in most of the samples while bacteria were present in almost half of the samples.Conclusions: To conclude from the present study that appearance, presence of protein, pus cells, epithelial cell and bacteria, all taken together can serve as a strong indicator of UTI.

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