Prevalence of Uropathogenic Escherichia coli Among Pregnant Women at Adeoyo Maternity Hospital, Ibadan, Oyo State
DOI:
https://doi.org/10.63561/jhssr.v2i4.1115Keywords:
Bacteriuria, Prevalence, Urinary Tract Infection, Uropathogenic, E. coliAbstract
The study assessed the prevalence of Uropathogenic Escherichia coli (UPEC) and related factors isolated from the urine samples of pregnant women seeking antenatal care at Adeoyo maternity clinic. UPEC have been noted to be the most common bacterial infection reported in pregnancy. Pregnant women are more predisposed to UTI due to hormonal and physiological changes in the urinary tract including ureteral dilatation and changes in bladders volume and tone. A total of 218 Fresh void Midstream urine samples collected from the participants were analyzed using standard microbiological methods. Isolates were identified by standard biochemical methods while a well-structured questionnaire was used to collect data from the participants on cofactors. Out of the 218 urine samples analyzed, (45.4%) had significant bacteriuria indicating presence of UTI. Among those that had positive bacteriuria, UPEC accounted for 9.3%, while Klebsiella (20.4%), Staphylococcus (8.3%), Candida (6.9%), Proteus (0.9%), and Enterococcus (0.5%). Parity was found to be significantly associated with bacteriuria (p value = 0.019), while patients’ age, gestational age, occupation, marital status, level of education and history of UTI did not have any significant association with UTI (p value >0.05). The study concluded Uropathogenic Escherichia coli as the second most predominant pathogen after Klebsiella species. It further showed that parity was significantly associated with UTI in pregnancy, it is therefore important to regularly carryout routine surveillance and monitoring to update clinicians on the prevalent pathogens and their associated risk factors which may be a guide in rational and empirical UTI treatment in pregnancy.
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