Asymptomatic Bacterurea in Pregnancy, its Prevalence among Asymtomatic Patient with more Thans 5 Pus Cell on Microscopy and its Obsterical Outcome in Early Vs Late Detected Group

Abstract

Background: Routine urine cultur in pregnancy is costly and may not practically possible on all pregnant patient in poor resource countries so if appropriate selection of patients after routine microscopy done it may reduce burden of diseases as well as cost effective. Aim: To determin the prevalence, the most common causative organism and obstertircal outcome in term of preeclamptic toxaemia (PET), preterm labour and preterm premature rupture membrane (PPROM) and symptomatic urinary tract infection (UTI) in asymptomatic bacterurea in early verses late deteced group. Place and Duration. This study was conducted in Divisional Headquarter Tertiary Care Teaching Hospital, Mirpur Azad Jamu Kashmir from Ist January 2017 to Ist January 2018. Methodology: This is a prospective cohohrt study. Total 100 pregnant women were selected for urine culture having WBC >5 per high field on microscopic examination. 50 patients in early detected group (Group A) before 23 weeks of gestation verses late detected group (Group B) between 30 to 34 weeks gestation after exclusion criteria. Treatment given according to sensitivity report. They were followed till delievery and incidence of preterm, PPROM symptomatic UTI and PET were recorded in these two group. Results: In early detected group asymptomatic bacterurea (ASB) was found in 7 out of 50 patients (14%) and no significant difference in incidence of preterm labour PPROM and PET in ASB positives verses ASB negative women. In second group it was found in 9 out of 50 (18%) cases with significant increase in preterm and PET PPROM inspite of giving treatment. Conclusion: Prevalence of ASB is high. Early detection and treatment will reduce incidence of preterm labour, PPROM and PET with ASB positive women so it should be included in routine aninatal care for best fetomaternal outcome.