ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 73
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Asymptomatic bacteriuria and its determinants among
pregnant women in rural south-western Nigeria
Azeez Oyemomi Ibrahim3,4, Dr Ibrahim Sebutu Bello1,2
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Obafemi Awolowo University Teaching Hospital, 2Osun State University, 3Federal Teaching Hospital
Ido Ekiti, 4Afe Babalola University
Background
The occurrence of asymptomatic bacteriuria in pregnancy has been associated with adverse maternal
and fetal outcomes. However, urine microscopy, culture and sensitivity are not part of the routine
screening for pregnant women attending antenatal clinics in Nigeria. This study determined the
prevalence, bacterial isolates, antimicrobial susceptibility profile and determinants of asymptomatic
bacteriuria (ASB) among pregnant women in a tertiary health facility in rural south-western Nigeria.
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Methods/findings
The study was cross-sectional, in which 200 consenting pregnant women with no signs and
symptoms of urinary tract infection were recruited between June and September 2015. Mid-stream
clean-catch urine samples were collected using universal bottles. Urine samples were cultured
using standard laboratory procedures. Bacterial colonies were isolated, and antimicrobial sensitivity
was performed using disc diffusion technique. Data were analysed using SPSS version 20. Binary
logistic analysis was done to identify the variables that were associated with ASB. The strength of the
association between independent and dependent variables was measured using odds ratios and 95%
confidence interval (CIs) with a significance level of P < 0.05. The prevalence of ASB was 24.0% (95%
CI: 18.2%, 30.5%). The most commonly detected ASB was Escherichia coli 22/48 (45.8%), followed
by Staphylococcus aureus 12/48 (25.0%). Cultured isolates were 100.0% sensitive to ceftriaxone,
ciprofloxacin and augmentin but resistant to the commonly used antibiotics. The determinants of ASB
were urethral catheterisation (AOR 3.493; 95% CI: 2.234, 5.463), history of UTI (AOR 4.623; 95% CI:
2.824, 7.567), absence of postcoital urination (AOR 4.433; 95%CI: 1.462, 7.116), diabetes (AOR 2.468;
95% CI: 1.300, 4.684) and anaemia (AOR 2.699; 95%CI: 1.042, 6.729).
Conclusion
The study revealed a high prevalence of ASB among pregnant women in rural south-western Nigeria.
There may be a need to advocate for routine screening of pregnant women for ASB to reduce the
associated complications.
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