Asymptomatic urinary tract infection among pregnant women receiving ante-natal care in a traditional birth home in Benin City, Nigeria.
BACKGROUND
A good proportion of pregnant women patronize traditional birth homes in Nigeria for ante-natal care. This study aimed at determining the prevalence, risk factors, and susceptibility profile of etiologic agents of urinary tract infection among ante-natal attendees in a traditional birth home in Benin City, Nigeria.


METHODS
Clean-catch urine was collected from 220 pregnant women attending a traditional birth home in Benin City, Nigeria. Urine samples were processed, and microbial isolates identified using standard bacteriological procedures. A cross-sectional study design was used.


RESULTS
The prevalence of urinary tract infection among pregnant women was 55.0%, significantly affected by parity and gestational age (P<0.05). Mixed infection was recorded among 13(10.7%) pregnant women, and was unaffected by maternal age, parity, gravidity, gestational age, and educational status. Irrespective of trimester Escherichia coli was the most prevalent etiologic agent of urinary tract infection, followed by Staphylococcus aureus. The flouroquinolones were the most effective antibacterial agents, while Sulphamethoxazole-trimetoprim, Amoxicillin, Nalidixic acid, and Nitrofurantoin had poor activity against uropathogens isolated.


CONCLUSIONS
The prevalence of urinary tract infection among pregnant women was 55.0% and significantly affected by gestational age and parity. The most prevalent etiologic agent observed was Escherichia coli. With the exception of the flouroquinolones, aminoglycoside, and Amoxicillin-cluvanate, the activity of other antibiotics used on uropathogens were poor. Health education of the traditional birth attendant and her clients by relevant intervention agencies is strongly advocated.
Department of Medical Microbiology, College of Health Sciences, Igbinedion University, Okada, Edo State, Nigeria.
Bankole H
BH
Oladeinde
School of Medical Laboratory Sciences, University of Benin Teaching Hospital, P.M.B 1111, Benin City, Edo State, Nigeria.
Richard
R
Omoregie
Department of Obstetric and Gyneocology, Irrua Specialist Teaching Hospital, Irrua, Edo State, Nigeria.
Oladapo B
OB
Oladeinde
D000293:Adolescent; D000328:Adult; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001437:Bacteriuria / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D003430:Cross-Sectional Studies; D024901:Drug Resistance, Multiple, Bacterial; D004926:Escherichia coli; D004927:Escherichia coli Infections / Q000188:drug therapy / Q000453:epidemiology; D005260:Female; D024841:Fluoroquinolones / Q000627:therapeutic use; D005865:Gestational Age; D006801:Humans; D009549:Nigeria / Q000453:epidemiology; D009582:Nitrofurantoin / Q000627:therapeutic use; D010298:Parity; D011247:Pregnancy; D011251:Pregnancy Complications, Infectious / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D011295:Prenatal Care; D015995:Prevalence; D013203:Staphylococcal Infections / Q000188:drug therapy / Q000453:epidemiology; D013211:Staphylococcus aureus; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000453:epidemiology* / Q000209:etiology / Q000382:microbiology; D055815:Young Adult
D000900:Anti-Bacterial Agents; D024841:Fluoroquinolones; D009582:Nitrofurantoin
Nigeria; Urinary tract infection; orthodox birth center; pregnancy; traditional birth center