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Register a new userprevalence of urinary infection in pregnant women that review the department of obstetrics and gynecology at AL Assad University Hospital
شيوع الخمج البولي عند الحوامل المراجعات لقسم التوليد و أمراض النساء بمشفى الأسد الجامعي
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اشتملت الدراسة (409) حاملا انتخبن من المريضات المقبولات في شعبتي التوليد و أمراض النساء او المراجعات لشعبة العيادات الخارجية التابعة لمشفى الاسد الجامعي في اللاذقية خلال فترة الدراسة الممتدة من 1/9/2014 لغاية 1/9/2015. و قد صنفت المريضات المدروسات في مجموعتين : مجموعة مريضات الانتان البولي العرضي المرافق للحمل و التي تتضمن (109) , و مجموعة المريضات اللاعرضيات للانتان البولي و الخاضعات للمسح بحثا عن البيلة الجرثومية اللاعرضية و التي اشتملت (300) حاملاً, و قد تم تشخيص البيلة الجرثومية اللاعرضية وفق معيار (Edward Kass) بنسبة بلغت (12 % ) .و وجدنا أن عمرالحامل الأقل من 30 عاما عامل خطورة هام لحدوث الانتان البولي المرافق للحمل ., دون وجود أرجحية محددة لنمط العمل الوالدي, و قد تمركزت أغلب حالات البيلة الجرثومية اللاعرضية في الثلث الحملي الثاني (14-28 أسبوع) و شكلت الولودات نسبة قدرها (73,9 %) من مجموعة مريضات البيلة الجرثومية اللاعرضية , و وجدنا أن الداء السكري الوالدي أكثر الإمراضيات المرافقة للحمل ترافقا مع البيلة الجرثومية اللاعرضية (حيث تبلغ هذه الأرجحية حوالي المثل و النصف)، يليه فقر الدم المرافق للحمل. و قد أكد البحث أن زرع البول الجرثومي هو المشخص الذهبي للإنتان البولي عند الحوامل ، كما بيّن عدم موثوقية فحص البول و الراسب و ذلك بسبب سلبيته الكاذبة المرتفعة في تشخيص البيلة الجرثومية اللاعرضية. و بالزرع وجدنا أن العصيات الكولونية هي العامل الجرثومي الأشيع بإحداث الإنتانات البولية عند مريضات الدراسة , بنسبة 66.7% لمجموعة الإنتان البولي الصريح, و 80.2% لمجموعة البيلة الجرثومية اللاعرضية.
This study includes (409)pregnant women elected from patients who have been admitted to the department of obstetrics and gynecology or outpatient clinic belonging to Assad University Hospital in Lattakia during the study period from 01/09/2014 up to 01/09/2015.patients have been classified in tow groups: symptomatic and non symptomatic(109 and 300 patient respectively).It has been diagnosed asymptomatic bacteriuria in accordance with the standard (Edward Kass) at a rate (12%).We found that the age lesser than 30 years, is a risk factor important in the occurrence of urinary infection ,there is no importance for the pattern of work, and most of the cases of the asymptomatic bacteriuria is in the second trimester (14-28 weeks) and multigravida account of (73.9 %) of the group of bacteriuric asymptomatic patients.Study shows that the bacterial urine culture is the golden diagnostic test to detect urinary tract infection in pregnant women, and it also shows the non-reliability of the urinalysis test, because of the high false negativity in the diagnosis of asymptomatic bacteriuria .Escherichia coli was the most common bacterial organisim causing bacterial urinary infections in patients study, by 66.7% for a frank urinary sepsis, and 80.2% for the group asymptomatic bacteriuria .
References used
JAMES,D.K ; STEER,P.J ; WEINER, C.P ; GONIK,B. High risk pregnancy (management options) , 2ed edition , 1999 .P 1433
PATTERSON,T.F; ANDRIOLE,V.T; Bacteruria in pregnancy . Infect Dis Clin North Am . 1987; 807-22
STAMM,W.E; WAGNER,K.F; AMSEL,R; et al. Causes of the acute urethralsyndrome in women. N Engl J Med 1980; 303:409
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