Abstract 6. (2)13



A study on Bacteriuria in Pregnant Women Attending Antenatal Clinic in Calabar Metropolis, Nigeria


A. Umoh, L. Abia-Bassey, A. Asuquo 




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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