This study investigated the microorganisms that are associated with
both asymptomatic and symptomatic bacteriuria in pregnancy in Calabar
metropolis and their sensitivity pattern to selected antimicrobials.
Factors that may be predisposing to bacteriuria in pregnancy in the area
were also investigated. The prevalence of asymptomatic bacteriuria was
27.3% while that of symptomatic bacteriuria was 46%. Most urinary tract
infections (UTI) were caused by gram negative bacteria (41.5%) with
Escherichia coli (26.6%) being responsible for most symptomatic
infections. Factors that contributed to high prevalence of UTI among
pregnant women include age, parity, gestational age and educational
status. Most organisms tested were sensitive to gentamicin, cefuroxime
and cetfazidine. The highest prevalence of significant bacteriuria in
pregnancy was found in age group 41-45 years (60%; 57.1%) followed by
36-40 years (50%; 54.5%) and 31-35 years (38.%; 51.8%) in both
symptomatic and asymptomatic samples respectively. Urine culture method
was used for diagnosis and was found to be effective in detecting
asymptomatic infection. This method therefore provides a tool for the
routine screening of pregnant women for bacteriuria to guard against
adverse perinatal outcomes and other complications.
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