Diagnosis of asymptomatic bacteriuria and associated risk factors among pregnant women in mangalore, karnataka, India.
BACKGROUND
Asymptomatic bacteriuria (AB) is common inwomen and increases in prevalence with age or sexual activity. Prompt detection and treatment of this condition and associated factors decreases complications like acute pyleonephritis, intrauterine growth retardation and preterm labour. Chromogenic media is a versatile tool in rapid primary screening of the causative organisms considerably reducing daily routine workload.


OBJECTIVE
To determine the prevalence of AB among pregnant women in a tertiary care set-up and analyse the contributory risk factors, its effects on pregnancy and the role of chromogenic media in the laboratory diagnosis of these cases.


METHODS
Urine samples of all pregnant women attending pre-natal check-ups with no genitourinary complaints, history of fever or antibiotic intake were collected for Gram stain, culture and antibiotic sensitivity tests. A second urine specimen for culture and sensitivity testing was obtained from those with significant bacteriuria. The results were compared with patients showing negative urine cultures.


RESULTS
The overall prevalence of this clinical condition in our study was 13.2%. The significant isolates were Klebsiella pneumonia and E.coli and the most common risk factor was a previous history of urinary tract infection. The isolates were easily identified by using chromogenic agar ( HiCrome ) but colonies of uncommon pathogens like Acinetobacter and Streptococcus species appeared white and needed further identification.


CONCLUSIONS
Screening of pregnant women for AB at first prenatal checkup helps analyse the associated factors and prevents its effects on pregnancy. The use of a chromogenic media can enhance reporting accuracy and will be an effective tool to monitor these cases routinely.
Assistant Professor, Department of Obstetrics and Gynaecology, Father Muller Medical College , Kankanady, Mangalore, Karnataka, India .
Annie
A
Rajaratnam
Student, Father Muller Medical College , Kankanady, Mangalore, Karnataka, India .
Neha Maria
NM
Baby
Associate Professor, Department of Microbiology, Father Muller Medical College , Kankanady, Mangalore, Karnataka, India .
Thomas S
TS
Kuruvilla
Post Graduate, Department of Microbiology, Father Muller Medical College , Kankanady, Mangalore, Karnataka, India .
Santhosh
S
Machado
Asymptomatic bacteriuria; Chromogenic agar; Klebsiella pneumonia and E.coli; Urinary tract infection