THE PREVALENCE OF URINARY TRACT INFECTIONS IN PREGNANCY AND IMPLICATIONS ON FOETAL DEVELOPMENT
OTILIA MICLE #, LIANA ANTAL, PETRONELA NAGHI, OTILIA ȚICA, DANA CARMEN ZAHA *, MIHAELA MIRELA ZDRÎNCA, LUCIANA DOBJANCHI, MONICA SABĂU #, MARIANA MUREȘAN
University of Oradea, Faculty of Medicine and Pharmacy, 1st December Street, Oradea, 410073, Bihor, Romania
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Urinary tract infection is one of the common infections in the pregnancy causing disturbances in the foetal growing and development. This study was conducted to determine the distribution and antimicrobial susceptibility of uropathogens in the pregnant women attending County Emergency Clinical Hospital Oradea, Romania as well as to determine the potential effect of foetal development and/or birth defects. Clean catch midstream urine was collected from 427 patients of the age ranging from 13 to 44 years. Urine specimens were chemically analysed (by dipstick) and microscopy, and then cultured in laboratory. After identification, antimicrobial susceptibility was performed on all isolated bacteria by Kirby Bauer’s disc diffusion method and the multiple antibiotic resistance (MAR) index of each antibiotic was calculated. The prevalence of ITU was 65.33% in our patients and it was significantly higher in third trimester of the pregnancy. Gram negative bacteria (90.11%) were found in higher prevalence than Gram positive (9.88%). Escherichia coli (76.31%) was the most prevalent isolate. All isolated strains have shown good susceptibilities rates. We found association between UTIs and mean birth weight and preterm birth.
