Atacag T, Yayci E, Guler T, Suer K, Yayci F, Deren S, Cetin A
Clin Exp Obstet Gynecol. 2015;42(5):590-4.
The objective of this study was to assess the frequency of urinary tract infection (UTI) with urine samples obtained via catheterization among women undergoing cesarean delivery at term pregnancy.
A cross-sectional study involving 159 women in whom cesarean delivery was conducted at term pregnancy after a regular follow-up from first to third trimester. For screening and diagnosis of UTI during antenatal period, the authors used dipstick test and microscopic urinalysis, and urine culture was used in the presence of symptomatic UTI unresponsive to initial antibiotic therapy. A urine sample was obtained immediately after insertion of Foley catheter for urine dipstick test, microscopic urinalysis, and culture during cesarean delivery. Obstetric and UTI data were recorded.
Of 159 pregnant women, 95 (59.8%) did not develop UTI during antenatal care. There was no patient with symptomatic UTI at the admission for cesarean delivery. The authors found UTI with urine dipstick and microscopic urinalysis in 12 patients and of them, four patients had no history of UTI, and all the remaining eight patients had asymptomatic UTI during antenatal follow-up. UTI according to urine culture was encountered in three patients, two of them had one episode of UTI, and one had two episodes of UTI during antenatal follow-up.
After regular antenatal follow-up screening with urine dipstick, microscopic urinalysis, and counseling of pregnant women regarding UTIs, the frequency of bacteriuria decreases considerably during cesarean delivery.
本研究的目的是评估足月妊娠行剖宫产的女性通过导尿获取的尿液样本中尿路感染（UTI）的发生率。
一项横断面研究，涉及159名女性，她们在妊娠晚期进行了剖宫产，且从孕早期到孕晚期均接受了定期随访。对于产前UTI的筛查和诊断，作者使用了试纸条检测和显微镜下尿液分析，对于初始抗生素治疗无反应的有症状UTI患者则进行尿液培养。在剖宫产过程中，插入Foley导尿管后立即采集尿液样本进行试纸条检测、显微镜下尿液分析和培养。记录产科和UTI数据。
159名孕妇中，95名（59.8%）在产前护理期间未发生UTI。剖宫产入院时没有有症状UTI的患者。作者通过试纸条检测和显微镜下尿液分析发现12例UTI患者，其中4例患者无UTI病史，其余8例患者在产前随访期间有无症状UTI。根据尿液培养，有3例患者发生UTI，其中2例在产前随访期间有1次UTI发作，1例有2次UTI发作。
在对孕妇进行定期产前随访，通过试纸条检测、显微镜下尿液分析以及关于UTI的咨询后，剖宫产期间菌尿症的发生率显著降低。
