Asymptomatic Bacteriuria and Antibacterial Susceptibility Patterns in an Obstetric Population
Introduction. Asymptomatic bacteriuria (ASB), occurring in 2–11% of pregnancies, is a major predisposition to the development of pyelonephritis, which is associated with obstetrical complications, such as preterm labor and low birth weight infants. The aim of this study was to determine the prevalen...
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| creator | Çelen, Şevki Oruç, Ayla Sargin Karayalçin, Rana Saygan, Sibel Ünlü, Serpil Polat, Belgin Danisman, Nuri |
| description | Introduction. Asymptomatic bacteriuria (ASB), occurring in 2–11% of pregnancies, is a major predisposition to the development of pyelonephritis, which is associated with obstetrical complications, such as preterm labor and low birth weight infants. The aim of this study was to determine the prevalence of ASB, the antibacterial susceptibilities of the isolated microorganisms and the associated risk factors in an outpatient clinical setting in Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey. Material and Methods. Between December 2009 and May 2010, pregnant women admitted to the antenatal outpatient clinic were included in this study. The results of a complete urine analysis, midstream urine culture and antibacterial susceptibility were evaluated. Results. Of the 2011 pregnant women included, 171 had ASB (8.5%). E. coli was the most frequently isolated microorganism (76.6%), followed by Klebsiella pneumonia (14.6%). Both microorganisms were highly sensitive to fosfomycin, sensivity being 99.2% for E. coli and 88% for Klebsiella pneumonia. Conclusions. In this certain geographical region, we found E. coli as the most common causative agent of ASB in the obstetric population and it is very sensitive to fosfomycin. We recommend fosfomycin for ASB in pregnant women due to its high sensitivity, ease of administration and safety for use in pregnancy. |
| doi_str_mv | 10.5402/2011/721872 |
| format | Article |
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Asymptomatic bacteriuria (ASB), occurring in 2–11% of pregnancies, is a major predisposition to the development of pyelonephritis, which is associated with obstetrical complications, such as preterm labor and low birth weight infants. The aim of this study was to determine the prevalence of ASB, the antibacterial susceptibilities of the isolated microorganisms and the associated risk factors in an outpatient clinical setting in Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey. Material and Methods. Between December 2009 and May 2010, pregnant women admitted to the antenatal outpatient clinic were included in this study. The results of a complete urine analysis, midstream urine culture and antibacterial susceptibility were evaluated. Results. Of the 2011 pregnant women included, 171 had ASB (8.5%). E. coli was the most frequently isolated microorganism (76.6%), followed by Klebsiella pneumonia (14.6%). Both microorganisms were highly sensitive to fosfomycin, sensivity being 99.2% for E. coli and 88% for Klebsiella pneumonia. Conclusions. In this certain geographical region, we found E. coli as the most common causative agent of ASB in the obstetric population and it is very sensitive to fosfomycin. We recommend fosfomycin for ASB in pregnant women due to its high sensitivity, ease of administration and safety for use in pregnancy.</description><identifier>ISSN: 2090-4436</identifier><identifier>EISSN: 2090-4444</identifier><identifier>DOI: 10.5402/2011/721872</identifier><identifier>PMID: 21647231</identifier><language>eng</language><publisher>Cairo, Egypt: Hindawi Puplishing Corporation</publisher><subject>Bacteria ; Bacteriuria ; Clinical Study ; Escherichia coli ; Infections ; Microbiology ; Socioeconomic factors ; Womens health</subject><ispartof>ISRN obstetrics and gynecology, 2011-01, Vol.2011 (2011), p.1-4</ispartof><rights>Copyright © 2011 Şevki Çelen et al.</rights><rights>Copyright © 2011 Sevki Çelen et al. Sevki Çelen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</rights><rights>Copyright © 2011 Şevki Çelen et al. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3422-2ef44cb9b5e759431d7f5dd02e1c6d1202b1c2d6a814cc8d70333d665ddd707a3</citedby><cites>FETCH-LOGICAL-c3422-2ef44cb9b5e759431d7f5dd02e1c6d1202b1c2d6a814cc8d70333d665ddd707a3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3101893/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3101893/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,881,27901,27902,53766,53768</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21647231$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Olsen, J.</contributor><contributor>Canellada, A.</contributor><creatorcontrib>Çelen, Şevki</creatorcontrib><creatorcontrib>Oruç, Ayla Sargin</creatorcontrib><creatorcontrib>Karayalçin, Rana</creatorcontrib><creatorcontrib>Saygan, Sibel</creatorcontrib><creatorcontrib>Ünlü, Serpil</creatorcontrib><creatorcontrib>Polat, Belgin</creatorcontrib><creatorcontrib>Danisman, Nuri</creatorcontrib><title>Asymptomatic Bacteriuria and Antibacterial Susceptibility Patterns in an Obstetric Population</title><title>ISRN obstetrics and gynecology</title><addtitle>ISRN Obstet Gynecol</addtitle><description>Introduction. Asymptomatic bacteriuria (ASB), occurring in 2–11% of pregnancies, is a major predisposition to the development of pyelonephritis, which is associated with obstetrical complications, such as preterm labor and low birth weight infants. The aim of this study was to determine the prevalence of ASB, the antibacterial susceptibilities of the isolated microorganisms and the associated risk factors in an outpatient clinical setting in Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey. Material and Methods. Between December 2009 and May 2010, pregnant women admitted to the antenatal outpatient clinic were included in this study. The results of a complete urine analysis, midstream urine culture and antibacterial susceptibility were evaluated. Results. Of the 2011 pregnant women included, 171 had ASB (8.5%). E. coli was the most frequently isolated microorganism (76.6%), followed by Klebsiella pneumonia (14.6%). Both microorganisms were highly sensitive to fosfomycin, sensivity being 99.2% for E. coli and 88% for Klebsiella pneumonia. Conclusions. In this certain geographical region, we found E. coli as the most common causative agent of ASB in the obstetric population and it is very sensitive to fosfomycin. We recommend fosfomycin for ASB in pregnant women due to its high sensitivity, ease of administration and safety for use in pregnancy.</description><subject>Bacteria</subject><subject>Bacteriuria</subject><subject>Clinical Study</subject><subject>Escherichia coli</subject><subject>Infections</subject><subject>Microbiology</subject><subject>Socioeconomic factors</subject><subject>Womens health</subject><issn>2090-4436</issn><issn>2090-4444</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>RHX</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkc9rFTEQx4NYbHn25FlZvFiUZ5NJ9tdFeBa1hUIL6lFCNsnalN1kTbLK--87j60P9VDnkmHmw5d850vIM0bfloLCKVDGTmtgTQ2PyBHQlq4F1uN9z6tDcpzSLcUSLdRN-YQcAqtEDZwdkW-btB2nHEaVnS7eK51tdHN0qlDeFBufXbfM1FB8npO2E07c4PK2uFYZFz4VziNcXHUp2xxR5TpM84B6wT8lB70akj2-f1fk68cPX87O15dXny7ONpdrzQXAGmwvhO7arrR12QrOTN2XxlCwTFeGAYWOaTCVapjQujE15ZybqkIG-1rxFXm36E5zN1qjrc9RDXKKblRxK4Ny8u-Ndzfye_gpOaOsaTkKvLoXiOHHbFOWo0Ozw6C8DXOSTc0ohZZXSJ48SDIhGgBOW0D05T_obZijx0PIFnZJcDSyIm8WSMeQUrT9_teMyl3EchexXCJG-sWfRvfs70AReL0AN84b9cv9R-35AltEbK_2sMCTNBW_A7CJuAY</recordid><startdate>20110101</startdate><enddate>20110101</enddate><creator>Çelen, Şevki</creator><creator>Oruç, Ayla Sargin</creator><creator>Karayalçin, Rana</creator><creator>Saygan, Sibel</creator><creator>Ünlü, Serpil</creator><creator>Polat, Belgin</creator><creator>Danisman, Nuri</creator><general>Hindawi Puplishing Corporation</general><general>International Scholarly Research Network</general><general>Hindawi Limited</general><scope>ADJCN</scope><scope>AFFIF</scope><scope>AHFXO</scope><scope>RHU</scope><scope>RHW</scope><scope>RHX</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>8FE</scope><scope>8FH</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>LK8</scope><scope>M7P</scope><scope>PHGZM</scope><scope>PHGZT</scope><scope>PKEHL</scope><scope>PQEST</scope><scope>PQGLB</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7QL</scope><scope>7T7</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>P64</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20110101</creationdate><title>Asymptomatic Bacteriuria and Antibacterial Susceptibility Patterns in an Obstetric Population</title><author>Çelen, Şevki ; 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Asymptomatic bacteriuria (ASB), occurring in 2–11% of pregnancies, is a major predisposition to the development of pyelonephritis, which is associated with obstetrical complications, such as preterm labor and low birth weight infants. The aim of this study was to determine the prevalence of ASB, the antibacterial susceptibilities of the isolated microorganisms and the associated risk factors in an outpatient clinical setting in Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey. Material and Methods. Between December 2009 and May 2010, pregnant women admitted to the antenatal outpatient clinic were included in this study. The results of a complete urine analysis, midstream urine culture and antibacterial susceptibility were evaluated. Results. Of the 2011 pregnant women included, 171 had ASB (8.5%). E. coli was the most frequently isolated microorganism (76.6%), followed by Klebsiella pneumonia (14.6%). Both microorganisms were highly sensitive to fosfomycin, sensivity being 99.2% for E. coli and 88% for Klebsiella pneumonia. Conclusions. In this certain geographical region, we found E. coli as the most common causative agent of ASB in the obstetric population and it is very sensitive to fosfomycin. We recommend fosfomycin for ASB in pregnant women due to its high sensitivity, ease of administration and safety for use in pregnancy.</abstract><cop>Cairo, Egypt</cop><pub>Hindawi Puplishing Corporation</pub><pmid>21647231</pmid><doi>10.5402/2011/721872</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Bacteria Bacteriuria Clinical Study Escherichia coli Infections Microbiology Socioeconomic factors Womens health |
| title | Asymptomatic Bacteriuria and Antibacterial Susceptibility Patterns in an Obstetric Population |
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