Asymptomatic Bacteriuria in Thai Pregnant Women with Preterm Delivery: Prevalence, Pathogens and Pregnancy Outcomes
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.
Thai Journal of Obstetrics and Gynaecology

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