Bacteriuria among Pregnant Women Attended on Antenatal Care Clinics in Karu Local Government Area, Nasarawa State

Aims: This study is aimed at studying the prevalence of bacteriuria among pregnant women attending antenatal care clinics in Karu Local Government Area of Nasarawa State, Nigeria. Study Design: A cross-sectional studies of the prevalence of bacteriuria among pregnant women at antenatal care clinics in Karu, Nasarawa State, Nigeria Place and Duration of Study: Antenatal care clinics in Karu Local Government Area of Nasarawa State were enrolled in the study which lasted for four months between October 2017 to January 2018. Methodology: Four hundred and fifty (450) midstream urine specimens were collected in sterile disposable urine containers and transported to microbiology laboratory of Bingham university Karu for analysis. A structured questionnaire was administered to all participant whose informed consent was sort and samples collected. Samples collected were analysed using microscopy, morphological characteristics of inoculum on Maconkay, blood agar and cystine lactose electrolyte deficient agar (CLED) and biochemical characteristics of the grown colony. Antimicrobial Susceptibility Testing: From a pure culture of an identified bacterium, a loopful bacterial colony were transferred to a tube containing 5 ml of normal saline and mixed gently until it formed a homogenous suspension. The turbidity of the suspension was then adjusted to the density of mcfarland 0.5 to standardize the inoculum size. A sterile cotton swab was then dipped into the suspension and the excess was removed by gentle rotation of the swab against the surface of the tube. The swab was then used to distribute the bacteria evenly over the entire surface of Mueller-Hinton agar (oxoid). The inoculated plates were left at room temperature to dry for 3-5 minutes. Thereafter sterile needles were used to aseptically place an antibiotic disc on the surface of the inoculated plate. 30 ug sumetrolin (SXT), 30 ug chloramphenicol (CH), 10 ug sparfloxacin (SP), 10 ug ciprofloxacin (CPX), 30 ug amoxicillin (AM), 30 ug augmentin (AU), 10 ug gentamicin (CN), 30 ug pefloxacin (PEF), 10 ug ofloxacin (OFX) and 30 ug streptomycin (S) were used for gram-negative bacteria isolates while 10 ug pefloxacin (PEF), 10 ug gentamicin (CN), 30 ug ampicillin-oxacillin (APX), 20 ug cefuroxine (Z), 30 ug amoxicillin (AM), 25 ug ceftriaxone (R), 10 ug ciprofloxacin, 30 ug streptomycin (S), 30 ug sumetrolin (SXT) and 10 ug of erythromycin (E) were used for gram-positive bacteria isolates. The plates were then incubated at 37ºC for 24 hours. diameters of the zone of inhibition around the discs were measured and the isolates were classified as sensitive, intermediate and resistant according to the standardized table supplied by CLSI (2014). Results: The results obtained showed that 285 (63.33%) of the pregnant women had bacteriuria. Out of this, there were 77.93% cases of asymptomatic and 22.03% symptomatic bacteriuria respectively. The bacteria isolated were Escherichia coli (25.42%), coagulase-negative Staphylococcus (20.34%), Klebsiella spp (13.56%), Streptococcus spp (16.94%.), Staphylococcus aureus (10.17%), P. aeruginosa (8.47%) and Proteus mirabilis (5.08%). Gram-negativee bacteria isolated were most susceptible to 25 ug of Augmentin with susceptibility rate of 77.4% followed by 10 ug of gentamicin with 70.9% and 10 ug of Pefloxacin with 61.3% while Gram-positive isolates were most susceptible to 20 ug of Cefuroxine with 60.7% susceptibility rate followed closely by 57.1% susceptibility to both 10 ug Gentamicin and 30 ug Amoxicillin and 53.6% to 10 ug of Erythromycin. The age bracket 26-35 years had the highest prevalence of bacteriuria, (83.3%). women in their third trimesters were most infected with the prevalence rate of 91.39%. statistical analysis revealed significant differences (p<0.05) between bacteriuria and age, gestational age and occupation. Conclusion: This study recorded a significantly high prevalence of bacteriuria in the study area among the participant. This high prevalence calls for concern due to the possible effect of bacteriuria on the fetus. also having a significant percentage of this prevalence being asymptomatic (i.e 77.93%), there is, therefore, need to educate the women on personal hygiene and also need for treatment. also noting the increasing rate of resistance to the commonly administered antibiotics, thus the need to embark on massive enlightenment campaign with prevention-focused messages. also, the treatment of asymptomatic bacteriuria among pregnant women needs to be made a priority to prevent birth complications.

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Assessment of anaemia in pregnant women attending antenatal Care in medical facilities within Ekwulobia, Aguata local government area, Anambra state Nigeria

10.35841/food-science.1.3.26-31 ◽

2018 ◽

Vol 01 (03) ◽

Author(s):

Oguizu AD ◽

Orjiekwe OA

Keyword(s):

Local Government ◽

Antenatal Care ◽

Pregnant Women ◽

Local Government Area ◽

Anambra State ◽

Medical Facilities

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Prevalence of Asymptomatic Bacteriuria among Pregnant Women Attending Antenatal Clinics in Ovia North East Local Government Area, Edo State, Nigeria

Iranian Journal of Medical Microbiology ◽

10.30699/ijmm.15.2.227 ◽

2021 ◽

Vol 15 (2) ◽

pp. 227-231

Author(s):

Maureen Okwu ◽

Odaro Imade ◽

Obhioze Augustine Akpoka ◽

Mitsan Olley ◽

Blessing Ashi-ingwu ◽

...

Keyword(s):

Local Government ◽

Pregnant Women ◽

Asymptomatic Bacteriuria ◽

Local Government Area ◽

North East ◽

Edo State ◽

Antenatal Clinics

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Assessment of Nutritional Status of Pregnant Women Attending Antenatal Care Cen-ters in Odo-Otin Local Government Area of Osun State, Nigeria

Pan African Journal of Life Sciences ◽

10.36108/pajols/9102/30(0110) ◽

2019 ◽

Vol 3 (1) ◽

pp. 115-122

Author(s):

Adedayo Adeogun ◽

Caroline Adeoti

Keyword(s):

Local Government ◽

Nutritional Status ◽

Antenatal Care ◽

Pregnant Women ◽

National Development ◽

Well Being ◽

Local Government Area ◽

Civil Servants ◽

Cross Sectional ◽

Good Nutrition

Background: Good nutrition is a prerequisite for the national development of countries and for the well-being of every individual. Although problems related to poor nutrition affect the entire population, women and children are especially vulnerable because of their physiological and socio-economic characteristic. Pregnancy places extra nutritional demands on women and this may affect the development of the foetus and its health later in life. The nutritional demands however does not necessarily translate to increase in the amount of food to be consumed but certain nutrients such as protein, iron, folate, zinc and iodine are required in higher proportions to prevent anaemia and abortion. The general objective of this study was to assess the nutritional status of pregnant women aged 15-49 years that were attending antenatal care (ANC) at Primary Healthcare Centres, Odo-Otin Local Govern-ment Area, Osun State, Nigeria. Methods: This was a cross-sectional descriptive study of 400 pregnant women attending ANC at Primary Health Care Centres in Odo-Otin Local Government Area of Osun State over a period of four weeks. Their anthropometric and bio-chemical data were determined. Their bio-data and dietary investigation were obtained using a question-naire. Analysis was done using Statistical Package for Social Sciences (SPSS) version 20 and P was drawn at 0.05. Results: One hundred and thirty two (33.3%) of the participants were malnourished with their mid-upper arm circumference (MUAC) less than 23cm. Anaemia was found in 127(31.8%) of participants and of this proportion, civil servants were more commonly affected 54 (42.5%). Of the 90 participants that were civil servants, 46.5% were under-weight and they were the most malnourished while farmers had the least proportion (15.8%) of underweight participants (P=0.001). More than half (51.8%) of those who earned less than N10,000.00 were under-weight compared with 8.3% of those who earned more than N50,000.00 (P=0.001). One hundred and eight (94.7%) of those who skipped meals were under-weight compared to 6.3% of those who do not (P=0.001). Hence, 82.7% of those who skipped meals were anaemic as compared to17.3% of those who do not (P=0.001). Conclusion: The prevalence of malnutrition among pregnant women in Odo-Otin Local Government Area of Osun State, Nigeria was moderately low. However, it is worth noting that pregnant women who were Civil Servants were more malnourished .

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Asymptomatic Bacteriuria among Pregnant Women Attending Tertiary Care Hospital in Lucknow, India

Dubai Medical Journal ◽

10.1159/000513626 ◽

2021 ◽

pp. 1-8

Author(s):

Naimshree Sonkar ◽

Malay Banerjee ◽

Suman Gupta ◽

Absar Ahmad

Keyword(s):

Haemoglobin Level ◽

Pregnant Women ◽

Antimicrobial Susceptibility ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Asymptomatic Bacteriuria ◽

Care Hospital ◽

Gram Positive ◽

Gram Negative ◽

E Coli

Introduction: Asymptomatic bacteriuria (ASB) is the presence of actively multiplying bacteria within the urinary tract with absence of any symptoms, resulting in adverse pregnancy outcomes. This research study was done in order to review prevalence, antimicrobial susceptibility profile, and factors associated with ASB occurring in female patients who are pregnant and being treated at a tertiary care hospital in Lucknow, India. Method and Materials: This is a cross-sectional study done among 216 pregnant women attending a hospital for antenatal check-ups. Clean catch midstream urine samples were collected and examined microscopically, and semi-quantitative culture was done on blood agar and MacConkey agar. Isolates were identified by colony morphology and biochemical tests, and antimicrobial susceptibility testing was done by using the Kirby-Bauer method. Results: Of the 216 pregnant women, 36 (16.7%) tested positive for ASB. The female gestational period, haemoglobin level, and BMI were significantly associated with ASB. Logistic regression also showed that higher haemoglobin level was less likely to ASB (AOR = 0.42, 95% confidence interval: 0.202–0.88, p = 0.021). The predominant and usual isolates were E. coli (n = 22, 61.1%), followed by Cons (n = 6, 16.7%), and S. aureus (3, 8.3%). All Gram-negative isolates were mostly sensitive to most of the drugs like piperacillin-tazobactam, cefepime, nitrofurantoin, and meropenem but were 100% resistant to ampicillin. Similarly, Gram-positive isolates were sensitive to ampicillin, vancomycin, linezolid, and nitrofurantoin but 100% resistant to co-trimoxazole. Conclusion: The present study shows the existence of ASB was 16.7% among women who are pregnant. Pregnancy duration, haemoglobin level, and BMI were significantly associated with ASB. The isolates identified more frequently were E. coli (61.16%), Cons (16.7%), and S. aureus (8.3%). All isolates which were Gram-negative were mostly sensitive to most of the drugs but were 100% resistant to ampicillin. Similarly, Gram-positive isolates were sensitive to most of the drugs but 100% resistant to co-trimoxazole.

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