Urinary Tract Infection among Pregnant Women Attending Antenatal Care Service Visit on Selected Hospital of Kathmandu, Nepal

Abstract

Background: Urinary Tract Infection during pregnancy may cause serious complications including pyelonephritis and delivery of premature or low-birth-weight infants. Aim: The main objective of the study was to identify the Urinary tract infection among pregnant women attending the antenatal care service visit in a selected hospital in Kathmandu, Nepal. Study Design: Cross-sectional descriptive study. Place and Time of Study: The study was carried out under the supervision of University and field study was carried out in Kathmandu, Nepal from March 2019 to October 2019. Methods: The cross-sectional study was performed at the Norvic Hospital and Baidya and Banskota hospital from March 2019 to October 2019. The most frequent isolates were determined in 510 first urine samples from clinically suspected pregnant women by urine dipstick analysis, microscopic and by culture method. The identification of isolates was performed by the standard microbiological testing and the standard methods of descriptive statistics as well. Results: Out of 510 clinically suspected urinary tract infection cases, 320 (62.6%) were culture negative. According to the microscopic examination of urine samples among gram-negative pathogens, the majority 177 (35%) Escherichia coli was the most common pathogens followed by Enterobacter cloacae 114 (22.4%) whereas among gram-positive pathogens; majority 93 (18 Staphylococcus negative coagulase was the most common pathogens. Conclusions: The high prevalence of urinary tract infection in pregnant women warrant the need to screen all pregnant women and treat those infected with appropriate antimicrobial regimens to reduce its complications. Urinary Tract Infection screening is essential in pregnant women.