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孕期无症状菌尿的发生率及危险因素

Frequency and risk factors of asymptomatic bacteriuria during pregnancy.

作者信息

Fatima Naheed, Ishrat Shabnum

机构信息

Department of Obstetrics and Gynaecology, Bahawal Victoria Hospital and Quaid-e-Azam Medical College, Bahawalpur.

出版信息

J Coll Physicians Surg Pak. 2006 Apr;16(4):273-5.

Abstract

OBJECTIVE

To determine the frequency and risk factors of asymptomatic bacteriuria during pregnancy.

DESIGN

Cross-sectional study.

PLACE AND DURATION OF STUDY

Satellite Town and Behari Colony, Bahawalpur from October 2001 to March 2002.

PATIENTS AND METHODS

There were 3000 houses in Satellite Town and Behari Colony, Bahawalpur. Taking 40% of total, 1200 houses were selected by systemic random sampling. Pregnant residents of these houses were included in the study. Data collected was coded, computed and analyzed on SPSS version 10. Frequencies were runned and chi-square test was used as test of significance.

RESULTS

Five hundred and eighty women, fulfilling the inclusion criteria, were interviewed and tested for bacteriuria. Out of them, 4% were below 20 years, 4.6% were between 20-30 years and 5.4% women aged above 30 years (p=0.103). Regarding parity 3.18 % of primigravidae and 6.04 % multigravida had bacteriuria (p=0.0039). Regarding socioeconomic status, 6.45% from lower class and 2.5% from middle and upper middle class were the sufferer (p=0.0039). Prevalence was 6.64% among uneducated and 3.06% among educated women (p=0.0039). As for past history, 35.7% of women had an episode previously (p=0.001). No association was found with anaemia.

CONCLUSION

Asymptomatic bacteriuria is a common infection during pregnancy, having strong association with multiparity, lower socioeconomic status and illiteracy.

摘要

目的

确定孕期无症状菌尿的发生率及危险因素。

设计

横断面研究。

研究地点及时间

2001年10月至2002年3月在巴哈瓦尔布尔的卫星镇和贝哈里殖民地。

患者及方法

巴哈瓦尔布尔卫星镇和贝哈里殖民地有3000所房屋。按总数的40%,通过系统随机抽样选取1200所房屋。这些房屋中的孕妇居民被纳入研究。收集的数据进行编码、计算并在SPSS 10版本上进行分析。计算频率并使用卡方检验作为显著性检验。

结果

580名符合纳入标准的女性接受了访谈和菌尿检测。其中,4%年龄在20岁以下,4.6%年龄在20 - 30岁之间,5.4%年龄在30岁以上(p = 0.103)。初产妇中菌尿发生率为3.18%,经产妇为6.04%(p = 0.0039)。关于社会经济地位,下层阶级中有6.45%患病,中上层阶级中有2.5%患病(p = 0.0039)。文盲女性中的患病率为6.64%,受过教育的女性中为3.06%(p = 0.0039)。至于既往史,35.7%的女性曾有过一次发作(p = 0.001)。未发现与贫血有关联。

结论

无症状菌尿是孕期常见的感染,与多产、社会经济地位较低和文盲密切相关。

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