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Asymptomatic Bacteriuria in Thai Pregnant Women with Preterm Delivery: Prevalence, Pathogens and Pregnancy Outcomes |
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| รหัสดีโอไอ | |
| Creator | Vasinee Sukchalermchai |
| Title | Asymptomatic Bacteriuria in Thai Pregnant Women with Preterm Delivery: Prevalence, Pathogens and Pregnancy Outcomes |
| Contributor | Nalat Sompagdee, Pattarawalai Talungchit, Pornpimol Ruangvutilert, Buraya Phattanachindakun |
| Publisher | PIMDEE Co., Ltd. |
| Publication Year | 2566 |
| Journal Title | Thai Journal of Obstetrics and Gynaecology |
| Journal Vol. | 31 |
| Journal No. | 2 |
| Page no. | 99-106 |
| Keyword | asymptomatic bacteriuria, preterm delivery, pregnancy outcome |
| URL Website | https://tci-thaijo.org/index.php/tjog/index |
| Website title | www.tci-thaijo.org |
| ISSN | 2673-0871 |
| Abstract | Objectives: The primary aim was to determine the prevalence of asymptomatic bacteriuria (ASB) in Thai pregnant women with a preterm delivery. The secondary aims were to identify common causative organisms and their antibiotic susceptibilities, and to compare the pregnancy outcomes between ASB-positive and ASB-negative patients. Materials and Methods: The medical records of low-risk pregnant women with a preterm delivery at Siriraj Hospital from January 2014 to May 2020 were reviewed. Patient characteristics, urine culture results, and pregnancy outcome data were recorded. ASB-positive was defined as the growth of at least 105 colony-forming units per milliliter (cfu/ml) isolated from a midstream, clean-catch urine specimen. Results: A total of 826 eligible women were included. The prevalence of ASB was 3% (25/826). The predominant organism was Escherichia coli (E. coli) (48%). All E. coli were susceptible to nitrofurantoin and only 25% were susceptible to ampicillin. No significant adverse outcomes were detected in the ASB-positive group. Conclusion: The prevalence of ASB in Thai pregnant women with a preterm delivery was low. Antibiotic treatment should be based on the common organisms and local antibiotic susceptibility patterns. |