尼日利亚一家教学医院中孕妇无症状菌尿的母胎结局
Maternofetal outcome of asymptomatic bacteriuria among pregnant women in a Nigerian Teaching Hospital.
作者信息
Izuchukwu Kenneth Ebele, Oranu Emmanuel Okwudili, Bassey Goddy, Orazulike Ngozi Clare
机构信息
Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
出版信息
Pan Afr Med J. 2017 May 30;27:69. doi: 10.11604/pamj.2017.27.69.10492. eCollection 2017.
INTRODUCTION
Asymptomatic bacteriuria has been reported to be associated with adverse pregnancy outcome. This study sought to determine the prevalence and complications of asymptomatic bacteriuria amongst parturient in the University of Port Harcourt Teaching Hospital (UPTH).
METHODS
The study was a prospective cohort study involving 220 eligible antenatal attendees. Urine culture and sensitivity was conducted for each participant and the fetomaternal outcome between affected and unaffected women were compared and p value <0.05 was considered significant.
RESULTS
Sixty-five of the participants had asymptomatic bacteriuria giving a prevalence of 29.5%. Twenty-three (35.4%) cultures yielded while Fifty-eight (89%) of the cultured organisms were sensitive to Nitrofurantoin. There was no statistical difference in the rate of prelabour rupture of membranes, preeclampsia, preterm delivery, birth asphyxia and low birth weight between affected and unaffected women.
CONCLUSION
Contrary to widely held view, there was no significant increase in adverse pregnancy outcome amongst affected women.
引言
据报道，无症状菌尿与不良妊娠结局有关。本研究旨在确定哈科特港大学教学医院（UPTH）产妇中无症状菌尿的患病率及并发症。
方法
本研究为前瞻性队列研究，纳入220名符合条件的产前检查者。对每位参与者进行尿培养及药敏试验，比较感染组和未感染组女性的母婴结局，p值<0.05被认为具有统计学意义。
结果
65名参与者有无症状菌尿，患病率为29.5%。23份（35.4%）培养物培养出[此处原文缺失相关内容]，而58份（89%）培养出的微生物对呋喃妥因敏感。感染组和未感染组女性在胎膜早破、子痫前期、早产、出生窒息和低出生体重发生率方面无统计学差异。
结论
与普遍观点相反，感染女性的不良妊娠结局并未显著增加。
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