Preliminary Assessment of Asymptomatic Bacteriuria in Pregnancy

| Posted in: Science Health Sciences Journals

Journal name: The Malaysian Journal of Medical Sciences
Original article title: A Preliminary Assessment of Asymptomatic Bacteriuria of Pregnancy in Brunei Darussalam
The Malaysian Journal of Medical Sciences (MJMS) is a peer-reviewed, open-access journal published online at least six times a year. It covers all aspects of medical sciences and prioritizes high-quality research.
This page presents a generated summary with additional references; See source (below) for actual content.

Original source:

This page is merely a summary which is automatically generated hence you should visit the source to read the original article which includes the author, publication date, notes and references.

Author:

Siti Hanna MUHARRAM, Siti Nur Bazilah GHAZALI, Hajah Roselina YAAKUB, Oduola ABIOLA


Download the PDF file of the original publication


The Malaysian Journal of Medical Sciences:

(A peer-reviewed, open-access journal)

Full text available for: A Preliminary Assessment of Asymptomatic Bacteriuria of Pregnancy in Brunei Darussalam

Year: 2014

Copyright (license): CC BY 4.0


Summary of article contents:

Introduction

Asymptomatic bacteriuria is characterized by significant bacterial growth in urine cultures without any clinical symptoms. This condition is particularly concerning during pregnancy due to its potential impact on maternal and fetal health. The study aimed to investigate the prevalence of asymptomatic bacteriuria among pregnant women attending the Raja Isteri Pengiran Anak Saleha (RIPAS) Hospital in Brunei Darussalam. The findings are significant for understanding the local health landscape and addressing preventive measures necessary to safeguard maternal-fetal health.

Prevalence of Asymptomatic Bacteriuria

The study found that the prevalence of asymptomatic bacteriuria among the pregnant women tested was 4.1%, with urine samples showing significant bacterial growth in seven out of 170 participants. The identified pathogens were predominantly Klebsiella species (2.94%) and Escherichia coli (1.18%). Importantly, these bacterial strains exhibited sensitivity to common antibiotics such as amoxicillin, vancomycin, tetracycline, and erythromycin. This underscores the necessity for routine screening of asymptomatic bacteriuria in pregnant women to prevent adverse health outcomes that can arise from untreated infections, such as urinary tract infections and complications like preterm labor.

Conclusion

The research highlighted an essential aspect of maternal health, revealing that Brunei has a similar prevalence of asymptomatic bacteriuria to other Southeast Asian countries. Given the significance of detecting and treating this condition for improving pregnancy outcomes, the study advocates for the implementation of routine urine microscopy, culture, and sensitivity tests in antenatal care settings. The authors intend to extend their research further to encompass a broader population across different administrative districts, providing vital data for enhanced clinical management and national health planning regarding maternal and neonatal health.

FAQ section (important questions/answers):

What is asymptomatic bacteriuria and its significance in pregnancy?

Asymptomatic bacteriuria is the presence of bacteria in urine without symptoms. It can lead to urinary tract infections and serious complications for both mother and fetus, including preterm labor and maternal septicaemia if left untreated.

What was the prevalence of asymptomatic bacteriuria in the study?

The study found a prevalence of 4.1% for asymptomatic bacteriuria among 170 pregnant women attending RIPAS Hospital, with seven participants showing significant bacterial growth in their urine samples.

Which bacteria were identified in the study and their sensitivity?

The bacteria identified were Klebsiella species (2.94%) and Escherichia coli (1.18%). Both organisms were sensitive to antibiotics like amoxicillin, vancomycin, tetracycline, and erythromycin.

What are the potential complications of untreated asymptomatic bacteriuria during pregnancy?

Untreated asymptomatic bacteriuria can lead to complications like preterm labor, maternal septicaemia, premature delivery, intrauterine growth retardation, and postpartum endometritis, affecting both maternal and fetal health.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Preliminary Assessment of Asymptomatic Bacteriuria in Pregnancy”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Pregnant:
The term 'pregnant' refers to women who are carrying a developing fetus. This status is crucial for the study as the focus is on asymptomatic bacteriuria during pregnancy, affecting maternal health and fetal development. Pregnant women experience physiological changes that influence their risk of urinary tract infections, making this population significant for research.

2) Study (Studying):
A 'study' is a systematic investigation contributing to knowledge. The study context here is the examination of asymptomatic bacteriuria prevalence among pregnant women. Its outcomes aim to enhance understanding of this condition's impact on maternal health, guiding appropriate clinical interventions. The study's design, methodology, and findings are pivotal for healthcare professionals.

3) Table:
In research, a 'table' is a structured representation of data that summarizes findings for easy reference. Tables display results, like prevalence rates of bacteria isolated from urine samples. They facilitate comparison and understanding of data trends. The inclusion of tables enhances the clarity and presentation of statistical information, crucial for scientific communication.

4) Species:
'Species' refers to distinct categories of organisms. In the context of this study, it indicates the specific bacteria identified in urine cultures of pregnant women. Understanding which species are present informs treatment strategies and antibiotic susceptibility, helping healthcare professionals effectively address urinary infections and prevent complications associated with asymptomatic bacteriuria.

5) Attending:
'Attending' denotes the act of being present, particularly in a medical context where patients visit healthcare facilities. In this study, pregnant women attending the antenatal clinic at RIPAS Hospital are the focus. Their attendance enables systematic data collection on asymptomatic bacteriuria, facilitating the understanding of how prevalent this condition is among this demographic.

6) Disease:
'Disease' refers to a pathological condition affecting bodily functions, particularly relevant to the study of asymptomatic bacteriuria. This condition can lead to further complications, including urinary tract infections, if not identified and treated. Understanding the diseases linked to asymptomatic bacteriuria is vital for establishing preventive and therapeutic measures for pregnant women.

7) Ghana:
'Ghana' is a West African country referenced in the study to illustrate the prevalence of asymptomatic bacteriuria in comparison to other regions. The mention emphasizes geographical variations in health data, supporting the necessity for local research tailored to specific populations, highlighting the need for context-sensitive healthcare interventions to address public health issues.

8) Antibiotic (Antibacterial):
The term 'antibacterial' refers to substances that inhibit bacterial growth or kill bacteria. This is relevant to the study's focus on identifying effective treatments for asymptomatic bacteriuria. Evaluating the antibacterial properties of specific agents is crucial for developing strategies to manage urinary infections in pregnant women and prevent potential complications.

9) Blood:
'Blood' is a vital bodily fluid involved in numerous physiological functions. In the study, blood agar serves as a culture medium for detecting bacteria. Utilizing blood as a culture component provides essential nutrients for bacterial growth, facilitating the identification of pathogens. Thus, blood is crucial for microbiological research and diagnostics.

10) Chan:
'Chan' refers to one of the authors whose work might be cited in the study. Citing authors provides credibility and acknowledgment of previous research contributions. It situates the current study within the existing body of knowledge, allowing readers to explore related findings and methodologies, fostering a comprehensive understanding of asymptomatic bacteriuria.

11) Field:
'Field' refers to a specific area or discipline of study, which in this context relates to medical research and microbiology. The field encompasses clinical practices and laboratory investigations aimed at understanding bacterial infections such as asymptomatic bacteriuria. It represents the professional environment where research is conducted and applied to patient care.

12) Performance:
'Performance' in this context relates to the effectiveness of diagnostic tests and treatments in detecting and managing asymptomatic bacteriuria. The study's emphasis on performance metrics aids in establishing the reliability of urine cultures and antibiotic susceptibility tests, facilitating potentially better outcomes for pregnant women through informed healthcare practices.

13) Container:
'Container' refers to the sterile vessels used to collect and transport urine samples in the study. Proper handling and sterility of containers are critical to prevent contamination, ensuring the accuracy of culture results. The choice of containers plays directly into the study's methodological rigor and integrity of the collected data.

14) Teaching:
'Teaching' signifies the educational aspect within the medical field related to the findings. The study provides valuable insights that inform healthcare providers and enhance their understanding of asymptomatic bacteriuria management, fostering better prenatal care practices. This knowledge transfer is integral to improving clinical outcomes for mother and child.

15) Science (Scientific):
'Science' is the systematic enterprise that builds and organizes knowledge through testable explanations and predictions. This study exemplifies scientific inquiry, contributing to medical and microbiological knowledge about asymptomatic bacteriuria. Findings from the research enrich the scientific community's understanding and guide future studies aimed at improving maternal health.

16) Labour (Labor):
'Labour' refers to the process of childbirth and its associated risks. The study highlights complications such as preterm labour linked to untreated asymptomatic bacteriuria, emphasizing the need for timely detection. Understanding the implications of bacterial infections on labour outcomes is critical for maternal and neonatal care practices within healthcare systems.

17) India:
'India' is another geographical reference in the study, meant to compare the prevalence of asymptomatic bacteriuria in different regions. Each country presents unique healthcare challenges and demographics, underscoring the importance of localized studies to assess health issues. The mention of India serves to contextualize the findings and their relevance in a broader scope.

18) Rules:
'Rules' in this context refers to the established guidelines and protocols for conducting research and clinical practices. The study adheres to ethical rules and scientific methods, ensuring that the investigation into asymptomatic bacteriuria is reliable and meets healthcare standards. This adherence is critical for the integrity and applicability of the findings.

19) Vila:
'Vila' indicates an author whose contributions may bolster the research credibility through previous work cited in the study. Recognizing and referencing established researchers contextualizes the current study within recognized scientific discourse, promoting a better understanding of the evolution of knowledge surrounding asymptomatic bacteriuria during pregnancy.

20) Ali (Alli):
'Alli' is likely another author's name referenced to give credit and establish credibility within the context of the research. Citing experienced authors like Alli not only acknowledges their contributions but also connects this study to the ongoing discourse on maternal health and in-depth bacteriuria investigations, enriching the academic dialogue.

21) Rice (Rce):
'Rice' identifies another contributor in the research context. Authors like Rice play a vital role in shaping the discourse around medical topics. Their prior work or familiarity with bacteriuria research lends credibility to new findings, encouraging further exploration of their implications in the field of maternal and child health.

22) Post:
'Post' typically refers to a period after a significant event, such as postpartum recovery following childbirth. Understanding the implications of untreated asymptomatic bacteriuria on postpartum health is crucial, as complications like urinary tract infections can persist, emphasizing the need for continuous monitoring and management to safeguard maternal health.

23) Man (Men):
'Maan' as an author includes another perspective contributing to the medical investigation. Each author like Maan brings unique expertise, fostering a multidisciplinary approach in addressing health issues like asymptomatic bacteriuria. This collaboration is essential for optimizing research effectiveness and enhancing understanding of complex medical conditions affecting pregnant women.

24) Pur:
'Poor' describes a state of decreased quality such as health or hygiene. This term signifies socioeconomic factors that elevate the risk of asymptomatic bacteriuria, especially in vulnerable populations. Acknowledging these factors aids in tailoring interventions targeting pregnant women, promoting healthcare equity and addressing barriers that may hinder effective treatment.

25) Discussion:
'Discussion' in research refers to the section where findings are interpreted and contextualized. It provides a platform for correlating results with existing literature and addressing implications. This section is critical, as it bridges study outcomes with practice, offering insights on preventing and managing asymptomatic bacteriuria in pregnant women effectively.

26) Developing:
'Developing' indicates a process of growth or change, often used in public health contexts to describe regions or sectors experiencing progression. The study includes developing nations, highlighting unique healthcare challenges faced by pregnant women, pointing out disparities in maternal health management. Understanding these dynamics is essential for crafting tailored health solutions.

27) Activity:
'Activity' refers to any action or behavior, particularly relevant in healthcare discussions. In the study, activity may encompass health-seeking behaviors among pregnant women regarding symptoms or screenings for infections. Analyzing these activities can inform interventions that promote timely diagnoses and appropriate treatment of bacteriuria, enhancing maternal health outcomes.

28) Hygiene (Hygienic):
'Hygiene' refers to practices contributing to health and prevention of disease. In the study, hygiene is associated with the risk factors for asymptomatic bacteriuria, where poor hygiene may lead to bacterial colonization. Understanding hygiene practices among pregnant women is vital for developing educational interventions that promote improved health behaviors and outcomes.

29) Reason:
'Reason' signifies the explanation or justification for actions, critical in identifying factors influencing health outcomes. In the study, establishing the reasons for asymptomatic bacteriuria prevalence among pregnant women aids healthcare providers in implementing targeted strategies to mitigate risks and enhance preventive measures relevant to maternal health.

30) Filling (Filled):
'Filled' typically pertains to the state of being full, particularly in the research context where sample collection methods are discussed (e.g., containers filled with ice). This term emphasizes the importance of proper handling and condition of specimens during the research phase to preserve integrity, ensuring accurate laboratory results.

31) Catching (Catch, Catched):
'Catch' can refer to the process of capturing or collecting specimens, relating to urine sample collection in the study. In this context, utilizing proper collection methods is crucial for minimizing contamination and ensuring that accurate data regarding the presence of bacteria in pregnant women is gathered effectively.

32) Raja:
'Raja' refers to a title of nobility, but here it signifies the Raja Isteri Pengiran Anak Saleha Hospital, the study site. This institution is significant for maternal health research in Brunei Darussalam, providing insights into local health challenges, emphasizing its role in understanding and addressing asymptomatic bacteriuria during pregnancy.

33) Hand:
'Hand' typically denotes the part of the body important for performing various actions, including hygiene practices. In the context of this study, hand hygiene is pivotal for preventing infections, emphasizing how proper handwashing and care can help mitigate the risk of asymptomatic bacteriuria and related complications for pregnant women.

Other Health Sciences Concepts:

[back to top]

Discover the significance of concepts within the article: ‘Preliminary Assessment of Asymptomatic Bacteriuria in Pregnancy’. Further sources in the context of Health Sciences might help you critically compare this page with similair documents:

Pregnant women, Premature delivery, Infectious disease, Bacterial infection, Anaemia, Socioeconomic status, Clinical significance, Ethical principle, Ethical committee, Study population, Early detection, Ethical committee approval, Antenatal Care, Neonatal health, Cross-sectional study, Intrauterine growth retardation, Study Procedure, Escherichia coli, Urinary tract infection, Experimental protocol, Sample collection, Specimen collection, Bacterial growth, Culture and Sensitivity, Urine sample, Asymptomatic bacteriuria, Urine culture, Risk factor, Pus cells, Colony forming unit, Significant growth, Antibiotic Sensitivity Testing, Bacterial isolate, Antibiotic susceptibility testing, Tetracycline, Mixed infection, Common risk factors, Antibiotic sensitivity, Klebsiella species, Amoxicillin, Antimicrobial sensitivity, Specimen processing, Vancomycin, Chorioamnionitis, Pre-eclampsia, Urine specimens, Antimicrobial sensitivity testing, Second or third trimester, Antenatal patients, Associated risk factors, Erythromycin, Antenatal clinic, Pregnancy Complication, Antibiotic discs, Clinical symptom, Bacteriuria in pregnancy, Screening and Treatment, Antenatal mother, Department of Obstetrics and Gynaecology, Diagnostic approaches, Rural community, Urine microscopy, Prevalence of asymptomatic bacteriuria, Significant bacterial growth, Health planning, Standard guideline, Prevalence of uropathogens, Urine dipstick analysis, Administrative district, Pre-term labour, Antibiotic sensitivity results, Maternal and neonatal health, Benin City, Nigeria, Port Harcourt, Routine antenatal care, South East Asian, Asymptomatic bacteriuria in pregnancy, Local cultural practices, Sterile centrifuge tube, Leukocyte esterase, South East Asian region, Department of Obstetrics, Prevention of infectious diseases, Antenatal attendees.

Let's grow together!

I humbly request your help to keep doing what I do best: provide the world with unbiased sources, definitions and images. Your donation direclty influences the quality and quantity of knowledge, wisdom and spiritual insight the world is exposed to.

Let's make the world a better place together!

Like what you read? Help to become even better: