title: [Microbial etiology and susceptibility of community urinary tract infections during pregnancy in the south of Brazil].
abstract: OBJECTIVE
  Urinary tract infection (UTI) is one of the most common conditions during pregnancy. The aim of this study was to assess the prevalence of germs and the antimicrobial susceptibility profile in urine culture isolates from pregnant patients treated at a tertiary maternity hospital in Porto Alegre, Brazil.
  
  
  METHODS
  A cross-sectional, retrospective and descriptive study was carried out at Hospital Fêmina, a leading institution in prenatal, birth and postnatal healthcare in the city of Porto Alegre, Brazil. A total of 482 microbial community results were analyzed out of 1,558 positive urine cultures of pregnant women in all gestational ages treated at Fêmina Hospital between January 2007 and July 2013.
  
  
  RESULTS
  The susceptibility pattern presented in this research shows that the choice for UTI treatment during pregnancy should be nitrofurantoin (for uncomplicated infections) or second-generation cephalosporins such as cefuroxime (for uncomplicated and complicated infections), over ampicillin, first-generation cephalosporins and sulfamethoxazole/trimethoprim.
  
  
  CONCLUSIONS
  Empirical treatment for UTI in pregnancy should be started according to the susceptibility patterns described in the literature and re-analyzed after the results of the urine culture.
authors.affiliation: Departamento de Ginecologia e Obstetrícia, Hospital Fêmina, Porto Alegre, RS, Brasil.
authors.forename: Daniela Fraguas
authors.initials: DF
authors.lastname: Schenkel
authors.affiliation: Departamento de Prevenção e Controle de Infecções, Hospital Fêmina, Porto Alegre, RS, Brasil.
authors.forename: Jessica
authors.initials: J
authors.lastname: Dallé
authors.affiliation: Departamento de Prevenção e Controle de Infecções, Hospital Fêmina, Porto Alegre, RS, Brasil.
authors.forename: Vicente Sperb
authors.initials: VS
authors.lastname: Antonello
mesh_terms: D000293:Adolescent; D000328:Adult; D001938:Brazil; D002648:Child; D017714:Community-Acquired Infections / Q000382:microbiology / Q000652:urine; D003430:Cross-Sectional Studies; D004198:Disease Susceptibility; D005260:Female; D006801:Humans; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000382:microbiology* / Q000652:urine; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000382:microbiology* / Q000652:urine; D055815:Young Adult