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Indonesian Journal of Clinical Pathology and Medical Laboratory

ISSN 0854-4263

Vol. 12 / No. 3 / Published : 2006-07

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Original Article :

Bacteria pattern and antibiotic susceptibility test of pregnant women with asymptomatic bacteriuria)

Author :

  1. L.P. Kalalo*1
  2. Aryati*2
  3. B. Subagjo*3
  1. Bagian/Laboratorium Patologi Klinik RSU Dr. Soetomo Surabaya
  2. Bagian/Laboratorium Patologi Klinik RSU Dr. Soetomo Surabaya
  3. Bagian/Laboratorium Patologi Klinik RSU Dr. Soetomo Surabaya

Abstract :

Asymptomatic bacteriuria is defined as bacteriuria consisting of one type of bacteria ³ 105 CFU/mL in clean-voided midstream culture of a person without any symptoms of urinary tract infection. Untreated asymptomatic bacteriuria is dangerous for pregnancy because complications such as pyelonephritis, maternal sepsis, premature birth, and premature rupture of the membrane, low birth weight baby, hypertension and or preeclampsia, anaemia in pregnancy, amnionitis and post delivery endometriosis can arise. Some asymptomatic cases could threaten the pregnant woman and her foetus without prior pyelonephritis symptoms. The purpose of this study was to determine the pattern of bacteria in asymptomatic bacteriuria pregnant women and their antibiotic sensitivity. This study has been carried out between October 2003 and April 2004 on 376 pregnant women without symptoms of urinary tract infection. Screening was performed using urine culture, followed by antibiotic susceptibility test. The study showed that the prevalence of asymptomatic bacteriuria among pregnant women in RSU Dr. Soetomo was 9.85% (37 out of 376 pregnant women without urinary tract infection). Thirteen bacterial types were found in those 37 positive samples. The most common bacteria found was Escherichia coli (37.83%). This bacterium was sensitive to ceftriaxone (85.71%), nitrofurantoin (64.28%) and amoxicillin-clavulanic acid (57.14%). Based on the data gained in this study, it is concluded that the prevalence of pregnancy cases with asymptomatic bacteriuria in the Dr. Soetomo Hospital is significantly high (9.85%). The most recommended drugs are ceftriaxone, amoxicillin-clavulanic acid and nitrofurantoin.

Keyword :

asymptomatic bacteriuria, pregnant women, antibiotic susceptibility test,


References :

  1. Carreno, (2002). Urinary Tract Infections in pregnancy. Up to Date 10:2. www.uptodate.com (accesed Oktober 5, 2003). - : -
  2. Funai, (2002). Urinary Tract Infections in pregnancy. Up to Date 10:2. www.uptodate.com (accesed Oktober 5, 2003). - : -
  3. Hooton, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  4. Scholes, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  5. Stapleton, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  6. Roberts, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  7. Winter, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  8. Gupta, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  9. Samadpour, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  10. Stamm, (2000). A Prospective Study of Asymptomatic Bacteriuria in sexually active young women. NEJM. - : -
  11. Nicolle, (2000). Asymptomatic Bacteriuria-Important or Not?, NEJM. - : -
  12. Delzell, (2000). Urinary Tract Infections During Pregnancy. file://D:\UTI PREG\Urinary Tract Infections During Pregnancy. - : -
  13. Lefevre, (2000). Urinary Tract Infections During Pregnancy. file://D:\\UTI PREG\\Urinary Tract Infections During Pregnancy. - : -
  14. Lindheimer, (2000). Renal Physiology and Disease in Pregnancy, 3rd ed.. Philadelphia : Lippincott Williams & Wilkins
  15. Katz, (2000). Renal Physiology and Disease in Pregnancy, 3rd ed.. Philadelphia : Lippincott Williams
  16. Nicolle, (2003). Screening for Asymptomatic Bacteriuria in Pregnancy. http://www.hc-sc.gc.ca/hppb/dff/ clinical I preventive/s1ceg.pdf (accesed Oktober 5, 2003). - : -
  17. Bass, (2003). Urinary Tract Infections. Primary Care;
    Clinics in office practice. - : -
  18. DiGuiseppi, (1996). Screening for Asymptomatic Bacteriuria. In: Guide to Clinical Preventive Services. 2nd ed. U.S. Preventive services task force, Office of Disease prevention and health promotion. Washington DC: U.S, Departement of Health and Human Services. - : -
  19. Baines, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  20. Goodman, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  21. Richardson, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  22. Gideon, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  23. Harvey, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  24. Seidenfeld, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  25. Buckley, (2001). Indication for urine culture. Guidelines for clinical laboratory practice. The Ontario association of medical laboratories. http://www.oaml.com (accesed Oktober 5, 2003). - : -
  26. Mc Nair, (2000). Evaluation of the centrifuged and Gram-stained smear,
    urinalysis, and reagent strip testing to detect Asymptomatic Bacteriuria in obstetric patients. Am J Obstet Gynecol. - : -
  27. Mac Donald, (2000). Evaluation of the centrifuged and Gram-stained smear,
    urinalysis, and reagent strip testing to detect Asymptomatic Bacteriuria in obstetric patients. Am J Obstet Gynecol. - : -
  28. Dooley, (2000). Evaluation of the centrifuged and Gram-stained smear,
    urinalysis, and reagent strip testing to detect Asymptomatic Bacteriuria in obstetric patients. Am J Obstet Gynecol. - : -
  29. Peterson, (2000). Evaluation of the centrifuged and Gram-stained smear,
    urinalysis, and reagent strip testing to detect Asymptomatic Bacteriuria in obstetric patients. Am J Obstet Gynecol. - : -
  30. , (2003). Prodigy Quick reference guide. Lower UTI in pregnant women.www.prodigy.nhs.uk/guidance.aspgt=UTI(lower)-
    women (accesed Oktober 5, 2003). - : -
  31. Chessbrough, (1994). Medical laboratory a manual for tropical countries, 1st ed. Britain, Educational Low- Princed Books Scheme. - : -
  32. Isenberg, (1998). Processing and interpretation of urine cultures. In: Essential proccedures for clinical microbiology.
    . Washington DC : ASM Press
  33. Smith, (2003). Urine culture. http//www.chelibrary.org/ micromed/00069750.html. - : -
  34. UTI PREG, (2002). High-Risk Pregnancy. Urinary Tract and Kidney Infections. File://D:UTI PREG\High-Risk Pregnancy – Urinary Tract and Kidney Infections.htm,accesed Oktober 5, 2003).. - : -
  35. Cattel, (1998). Host factors in the pathogenesis of urinary tract infections. In: Davidson AM, Cameron JM, Grunfeld JP, Kerr DNS, Ritz E, Winearls CG. Oxford text book of clinical nephrology, 2nd ed. . - : -
  36. Jones, (1998). Host factors in the pathogenesis of urinary tract infections. In: Davidson AM, Cameron JM, Grunfeld JP, Kerr DNS, Ritz E, Winearls CG. Oxford text book of clinical nephrology, 2nd ed. . - : -


   


Archive Article

Cover Media Content

Volume : 12 / No. : 3 / Pub. : 2006-07
  1. Sepsis diagnosis by procalcitonin
  2. The haematology reference value of healthy adult people based on sysmex xt-1800i
  3. Bacteria pattern and antibiotic susceptibility test of pregnant women with asymptomatic bacteriuria)
  4. Bacterial pattern and it’s sensitivity in patients suffering from urinary tract infection
  5. Diagnostic test of plasmodium malaria by immunochromatographic method compared to microscopic examination
  6. Troponin t value/ctnt of patients with acute coronary syndrome)
  7. Plasma cell leukemia
  8. The implementation of concept mapping for quality management in a clinical laboratory
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