Rujuta Acharya
BACKGROUND Asymptomatic bacteriuria (ABU) is present if on 1, 2 or more consecutive occasions > 100,000 colony forming units/ml are found in aseptically collected mid-stream sample. Evidence exist that 30% of patients with asymptomatic bacteriuria if not treated go on to develop urinary tract infections. METHODS This is a cross sectional study conducted in the Department of Obstetrics and Gynaecology, Vedanta Institute of Medical Sciences, Palghar during period of July 2016 to December 2017. 372 pregnant women having asymptomatic bacteriuria during the period of July 2016 to December 2017 attending antenatal clinic were included (all trimester) in this study. RESULTS Women in the age group of 31-40 years showed the highest incidence of asymptomatic bacteriuria, incidence of asymptomatic bacteriuria was generally high among the three trimesters, but relatively highest during the second trimester. Escherichia coli was the most common 23 (33.3%), followed by Klebsiella pneumonia 18 (26%) and Staphylococcus aureus 15 (21.7%), among the isolates. CONCLUSIONS All antenatal women should undergo urine cultures to detect asymptomatic bacteriuria, and those who test positive should be treated with appropriate antibiotics, to prevent obstetric complications.
