Urinary Tract Infection and Antibiotic Susceptibility Profile of Uropathogens among Pregnant Women in Ogidi, Southeast Nigeria
DOI:
https://doi.org/10.4314/ajbr.v27i1.3Từ khóa:
Urinary tract infection, uropathogens, pregnant women, antibiotics, susceptibility testTóm tắt
Urinary tract infections (UTI) affect the structures involved in the secretion and elimination of urine. It is a common health concern and contributes about 13-33% of infection in pregnancy. The prevalence of UTI among pregnant women attending antenatal clinic in Iyi-Enu mission hospital and the sensitivity of isolates recovered, to antibiotics was studied. A total of 120 midstream urine samples collected from pregnant women who consented to the study, between January and March, 2023, were cultured on MacConkey agar, Blood agar and Cystine Electrolyte Deficient Agar. Isolates were identified using colony morphology, Gram stain reaction and biochemical tests. Susceptibility of the isolates to antibiotics was determined using Kirby-Bauer disc diffusion method. Results obtained from the structured questionnaire used for demographic data were statistically analyzed. The prevalence of UTI among pregnant women was 24.2%. The isolates recovered include; Escherichia coli (24.1%), Klebsiella spp. (18.5%), Proteus mirabilis (7.4%), Pseudomonas spp. (5.6%) and Staphylococcus aureus (44.4%). Gram negative bacteria were most susceptible to Cefuroxine (63%) and resistant to Ceftazidine (80.7%). Gram positive isolates were susceptible to Levofloxacin (100%) but resistant to Amoxicillin (83.3%). Both Gram negative and Gram positive organisms were recovered from UTI of pregnant women and were found to be sensitive to Cefuroxine and Levofloxacin respectively. There is need for proper diagnosis of UTI before treatment to avoid resistance of uropathogens to antibiotics.
Tài liệu tham khảo
Agersew A., Feleke M., Yitayai S., Ketema T., Afework K., Abebe A. (2012): Bacterial profile and drug susceptibility pattern of urinary tract infection in pregnant women at University of Gonden Teaching Hospital, Northwest Ethiopia. BMC Res. Notes 5, 197- 204
Akpan N. G., Umoyen A. J., Luka T. T., Esua I. S., Okon A. S., Antia U. E. (2019) : Bacterial etiology agents, prevalence and associated risk factors of asymptomatic bacteriuria among pregnant and non-pregnant women in primary health care centers in South-South Nigeria. Inter. J. Med. Health Res. 5(6), 66-76
Ali M., Abdallah M. S. (2019): Prevalence of urinary tract infection among pregnant women in Kano, Northern Nigeria. Arch. Reprod. Med-Sex Health 2(1), 23-29
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. Sci. Rep. 12, 1419
Amiri M., Lavasani Z., Norouzirad R., Najibpour R., Mohamadpour M., Nipkoor A. R., Raeisi M., Marzouni H. Z. (2015): Prevalence of urinary tract infection among pregnant women and it’s complications in their newborns during the birth in the hospoitals of Dezful city, Iran, 2012-2013. Iran. Red Cres. Med. J. 17(8), e26946
Baba R. T., Adedayo M. R., Awe S., Bale M. I. (2023): Antimicrobial susceptibility of urinary bacterial isolates of pregnant women attending antenatal clinics of selected hospitals in Ilorin, Nigeria. Afr. J. Clin. Exp. Microb. 24(1), 102-109
Baker P. N., McEwan A. S., Arulkumaran S., Datta S. T., Mahmood T. A., Reid F., Aiken C. (2015): Obstetrics: Prepare for MRCOG: Key articles from Obstetrics, Gynaecology, Reprod. Med. J. UK. Elselvier Health Sci. Cheesbrough M. District laboratory practice in tropical countries. Cambridge University Press, UK, 2016.
Egwari L. O. (1997): Assessment of pyuria and bacteria count for the determination of significant bacteria. Nig. Med. J. 23(2), 45-50
Ekwealor C. C., Alaribe O. J., Ogbukagu C. M., Alaribe J. R., Kyrian-Ogbonna E. A. (2021): Urinary tract infections and antimicrobial sensitivity patterns of uropathogens isolated from diabetic and non-diabetic patients attending some hospitals in Awka. American J. Microb. Res. 9(3), 83-91
El-Kashif M. M. L. (2019): Urinary tract infection among pregnant women and its associated risk factors. A cross-sectional study. Biomed. Pharm. J. 12(4), 2003 - 2010
Farazi A., Jabbariasl M. (2019): Asymptomatic bacteriuria in pregnancy in the central region of Iran: Frequency, risk factors and causative organisms. Clin. Epid. Glob. Health 7(3), 309 -312
Garnizov T. M. (2016): Asymptomatic bacteriuria in pregnancy from the perspective of public health and maternal health care: review and case report. Biotech. Biotech. Equip. 30(3), 443-447
Johnson B, Stephen B. M., Joseph N., Asiphad O., Musa K., Taseera K. (2021): Prevalence and bacteriology of culture-positive urinary tract infections among pregnant women with suspected urinary tract infection at Mbarara regional referral hospital, South-West Uganda. BMC Pregnancy Childbirth 21, 159
Kaambo E., Africa C. W. J. (2017): The threat of aerobic vaginitis to pregnancy and neonatal morbidity. Afri. J. Reprod. Health 21(2), 109-118
Kaduma J., Seni J., Chuma C., Kirita R., Mujuni F., Mushi M. F. et al. (2019): Urinary tract infections and preeclampsia among pregnant women attending two hospitals in Mwanza city, Tanzania: A1:2 matched case control study. BioMed Res. Inter. Article ID 3937812
Kant S., Loliya A., Kapil A., Gupta S. K. (2017): Urinary tract infection among pregnant women at a secondary level hospital in Northern India. Ind. J. Pub. Health 61(2), 118-123.
Karikari A. B., Saba C. K. S., Yamik D. Y. (2020): Assessment of asymptomatic bacteriuria and sterile pyuria among antenatal attendants in hospitals in Northern Ghana. BMC Pregnancy Childbirth 20, 239-247
Kish L. (1965): Survey sampling. John Wiley and Sons, Inc. New York.
Lee A. C., Mullany L. C., Koffi A. K., Rafiqulla I., Khanam R., Folger, L. V., et al. (2020): Urinary tract infections in a rural population of Bangladesh: population-based prevalence, risk factors, etiology and antibiotic resistance. BMC Pregnancy Childbirth 20, 1
Li W., Sun E., Wang Y., Pan H., Hang Y., Li Y. (2019): Rapid identification and antimicrobial susceptibility testing for urinary tract pathogens by direct analysis of urine samples using a MALD-TOFMS based combined protocol. Front. Microbiol. 10, 6
Loh K. Y., Silvslingan L. (2007): Urinary tract infections in pregnancy. Malay. Fam. Physic. 12(2), 54-57
MacLean A. (2001): Urinary tract infection in pregnancy. Inter. J. Antimicrob. Agents 17(4), 273-277
Mahmoud M. A. D., Kamel A. D., Amed S. I., El-Hamed A. A. (2019): Prevalence of urinary tract infections among pregnant women at Sohag University Hospital. Egypt. Nurs. J. 16(3), 162-174
Mohamed N. R., Omar H. H. H., Abd-Allah I. M. (2017): Prevalence and risk factors of urinary tract infection among pregnant women in Ismailia City, Egypt. IOSR J. Nurs. Health Sci. 6(3), 62-72
Muhammed M. (2015): Urinary tract infections amongst pregnant women attending a medical centre in Kaduna, Nigeria. Afri. J. Clin. Expt. Microbiol. 16(1), 7-11
Nester I., Eugene W. Microbiology, a human perspective. 2nd Edn. Pp.609
Odongo C. O., Anywar D. A., Luryamamoi K., Odongo P. (2013): Antibiogram from community-acquired uropathogens in Gulu, Northern Uganda- a cross sectional study. BMC Infect. Dis. 13, 193
Onyango H. A., Ngugi C., Maina J., Kiiru, J. (2018): Urinary tract infection among pregnant women at Pumwani maternity hospital, Nairobi, Kenya: Bacterial Etiologic agents, antimicrobial susceptibility profiles and associated risk Plos K., Lomberg H. H., Johansson I., Svanborg C. (1991): E. coli in patients with renal sarring: hemotype and phenotype of Gal alpha 1-4 GelbetaForssma and mannose-specific adhesion. Paed. Infect. Dis. J. 1991; 10(1): 15-19
Sekikubo M., Hedman K., Mirembe F., Brauner A. (2017): Antibiotics overconsumption in pregnant women with urinary tract symptoms in Uganda. Clin. Infect. Dis. 65(4), 544-550
Stamm W. E., Norrby S.R (2001): Urinary tract infections: disease panorama and challenges. J. Infect. Dis. 183(1), S1-S4
Taye S., Getachew M., Desalengn N., Biratu A. K. (2018): Bacteria profile, antibiotic susceptibility pattern and associated factors among pregnant women with urinary tract infection in Goba and Sinana Woredas, Bale Zone, Southeast Ethiopia. BMC Res. Notes 11(1), 799
Thakur S., Nepal K. L. (2020): Urinary tract infection in pregnant women at Kathmandu, Nepal J. Med. Care Res. Rev. 3(9), 454-458
Tibyangye J., Okechi M., Nyabayo J., Nakavuma J. (2015): In vitro antibacterial activity of Ocimum sauva essential oils against uropathogens isolated from patients in selected hospitals in Bushenyi district, Uganda. Brit. Microbiol. Res. J. 8(3), 490-498
Top K. A., Buet A., Whitter S., Ratner A. J., Saiman L. (2012): Predictors of Staphylococcus aureus rectovaginal colonization in pregnant women and risk factors for material and neonatal infections. J. Paed. Infect. Dis. Soc. 1(1), 7-15
Vicar E. K., Acquah S. E. K., Wallana W., Kuugbee E. D., Osbutey E. K., Aidoo A., Acheampong E., Mensah G. I. (2023): Urinary tract infection and associated factors among pregnant women receiving antenatal care at a primary health care facility in the Northern Region of Ghana. Inter. J. Microbiol. 2, 3727265
Younis M., Ajroud S., Elgade L. H., Uahua A. S., Elzahaf R. A. (2019): Prevalence of urinary tract infection among pregnant women and its risk factors in Derna City. Scholars Inter. J. Obst. Gynecol. 2(8), 219-223
Lượt tải xuống
Đã Xuất bản
Số
Chuyên mục
Giấy phép
Bản quyền (c) {copyrightHolder}

Tác phẩm này được cấp phép theo Giấy phép Creative Commons Ghi công 4.0 Quốc tế.