IQ Research Journal-Open Access-ISSN:2790-4296

Prevalence Of Urinary Tract Infections In Pregnant Women At AD-lucem Hospital In Bafang (West Cameroon)

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Authors: Atangana Bertin M A1, 2, 3, 4*, Mvogo Guy D1, 2, 3, SAH Victorien, 1, 2, 3, Atangana Awoa A. 5 , Kenne Lontsi 6 , Mafon T Ida Larissa3 , Nyamban Charles N4 , Ndjengue Nson Louis S1, 2, 7 , AchidI Ndanji J 4. Paper Title: Prevalence Of Urinary Tract Infections In Pregnant Women At AD-lucem Hospital In Bafang (West Cameroon)

IQ Research Journal of IQ res. j. (2022)1(7): pp 01-9. Vol. 001, Issue 007, 07-2022, pp. 01668-01677

Received: 20 07, 2022; Accepted: 28 07, 2022; Published: 30 07, 2022

ABSTRACT

Urinary tract infections are common in women, and even more so in pregnant women, not only because of the anatomical situation of their urinary tract, but also because of the anatomical and hormonal changes that occur with fetal growth. Urinary tract infections in pregnant women are associated with maternal-fetal morbidities such as hypertension, premature births, pre-eclampsia and low birth weight. The objective of our study was to determine both the frequency of germs isolated in the urine of pregnant women and their antimicrobial susceptibility profile. We conducted a descriptive, cross-sectional, prospective study over a six-month period from December 01er 2021 to May 31 2022 in the prenatal consultation services and clinical biology laboratory of the Ad- lucem Hospital in Banka-Bafang (West Cameroon). The urine was processed according to the standards of the microbiology reference system. At the same time, spreads were made for the realization of the fresh state between slides and slides and a urine strip with 11 parameters was made. Statistics was made by Epi info 7 and p 0, 05 was significative. A total of 210 pregnant women were enrolled in this study respecting our inclusion criteria. The most represented age group was 20-25 with a mean age of 29 ± 5 years. Our population was composed mostly of young people, all of whom were in school, most of whom, 41%, were housewives and 16% were students. The prevalence of urinary tract infections was 70.47%, and the most isolated germ was E. coli (39%). E. coli and Klebsiella were highly resistant to penicillin G and amoxicillin + clavulanic acid combination. Proteus strains showed resistance to Penicillin G (50%), Cefotaxime (50%). S.aureus showed good sensitivity to Lincomycin (100%), Ceftriazone (79.41%), Cefotaxime (88.23%) and Gentamicin (94.11%). A good sensitivity of Candida albicans to the tested antifungals was observed. In our study, urinary tract infection in pregnant women is asymptomatic in 49.32% and should be carefully investigated in the second trimester of pregnancy. Our study showed a very high prevalence rate of isolated germs at this stage of pregnancy, mainly enterobacteria with variable sensitivity to antibiotics.

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