TITLE:
Asymptomatic Bacteriuria in Pregnant Women in the Antenatal Booking Clinic at Aminu Kano Teaching Hospital, Kano, Nigeria
AUTHORS:
Kani Yamuna Aminu, Umar Usman Aliyu
KEYWORDS:
Asymptomatic Bacteriuria, Antenatal Booking Clinic, AKTH-Kano
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.5 No.5,
May
27,
2015
ABSTRACT: Asymptomatic bacteriuria is common in
pregnant women and if untreated could lead to serious complications. Despite
this, its prevalence and microbiological characteristics have not been well
studied in Kano and they vary among different populations. The objective of the
study was to determine the prevalence, microbiological characteristics and
pregnancy outcome of asymptomatic bacteriuria in pregnancy among women who came
for antenatal booking clinic at the Aminu Kano Teaching Hospital (AKTH) Kano. A
cross sectional descriptive study was conducted among randomly selected 200
consenting pregnant women who came for antenatal booking from November 2010 to
January 2011. Samples of 10 - 15 mls urine were examined for pus cells and
bacteria and then cultured on cysteine lactose electrolyte deficient agar.
Colony counts yielding bacterial growth of 105/ml or more of pure isolates were
deemed significant. Isolates were identified to specie level. Antibiotic
sensitivity test was done, treatment was given and pregnancy outcome was
determined. Urinalysis and Full Blood Count were done. The prevalence of
asymptomatic bacteriuria in pregnancy was 9%. Parity and Pyuria had
statistically significant association with asymptomatic bacteriuria (P Klebsiellaspp. andStaphylococcus saprophyticus.
Following treatment of asymptomatic bacteriuria, there was no statistically
significant difference in pregnancy outcome compared to patients who did not
have the condition. The incidence of asymptomatic bacteriuria in pregnancy in
AKTH is low. Screening of pregnant women using urine microscopy culture and
sensitivity should be reserved for pregnant women with higher risk of
developing asymptomatic bacteriuria.