Urinary Bacterial Profile and Antibiotic Susceptibility in Pregnant Adolescents and Pregnant Low Obstetric Risk Adult Women

Introduction: Significant bacteriuria is associated with clinical and obstetric complications. The existing studies on the profile of urinary pathogens in pregnant women have widely divergent results and they hardly include data on pregnant adolescents. Methods: This observational retrospective stud...

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Bibliographic Details
Published in:Infection and drug resistance 2021-07, Vol.14, p.2829-2841
Main Authors: Souza, Henrique Diorio de, Hase, Eliane Azeka, Galletta, Marco Aurelio Knippel, Diorio, Giselle Rodrigues Mota, Waissman, Adriana Lippi, Francisco, Rossana Pulcineli Vieira, Zugaib, Marcelo
Format: Article
Language:English
Subjects:
Adolescents
Adults
Age
anti-bacterial agents
Antibiotics
Asymptomatic
Automation
bacterial
Bacteriuria
Child development
Comparative analysis
drug resistance
E coli
Escherichia coli
Laboratories
Leukocytes
Medical records
microbial sensitivity tests
Microorganisms
Obstetrics
Original Research
Pathogens
Pregnancy
pregnancy in adolescence
Pregnant women
Premature birth
Prenatal care
Quality control
Quinolones
Risk factors
Sediments
Software
Statistical analysis
Teenagers
Urinalysis
Urine
Urogenital system
Womens health
Youth
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Summary:Introduction: Significant bacteriuria is associated with clinical and obstetric complications. The existing studies on the profile of urinary pathogens in pregnant women have widely divergent results and they hardly include data on pregnant adolescents. Methods: This observational retrospective study was conducted in a tertiary hospital in the city of Sao Paulo with 388 pregnant adolescents and 2547 pregnant low-risk obstetric care adults who began prenatal care between January 2010 and January 2016. They were compared in terms of urine sediment, urine culture, and antibiogram results. Results: The prevalence of bacteriuria was 17.01% (66/388) among adolescents and 10.13% (258/2547) among adults. Adolescence was a risk factor for bacteriuria in pregnancy (OR=1.82, CI95%=1.35-2.44, p=0.08). The most frequently isolated pathogen in urine culture was Escherichia coli, both in adolescents (49%) and in adults (42.18%). In positive urine cultures, urinary leukocytes were present in greater numbers in adolescents than in adults (p
ISSN:1178-6973
1178-6973
DOI:10.2147/IDR.S310696