ASSOCIATION OF ASYMPTOMATIC BACTERIURIA AND PRE ECLAMPSIA IN EL SHATBY UNIVERSITY HOSPITAL

Document Type : Original Article

Author

1 1Obstetrics and Gynaecology Dept

2 2Medical Microbiology and Immunology Dept. Faculty of Medicine, Alexandria University

Abstract

Background: Asymptomatic bacteriuria is defined as the
presence of significant bacteriuria>105 colony forming
units (cfu)/mL without the symptoms of an acute urinary
tract infection. Pre-eclampsia is defined by blood pressure
of greater than 140/90 mmHg after the 20th week of pregnancy and proteinuria of equal to or higher than 300 mg per
24 hours.
Objective: Detecting the incidence of asymptomatic bacteriuria among study group at El shatby antenatal care clinic and investigate the association between development of
PE and presence of ASB.
Subjective: The study included 80 pregnant women.
Quantitative culture remains the gold standard for diagnosis of urinary tract infection in pregnancy,Microscopic examination of a wet film of uncentrifuged urine
was carried out to detect the presence of pyuria, which
is considered when pus cells are >5 pus cells / HPF.
Amount of urine (1 μl) is inoculated on MacConkey
agar,blood agar and sabouraud dextrose agar plates. The
plates are incubated for 24-48 hours at 37°C. After incubation, the colony count of a pure single organism is performed a significant bacteriuria is considered when the colony count is >105 (cfu/ml).
Results: The net result of our study showed that the patients were screened for asymptomatic bacteriuria and the
incidence was 30%. Asymptomatic bacteruria was more
common in preeclamptic group (37%) than control group < br />(22%) but with no significant difference.
Conclusion: Asymptomatic bacteriuria was a common
finding among pregnant women in our study ( 30% of
whole cases).