Oladeinde Bankole H, Omoregie Richard, Oladeinde Oladapo B
Department of Medical Microbiology, College of Health Sciences, Igbinedion University, Okada, Edo State, Nigeria.
School of Medical Laboratory Sciences, University of Benin Teaching Hospital, P.M.B 1111, Benin City, Edo State, Nigeria.
Ethiop J Health Sci. 2015 Jan;25(1):3-8. doi: 10.4314/ejhs.v25i1.2.
A good proportion of pregnant women patronize traditional birth homes in Nigeria for ante-natal care. This study aimed at determining the prevalence, risk factors, and susceptibility profile of etiologic agents of urinary tract infection among ante-natal attendees in a traditional birth home in Benin City, Nigeria.
Clean-catch urine was collected from 220 pregnant women attending a traditional birth home in Benin City, Nigeria. Urine samples were processed, and microbial isolates identified using standard bacteriological procedures. A cross-sectional study design was used.
The prevalence of urinary tract infection among pregnant women was 55.0%, significantly affected by parity and gestational age (P<0.05). Mixed infection was recorded among 13(10.7%) pregnant women, and was unaffected by maternal age, parity, gravidity, gestational age, and educational status. Irrespective of trimester Escherichia coli was the most prevalent etiologic agent of urinary tract infection, followed by Staphylococcus aureus. The flouroquinolones were the most effective antibacterial agents, while Sulphamethoxazole-trimetoprim, Amoxicillin, Nalidixic acid, and Nitrofurantoin had poor activity against uropathogens isolated.
The prevalence of urinary tract infection among pregnant women was 55.0% and significantly affected by gestational age and parity. The most prevalent etiologic agent observed was Escherichia coli. With the exception of the flouroquinolones, aminoglycoside, and Amoxicillin-cluvanate, the activity of other antibiotics used on uropathogens were poor. Health education of the traditional birth attendant and her clients by relevant intervention agencies is strongly advocated.
在尼日利亚，相当一部分孕妇会前往传统产院进行产前护理。本研究旨在确定尼日利亚贝宁城一家传统产院产前护理就诊者中尿路感染病原体的患病率、危险因素及易感性特征。
从尼日利亚贝宁城一家传统产院的220名孕妇中收集清洁中段尿。对尿液样本进行处理，并采用标准细菌学程序鉴定微生物分离株。采用横断面研究设计。
孕妇尿路感染的患病率为55.0%，受产次和孕周影响显著（P<0.05）。13名（10.7%）孕妇出现混合感染，且不受产妇年龄、产次、妊娠次数、孕周和教育程度的影响。无论处于孕期哪个阶段，大肠埃希菌都是尿路感染最常见的病原体，其次是金黄色葡萄球菌。氟喹诺酮类是最有效的抗菌药物，而磺胺甲恶唑-甲氧苄啶、阿莫西林、萘啶酸和呋喃妥因对分离出的尿路病原体活性较差。
孕妇尿路感染的患病率为55.0%，受孕周和产次影响显著。观察到的最常见病原体是大肠埃希菌。除氟喹诺酮类、氨基糖苷类和阿莫西林-克拉维酸外，其他用于尿路病原体的抗生素活性较差。强烈建议相关干预机构对传统助产士及其服务对象进行健康教育。
