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Epidemiology of urinary tract infections and antibiotics sensitivity among pregnant women at Khartoum North Hospital.doc

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Epidemiology of urinary tract infections and antibiotics sensitivity among pregnant women at Khartoum North Hospital

Hamdanetal.AnnalsofClinicalMicrobiologyandAntimicrobials2011,10:2 /content/10/1/2 RESEARCH OpenAccess Epidemiologyofurinarytractinfectionsand antibioticssensitivityamongpregnantwomen atKhartoumNorthHospital HamdanZHamdan1,AbdelHaliemMZiad2,SalahKAli3,IshagAdam4* Abstract Background:Urinarytractinfections(UTI)canleadtopoormaternalandperinataloutcomes.Investigating epidemiologyofUTIandantibioticssensitivityamongpregnantwomenisfundamentalforcare-giversandhealth planners. Methods:AcrosssectionalstudyhasbeenconductedatKhartoumnorthteachinghospitalAntenatalCareClinic betweenFebruary-June2010,toinvestigateepidemiologyofUTIandantibioticsresistanceamongpregnant women.Structuredquestionnaireswereusedtogatherdatafrompregnantwomen.UTIwasdiagnosedusingmid streamurinecultureonstandardculturemedia Results:Outof235pregnantwomenincluded,66(28.0%)weresymptomaticand169(71.9%)asymptomatic.the prevalenceofbacteriuriaamongsymptomaticandasymptomaticpregnantwomenwere(12.1%),and(14.7%) respectively,withnosignificantdifferencebetweenthetwogroups(P=0.596),andtheoverallprevalenceofUTI was(14.0%).Inmultivariateanalyses,age,gestationalage,parity,andhistoryofUTIinindexpregnancywerenot associatedwithbacteriuria.Escherichiacoli(42.4%)andS.aureus(39.3%)werethecommonestisolatedbacteria. Four,2,2,3,4,2and0outof14E.coliisolates,showedresistancetoamoxicillin,naladixicacid,nitrofurantoin, ciprofloxacin,co-trimoxazole,amoxicillin/clavulanateandnorfloxacin,respectively Conclusion:Escherichiacoliwerethemostprevalentcausativeorganismsandshowingmultidrugresistance pattern,asymptomaticbacteriuriaismoreprevalentthansymptomaticamongpregnantwomen.Urineculturefor screeninganddiagnosispurposeforallpregnantisrecommended. Introduction Furthermore, it has been observed that asymptomatic Duetoseveralanatomicalandhormonalchanges,preg- bacteriuria can lead to cystitis and pyelonephritis [5] nant women are more susceptible to develop Urinary which can lead to acute respiratory distress, transient tract infections (