未经证实:无症状菌尿(ASB)是指在没有尿路感染(UTI)症状的情况下,尿路内存在大量细菌,导致新生儿和怀孕的不良后果。这项研究确定了患病率,细菌学模式,以及沙特阿拉伯东部省初级和医院护理水平的孕妇中ASB的相关因素。
UNASSIGNED:这项回顾性图表回顾研究包括18至50岁的孕妇,他们在2017年至2021年首次产前检查期间进行了筛查尿培养测试,没有UTI症状。收集的数据涉及人口统计,medical,和产科特征,和尿培养结果。T检验和卡方检验用于双变量关联,然后是二元逻辑回归模型。
UASSIGNED:在纳入研究的6471名孕妇中,03.42%的ASB为阳性。Logistic回归分析显示,孕早期和中期ASB阳性的风险增加(OR=2.04,95%CI=1.41-2.93和OR=1.50,95%CI=1.03-2.19),以及既往有UTI病史的孕妇(OR=2.98,95%CI=2.14-4.15)。主要的分离菌是大肠杆菌,其次是GBS,肺炎克雷伯菌,和粪肠球菌.
UASSIGNED:由于沙特阿拉伯孕妇的ASB数据有限,当前研究的结果可以帮助该国的决策者评估该疾病的流行病学特征。建议进一步研究以调查具有不同尿路病原体的常用处方抗生素的敏感性模式,以指导处理这些病例的临床医生。此外,建议在沙特阿拉伯其他地区进行一项大型全国性研究,以计算沙特阿拉伯的ASB患病率。
UNASSIGNED: Asymptomatic bacteriuria (ASB) is the presence of significant amounts of bacteria within the urinary tract in the absence of urinary tract infection (UTI) symptoms, resulting in negative neonatal and pregnancy consequences. This
study determined the prevalence, bacteriology patterns, and associated factors with ASB among pregnant women in both primary and hospital levels of care in the Eastern Province of Saudi Arabia.
UNASSIGNED: This retrospective chart review
study included pregnant women between 18 and 50 years who performed the screening urine culture test during their first antenatal visit between 2017 and 2021, without UTI symptoms. The collected data involved the demographic, medical, and obstetric characteristics, and urine culture results. T-tests and chi-squared tests were used for bivariate associations followed by binary logistic regression models.
UNASSIGNED: ASB was positive among 03.42% of the 6471 pregnant women included in the
study. Logistic regression revealed that the risk of positive ASB increased in pregnant women in the first and second trimesters (OR = 2.04, 95% CI = 1.41-2.93 and OR= 1.50, 95% CI = 1.03-2.19, respectively), as well as pregnant women with a history of previous UTI (OR = 2.98, 95% CI = 2.14-4.15). The predominant organism isolates were E. coli, followed by GBS, Klebsiella pneumoniae, and Enterococcus faecalis.
UNASSIGNED: With limited data on ASB among pregnant women in Saudi Arabia, findings from the current study could help decision-makers in the country assess the epidemiological characteristics of the condition. Further
study is recommended to investigate the susceptibility patterns of commonly prescribed antibiotics with different uropathogens to guide the clinicians who deal with these cases. Additionally, a large national
study across the other regions in the kingdom is suggested to calculate the prevalence of ASB in Saudi Arabia.