title: Urinary tract infections in pregnancy: old and new unresolved diagnostic and therapeutic problems.
abstract: Urinary tract infections (UTIs) are common in pregnant women and pose a great therapeutic challenge, since the risk of serious complications in both the mother and her child is high. Pregnancy is a state associated with physiological, structural and functional urinary tract changes which promote ascending infections from the urethra. Unlike the general population, all pregnant women should be screened for bacteriuria with urine culture, and asymptomatic bacteriuria must be treated in every case that is diagnosed, as it is an important risk factor for pyelonephritis in this population. The antibiotic chosen should have a good maternal and fetal safety profile. In this paper, current principles of diagnosis and management of UTI in pregnancy are reviewed, and the main problems and controversies are identified and discussed.
authors: Chair and Clinic of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors: Joanna
authors: J
authors: Matuszkiewicz-Rowińska
authors: Department of Nephrology and Transplantation, Medical University of Bialystok, Bialystok, Poland.
authors: Jolanta
authors: J
authors: Małyszko
authors: Chair and Clinic of Nephrology, Dialysis and Internal Diseases, Medical University of Warsaw, Warsaw, Poland.
authors: Monika
authors: M
authors: Wieliczko
keywords: acute cystitis; acute pyelonephritis; asymptomatic bacteriuria; pregnancy