000			02584nam a22002057a 4500
008			210826b |||||||| |||| 00| 0 eng d
022			_a1821-9241
022			_a1821-6404
100			_a A Masinde _923702
222			_aUrinary tract infection, pregnancy, bacteriuria, Escherichia coli, Tanzania
245			_aPrevalence of urinary tract infection among pregnant women at Bugando Medical Centre, Mwanza, Tanzania
260			_aMwanza, Tanzania: _b Catholic University of Health and Allied Sciences CUHAS - Bugando & _bTanzania journal of health research _c2009
490			_vTanzania journal of health research Volume 11 Issue 3
520			_aAbstract Urinary tract infections (UTI) are the most common bacterial infections during pregnancy and these infections. Untreated UTI can be associated with serious obstetric complications. This cross-sectional study was carried out to determine the prevalence of UTI among symptomatic and asymptomatic pregnant women attending Bugando Medical centre (BMC) in Mwanza, Tanzania. A total of 247 pregnant women were enrolled, of these 78 (31.5%) were symptomatic and 169 (68.4%) asymptomatic. UTI was diagnosed using mid stream urine (MSU) culture on standard culture media and urinalysis was done using rapid dip stick. The prevalence of bacteriuria among symptomatic and asymptomatic pregnant women were 17.9% and 13.0% respectively, with no signifi cant difference between the two groups (p= 0.307). Using univariate analysis there was no association of parity (p=0.825), gestational age (p=0.173), education (p=0.615), age (p=0.211) and marital status (p=0.949) with bacteriuria. The sensitivity and specifi city of urine dipstick was 38.9% and 86.7% respectively. Escherichia coli (47.2%) and Enterococcus spp (22.2%) were the most commonly recovered pathogens. The rate of resistance of Escherichia coli to ampicillin, tetracycline, sulfamethaxazole/trimethoprim, gentamicin, ciprofl oxacin, nitrofurantoin, ceftriaxone, and imipenem were 53%, 58.8%, 64.7%, 5.9%, 11.8%, 5.9%, 29.4% and 0%, respectively. In conclusion, asymptomatic bacteriuria among pregnant women is prevalent in our setting and majority of Escherichia coli are resistant to ampicillin, tetracycline, SXT and ceftriaxone. Due to low sensitivity of rapid dip stick, routine urine culture and susceptibility testing is recommended to all pregnant women at booking.
700			_a B Gumodoka _923703
700			_a A Kilonzo _923704
700			_aSE Mshana _923705
856			_uhttps://doi.org/10.4314/thrb.v11i3.47704
942			_2ddc _cVM
999			_c19019 _d19019