Iram Chaudhry, Syeda Qurrah-tul-ain Humaira Rizvi, Shahzadi Sultana.
Frequency of Bactriurea in Pregnant Women Having Lower Urinary Track Symptoms.
Pak J Med Health Sci Jan ;6(2):372-4.

Objective: To detect the frequency of bactriurea in pregnant women having lower urinary tract symptoms attending antenatal clinic of Obs & Gynae out patient department B.V. Hospital Bahawalpur Design: Cross sectional study. Place and duration of study: This study was carried out at Gynae Out Patient Department, B.V. Hospital Bahawalpur from July 2011 to November 2011. Subjects and methods: 500 pregnant ladies, 18 to 35 years of age, primi and multigravida having lower urinary tract symptoms irrespective of socio-economic class and period of gestation but not having any medical disorder or multiple pregnancies and not having any antibiotic during last six weeks were studied after informed consent. The ladies were asked to collect their mid stream urine in a sterilized glass tube after washing vulva with plain water and samples sent for urine complete examination and culture & sensitivity test. If pus cells were >10/HPF the sensitivity of the specimen was checked by disc diffusion method. Results: 500 pregnant ladies fulfilling the inclusion criteria were included in the study; out of them 260 expectant ladies (52%) were having the lower urinary tract symptoms. Total number of 62(23.85%) positive cases out of 260 had a significant WBC count on microscopy 44 patients (70.9%) had a WBC count 10-15/ HPF while 8 ladies (12.90%) were found to be having 15 to 20 WBC/HPF and in the rest 10 pregnant ladies (16.13%) the WBC count was >20/HPF. Urine culture and sensitivity examination was performed in cases having at least 10WBC/ HPF. Out of 66 patients bacterial growth was demonstrated in 44 women. Escherechia colli was detected in 34(77.27%) cases while in 10(22.73%) other organisms were seen. Conclusion: Urinary tract infections are the most common bacterial infections encountered during pregnancy, several physiological changes occur during pregnancy that causes otherwise healthy women to be more susceptible to serious sequelae from UTI. Routine antenatal care should included inquiry regarding lower urinary tract symptoms in ordered to pick up the relevant cases for further management to prevent ascending urinary tract infection and its grave complications.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com