Urinary Tract Infections In Pregnancy

Sonkusare, Shipra (2008) Urinary Tract Infections In Pregnancy. Asian Journal of Obs and Gynae Practice, 3. pp. 32-37.

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Abstract

Urinary tract infections (UTls) often complicate pregnancy. They account for almost 10% of the outpatient visits by pregnant women. They can be in the form of asymptomatic bacteriuria, cystitis or pyelonephritis. Pregnancy, per se, increases the risk for UTls due to the accompanying physiological changes. As they cause maternal as well as fetal complications, their identification becomes important. Urine culture remains the criterion standard for the diagnosis of UTls and should be done in the first prenatal visit. Escherichia coli is still the commonest organism responsible for UTls in pregnancy, but is increasingly resistant to ampicillin. Asymptomatic bacteriuria, though not treated in nonpregnant condition, needs to be treated in pregnancy owing to its complications like cystitis in the mother and premature delivery, intrauterine growth retardation in the fetus. Antibiotics like cephalexin and nitrofurantoin can be safely given during pregnancy. The duration of therapy should be 10-14 days in pregnancy. Other behavioral modifications like maintenance of hygiene and plenty of fluid intake remain an integral part of the treatment.

Item Type: Article
Subjects: Medicine > KMC Manipal > Obstetrics & Gynaecology
Depositing User: KMC Manipal
Date Deposited: 05 Sep 2013 04:50
Last Modified: 05 Sep 2013 04:50
URI: http://eprints.manipal.edu/id/eprint/137057

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