medigraphic.com
SPANISH

Revista Salud Pública y Nutrición

Coordinación General de Investigación de la Facultad de Salud Pública y Nutrición y la Dirección General de Sistemas e Informática de la Universidad Autónoma de Nuevo León
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2022, Number 4

Next >>

Rev Salud Publica Nutr 2022; 21 (4)

Prevalence, risk factors and treatment of urinary tract infections in pregnant women

Cortés EOD, Torres GJH
Full text How to cite this article

Language: Spanish
References: 32
Page: 1-11
PDF size: 252.48 Kb.


Key words:

Bacteriuria, Pregnancy, Cystitis.

ABSTRACT

Introduction: Urinary Tract Infections (UTIs) can increase the risk of obstetric complications during pregnancy. Moreover, the treatment itself represents a risk for both the mother and the fetus. Objective: To estimate the prevalence of UTI in pregnancy in a primary care health center and to assess whether there are risk factors that increase this prevalence within the same population. Material and method: Retrospective and cross-sectional study, review of 75 records of the prenatal consultation, patients with a minimum of 25 weeks of gestation, sample calculated to test the hypothesis of a proportion, simple probabilistic sampling, demographic analysis was carried out, the distribution of patients with UTI with relation to sociodemographic variables and diagnosis of vaginosis during pregnancy. The prevalence ratio (PR) was calculated. Results: Prevalence of UTI in pregnancy (45.33%), diagnosis of UTI was made predominantly by combining clinical criteria with results of the General Urine Examination or with this study in isolation. The most used treatment was nitrofurantoin (44.12%). Higher prevalence of UTI in the age group 30-35 years (PR 1.68 [95% CI 1.02-2.77]), high school education (PR 1.76 [1.11-2.79]), with diagnosis of vaginosis in the same pregnancy (PR 1.6 [1.001-2.58]). Conclusions: High prevalence of UTI in pregnancy, association between the development of UTI and belonging to the age group of 30-35 years, high school education, suffering from vaginosis during the same pregnancy.


REFERENCES

  1. Abdel-Aziz Elzayat, M., Barnett-Vanes, A., Dabour, M. F.E., & Cheng, F. (2017). Prevalence of undiagnosedasymptomatic bacteriuria and associated risk factorsduring pregnancy: a cross-sectional study at twotertiary centres in Cairo, Egypt. BMJ Open, 7(3), 2-7.https://doi.org/10.1136/bmjopen-2016-013198

  2. Azami, M., Jaafari, Z., Masoumi, M., Shohani, M., Badfar,G., Mahmudi, L., & Abbasalizadeh, S. (2019). Theetiology and prevalence of urinary tract infection andasymptomatic bacteriuria in pregnant women in Iran:A systematic review and Meta-analysis. BMC Urology,19(1), 43. https://doi.org/10.1186/s12894-019-0454-8

  3. Bizuwork, K., Alemayehu, H., Medhin, G., Amogne, W.,& Eguale, T. (2021). Asymptomatic Bacteriuria amongPregnant Women in Addis Ababa, Ethiopia:Prevalence, Causal Agents, and Their AntimicrobialSusceptibility. International Journal of Microbiology,2021, 8418043. https://doi.org/10.1155/2021/8418043

  4. Burke, L., Gabhainn, S. N., & Kelly, C. (2018). Sociodemographic,health and lifestyle factors influencingage of sexual initiation among adolescents.International Journal of Environmental Research andPublic Health, 15(9).https://doi.org/10.3390/ijerph15091851

  5. Centro Nacional de Excelencia Tecnológica en Salud.(2021). Prevención, abordaje y manejo de bacteriuriaasintomática e infección de vías urinarias durante elembarazo. Guía de Práctica Clínica: Evidencias yRecomendaciones.http://www.cenetec-difusion.com/CMGPC/GPC-SS-831-21/ER.pdf

  6. Consejo Nacional de Población. (2014). Situación de laSalud Sexual y Reproductiva.https://www.gob.mx/cms/uploads/attachment/file/237216/Cuadernillo_SSR_RM.pdf

  7. Crider, K. S., Cleves, M. A., Reefhuis, J., Berry, R. J.,Hobbs, C. A., & Hu, D. J. (2009). Antibacterialmedication use during pregnancy and risk of birthdefects: National Birth Defects Prevention Study.Archives of Pediatrics and Adolescent Medicine,163(11), 978–985.https://doi.org/10.1001/archpediatrics.2009.188

  8. Dirección General de Epidemiología: Secretaria de Salud.(2012). Principales Causas De Morbilidad DeHospitalización. Anuario de Morbilidad.https://epidemiologia.salud.gob.mx/anuario/html/morbilidad_nacional.html

  9. Dirección General de Información en Salud. (2020).Reporte de Servicios Otorgados 2020: Nuevo León.Sistema de Información de La Secretaria de Salud.http://sinaiscap.salud.gob.mx:8080/DGIS/#

  10. Fondo de Población de las Naciones Unidas. (2018).Consecuencias Socioeconómicas de embarazo enadolescentes en México. Organización de las NacionesUnidas.https://mexico.unfpa.org/sites/default/files/pubpdf/milena_mexico_2020.pdf

  11. Ghafari, M., Baigi, V., Cheraghi, Z., & Doosti-Irani, A.(2016). The prevalence of asymptomatic bacteriuria iniranian pregnant women: A systematic review andmeta- Analysis. PLoS ONE, 11(6), e0158031.https://doi.org/10.1371/journal.pone.0158031

  12. Ghouri, F., & Hollywood, A. (2020). AntibioticPrescribing in Primary Care for Urinary TractInfections (UTIs) in Pregnancy: An Audit Study.Medical Sciences, 8(3), 40.https://doi.org/10.3390/medsci8030040

  13. Ghouri, F., Hollywood, A., & Ryan, K. (2019). Urinarytract infections and antibiotic use in pregnancyqualitativeanalysis of online forum content. BMCPregnancy and Childbirth, 19(1), 289.https://doi.org/10.1186/s12884-019-2451-z

  14. Ghouri, F., Hollywood, A., & Ryan, K. (2018). Asystematic review of non-antibiotic measures for theprevention of urinary tract infections in pregnancy.BMC Pregnancy and Childbirth, 18(1), 99.https://doi.org/10.1186/s12884-018-1732-2

  15. Glaser, A. P., & Schaeffer, A. J. (2015). Urinary TractInfection and Bacteriuria in Pregnancy. UrologicClinics of North America, 42(4), 547–560.https://doi.org/10.1016/j.ucl.2015.05.004

  16. Instituto Mexicano del Seguro Social. (2009). Diagnósticoy Tratamiento de la Infección del Tracto Urinario BajoDurante el Embarazo, en un Primer Nivel de Atención.Guía de Práctica Clínica.http://www.cenetec.salud.gob.mx/contenidos/gpc/catalogoMaestroGPC.html

  17. Instituto Nacional de Estadística y Geografía. (2015).Panorama Sociodemográfico de Nuevo León y susmunicipios: Juárez. Encuesta Intercensal.http://datos.nl.gob.mx/wpcontent/uploads/Censo2015/031 JUAREZ.pdf

  18. Jido, T. A. (2014). Urinary tract infections in pregnancy:evaluation of diagnostic framework. Saudi Journal ofKidney Diseases and Transplantation, 25(1), 85–90.https://doi.org/10.4103/1319-2442.124496

  19. Lee, A. C. C., Mullany, L. C., Koffi, A. K., Rafiqullah, I.,Khanam, R., Folger, L. V., Rahman, M., Mitra, D. K.,Labrique, A., Christian, P., Uddin, J., Ahmed, P.,Ahmed, S., Mahmud, A., Dasgupta, S. K., Begum, N.,Quaiyum, M. A., Saha, S. K., & Baqui, A. H. (2019).Urinary tract infections in pregnancy in a ruralpopulation of Bangladesh: Population-basedprevalence, risk factors, etiology, and antibioticresistance. BMC Pregnancy and Childbirth, 20(1), 1.https://doi.org/10.1186/s12884-019-2665-0

  20. Madkour, A. S., Farhat, T., Halpern, C. T., Godeau, E., &Gabhainn, S. N. (2010). Early adolescent sexualinitiation as a problem behavior: A comparative studyof five nations. Journal of Adolescent Health, 47(4),389–398.https://doi.org/10.1016/j.jadohealth.2010.02.008

  21. Malina, R. M., Peña Reyes, M. E., Swee, K. T., & Little,B. B. (2004). Secular change in age at menarche inrural Oaxaca, southern Mexico: 1968-2000. Annals ofHuman Biology, 31(6), 634–646.https://doi.org/10.1080/03014460400018085

  22. Méndez Estrada, R. O., Valencia, M. E., & Torres, J. M.M. (2006). Edad de la menarquia en adolescentes delNoroeste de México. Archivos Latinoamericanos deNutrición, 56 (2), 160–164. ISSN: 0004-0622

  23. Özlü, T., Alçelik, A., Çalişkan, B., & Dönmez, M. E.(2012). Preeclampsia: Is it because of theasymptomatic, unrecognized renal scars caused byurinary tract infections in childhood that becomesymptomatic with pregnancy? Medical Hypotheses,79(5), 653–655.https://doi.org/10.1016/j.mehy.2012.08.002

  24. Pavanello R. Silva, C., Frota Mendonça, S.H., RomeroAquino, C., Soares da Silva, A.F., Malacchia, J.L.,Campos Canesin, A., Ferreira Ribero, E.F., & DeAlmeida, S. (2009). Principales factores de riesgo deinfección del tracto urinario (ITU) en pacienteshospitalizados: propuesta de mejoras. EnfermeríaGlobal, (15).http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1695-61412009000100004&lng=es&tlng=es.

  25. Rizvi, M., Khan, F., Shukla, I., & Malik, A. (2011). RisingPrevalence of Antimicrobial Resistance in UrinaryTract Infections During Pregnancy: Necessity forExploring Newer Treatment Options. Journal ofLaboratory Physicians, 3(02), 098–103.https://doi.org/10.4103/0974-2727.86842

  26. Schneeberger, C., Erwich, J. J. H. M., van den Heuvel, E.R., Mol, B. W. J., Ott, A., & Geerlings, S. E. (2018).Asymptomatic bacteriuria and urinary tract infection inpregnant women with and without diabetes: Cohortstudy. European Journal of Obstetrics and Gynecologyand Reproductive Biology, 222, 176–181.https://doi.org/10.1016/j.ejogrb.2017.12.013

  27. Secretaria de Economía y Trabajo del Gobierno del Estadode Nuevo León. (2015). N.L. Población total y pormunicipio. DATA Nuevo León.http://datos.nl.gob.mx/n-l-poblacion-total-y-pormunicipio/

  28. Sumati A.H., Saritha N.K. (2008) Association of urinarytract infection in women with bacterial vaginosis.Journal of Global Infectious diseases.doi: 10.4103/0974-777X.56254.

  29. Valdevenito J.P. (2008). Infección urinaria recurrente en lamujer. Infectología al día, 25 (4), 268-276.

  30. Young, H., Burke, L., & Nic Gabhainn, S. (2018). Sexualintercourse, age of initiation and contraception amongadolescents in Ireland: Findings from the HealthBehaviour in School-aged Children (HBSC) Irelandstudy. BMC Public Health, 18(1), 362.https://doi.org/10.1186/s12889-018-5217-z

  31. Zahedkalaei, A. T., Kazemi, M., Zolfaghari, P., Rashidan,M., & Sohrabi, M. B. (2020). Association betweenurinary tract infection in the first trimester and risk ofpreeclampsia: A case–control study. InternationalJournal of Women’s Health, 12, 521–526.https://doi.org/10.2147/IJWH.S256943

  32. Zúñiga-Martínez, M. de L., López-Herrera, K., Vértiz-Hernández, Á. A., Loyola-Leyva, A., & Terán-Figueroa, Y. (2019). Prevalencia de infecciones de víasurinarias en el embarazo y factores asociados enmujeres atendidas en un centro de salud de San LuisPotosí, México. Investigación y Ciencia de LaUniversidad Autónoma de Aguascalientes, 27(77), 47–55. https://doi.org/10.33064/iycuaa2019772121




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Salud Publica Nutr. 2022;21