Volume : 11, Issue : 12, December – 2024
Title:
PREVALENCE OF URINARY TRACT INFECTION AND ITS RISK FACTORS AMONG PREGNANT WOMEN FAMILY MEDICINE DEPARTMENT AT KFAFH
Authors :
Suhair Al-Tayyar*, Basmah Ba Mashmous, Noura Algarni, Hanin A. Shalaby*
Abstract :
Background: Urinary tract infections (UTIs) are one of the most common medical issues caused by some bacteria among pregnant women, affecting approximately 13–33% worldwide. They are also accountable for 20% of admissions in obstetrical and gynecology units at the general hospitals worldwide. UTIs during pregnancy can lead to major obstetric complications and adverse outcomes for both mother and fetus. UTI is either a lower tract (acute cystitis) or an upper tract (acute pyelonephritis) infection: UTIs (acute cystitis and pyelonephritis) and asymptomatic bacteriuria. Therefore, this study aims to estimate the incidence of UTIs and identify associated risk factors among pregnant women attending the family medicine department’s maternity clinic at KFAFH.
Methods: A retrospective observational cohort study was conducted from September 1st, 2022, to March 30th, 2023, in the FMD—maternity clinic at the KFAFH, Jeddah, Saudi Arabia. Data was retrieved from electronic medical records and patient charts at the FMD—KFAFH maternity clinic. This included socio-demographic and medical characteristics such as age, gravidity, gestational age, history of UTIs, diabetes mellitus, gestational diabetes, late healthcare presentation, dysuria, urgency, and fever. Urine culture results and urine analysis tests for pregnant women were also extracted. The study sample size was equal to 359, with a 95% confidence level and a ±5% margin of error. We employed a systematic sampling method, selecting every 10th pregnant woman who visited the clinic, resulting in around 540 samples for analysis.
Results and Conclusions: In our study involving 540 pregnant women, the prevalence of reported UTIs based on urine culture results was found to be 4.8%. The most commonly identified bacterial pathogen in these cases was Escherichia coli (E. coli), isolated in 2% of the samples. This was followed by Beta-Hemolytic Streptococcus Group B, isolated in 1% of the cases, and Klebsiella pneumoniae, which was isolated in 0.9% of the samples. Additionally, we identified several predictable risk factors for UTIs, including the presence of urine leukocytes (p = 0.011), a history of UTIs (p < 0.001), and dysuria (p < 0.001).
Cite This Article:
Please cite this article in press Suhair Al-Tayyar et al., Prevalence Of Urinary Tract Infection And Its Risk Factors Among Pregnant Women Family Medicine Department At KFAFH. .,Indo Am. J. P. Sci, 2024; 11 (12).
Number of Downloads : 10
References:
1. Ali, A. H., Reda, D. Y., & Ormago, M. D. (2022). Prevalence and antimicrobial susceptibility pattern of urinary tract infection among pregnant women attending Hargeisa Group Hospital, Hargeisa, Somaliland. Scientific Reports, 12(1), 1–10. https://doi.org/10.1038/s41598-022-05452-z
2. AlShamlan, N. A., AlOmar, R. S., Aldossary, R., Alahmari, M., Alghamdi, A., AlGhamdi, M., Alkanaan, N., AlReedy, A. H., AlOtaibi, A. S., & Alghamdi, N. S. (2022). The Epidemiology, Associated Factors and Bacterial Profile of Asymptomatic Bacteriuria in Pregnant Women: A Retrospective Chart Review Study in Saudi Arabia. International journal of women’s health, 14, 1749–1759. https://doi.org/10.2147/IJWH.S394936
3. Azami, M., Jaafari, Z., Masoumi, M., Shohani, M., Badfar, G., Mahmudi, L., & Abbasalizadeh, S. (2019). The etiology and prevalence of urinary tract infection and asymptomatic bacteriuria in pregnant women in Iran: a systematic review and Meta-analysis. BMC Urology, 19. https://doi.org/10.1186/s12894-019-0454-8.
4. Baker PN, McEwan AS, Arulkumaran S, Datta ST, Mahmood TA, Reid F, Aiken C, (Editors). (2015). Obstetrics: Prepare for the MRCOG: Key Articles from the Obstetrics, Gynaecology Reproductive Medicine Journal. UK: Elsevier Health Science.
5. Balachandran, L., Jacob, L., Al Awadhi, R., Yahya, L. O., Catroon, K. M., Soundararajan, L. P., Wani, S., Alabadla, S., & Hussein, Y. A. (2022). Urinary Tract Infection in Pregnancy and Its Effects on Maternal and Perinatal Outcome: A Retrospective Study. Cureus, 14(1), e21500. https://doi.org/10.7759/cureus.21500
6. Barnawi, Y., Alghamdi, A., Ibrahim, A. et al. Prevalence of urinary tract infections in pregnant women and antimicrobial resistance patterns in women in Riyadh, Saudi Arabia: a retrospective study. BMC Infect Dis 24, 502 (2024). https://doi.org/10.1186/s12879-024-09385-y
7. Belete, M., & Saravanan, M. (2020). A Systematic Review on Drug Resistant Urinary Tract Infection Among Pregnant Women in Developing Countries in Africa and Asia; 2005–2016. Infection and Drug Resistance, 13, 1465 – 1477. https://doi.org/10.2147/IDR.S250654.
8. Dube, R., Al-Zuheiri, S., Syed, M., Harilal, L., Zuhaira, D., & Kar, S. (2022). Prevalence, Clinico-Bacteriological Profile, and Antibiotic Resistance of Symptomatic Urinary Tract Infections in Pregnant Women. Antibiotics, 12. https://doi.org/10.3390/antibiotics12010033.
9. Getaneh, T., Negesse, A., Dessie, G., Desta, M., & Tigabu, A. (2021). Prevalence of Urinary Tract Infection and Its Associated Factors among Pregnant Women in Ethiopia: A Systematic Review and Meta-Analysis. BioMed Research International, 2021. https://doi.org/10.1155/2021/6551526.
10. Girma, A., Aemiro, A., Workineh, D., & Tamir, D. (2023). Magnitude, Associated Risk Factors, and Trend Comparisons of Urinary Tract Infection among Pregnant Women and Diabetic Patients: A Systematic Review and Meta-Analysis. Journal of Pregnancy, 2023. https://doi.org/10.1155/2023/8365867. (Girma et al., 2023)
11. Gupta, K. (2024). Urinary tract infections and asymptomatic bacteriuria in pregnancy. Wolter Kluwer UpToDate. Accessed at November 30, 2024. Available on: https://www.uptodate.com/contents/urinary-tract-infections-and-asymptomatic-bacteriuria-in-pregnancy
12. Jain V, Das V, Agarwal A, Pandey A (2013). Asymptomatic bacteriuria & obstetric outcome following treatment in early versus late pregnancy in north Indian women. Indian J Med Res 137:753–758.
13. Johnson, B., Stephen, B., Joseph, N., Asiphas, O., Musa, K., & Taseera, K. (2021). Prevalence and bacteriology of culture-positive urinary tract infection among pregnant women with suspected urinary tract infection at Mbarara regional referral hospital, South-Western Uganda. BMC Pregnancy and Childbirth, 21. https://doi.org/10.1186/s12884-021-03641-8.
14. Johnson, C., Rocheleau, C., Howley, M., Chiu, S., Arnold, K., & Ailes, E. (2021). Characteristics of Women with Urinary Tract Infection in Pregnancy. Journal of women’s health. https://doi.org/10.1089/jwh.2020.8946.
15. Lee, A., Mullany, L., Koffi, A., Rafiqullah, I., Khanam, R., Folger, L., Rahman, M., Mitra, D., Labrique, A., Christian, P., Uddin, J., Ahmed, P., Ahmed, S., Mahmud, A., Dasgupta, S., Begum, N., Quaiyum, M., Saha, S., & Baqui, A. (2019). Urinary tract infections in pregnancy in a rural population of Bangladesh: population-based prevalence, risk factors, etiology, and antibiotic resistance. BMC Pregnancy and Childbirth, 20. https://doi.org/10.1186/s12884-019-2665-0.
16. Laari, J., Anab, M., Jabong, D., Abdulai, K., & Alhassan, A. (2022). Maternal Age and Stage of Pregnancy as Determinants of UTI in Pregnancy: A Case of Tamale, Ghana. Infectious Diseases in Obstetrics and Gynecology, 2022. https://doi.org/10.1155/2022/3616028.
17. Mahmouda, M., Kamelb, A., Ahmeda, S., El-Hamed. A. (2020). Prevalence of urinary tract infections among pregnant women at Sohag University Hospital. Egyptian Nursing Journal. https://doi.org/10.4103/ENJ.ENJ_7_20
18. Ngong, I., Fru-cho, J., Yung, M., & Akoachere, J. (2021). Prevalence, antimicrobial susceptibility pattern and associated risk factors for urinary tract infections in pregnant women attending ANC in some integrated health centers in the Buea Health District. BMC Pregnancy and Childbirth, 21. https://doi.org/10.1186/s12884-021-04142-4.
19. Ravi, B., R., T., & K, S. (2022). BACTERIA ASSOCIATED WITH URINARY TRACT INFECTION IN PREGNANT WOMEN WITH OVERVIEW OF THEIR ANTIBIOTIC SUSCEPTIBILITY TESTS. International Journal of Current Pharmaceutical Research. https://doi.org/10.22159/ijcpr.2022v14i4.2007.
20. Rosana, Y., Ocviyanti, D., Halim, M., Harlinda, F., Amran, R., Akbar, W., Billy, M., & Akhmad, S. (2020). Urinary Tract Infections among Indonesian Pregnant Women and Its Susceptibility Pattern. Infectious Diseases in Obstetrics and Gynecology, 2020. https://doi.org/10.1155/2020/9681632.
21. The American College of Obstetricians and Gynecologists Publication (ACOG). (2023). Urinary Tract Infections in Pregnant Individuals.Obstetrics and gynecology, 142(2), 435–445. Accessed at November 30, 2024 https://doi.org/10.1097/AOG.0000000000005269
22. Voruganti, S., & Khan, S. (2023). Prevalence and Risk Factors of Urinary Tract Infection in Pregnant Women: Systematic Review and Meta-Analysis. International Journal For Multidisciplinary Research. https://doi.org/10.36948/ijfmr.2023.v05i06.9117.