3,864 results match your criteria Pregnancy Urinary Tract Infections

Anaemia in pregnancy remains a global health problem.

BJOG 2021 May 12. Epub 2021 May 12.

Maternal and Newborn Health, Consultant in Global Health.

In this issue of BJOG Hull et al…… et al report on an important study from South Africa regarding anaemia in pregnancy and the response to iron therapy. They report that in HIV-positive women the response was slower than in HIV-negative women. The underlying causes of anaemia varied and included iron deficiency (as assessed by ferritin levels) as well as concurrent infections (urinary tract infections and tuberculosis). Read More

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Clinical presentation and management of urolithiasis in the obstetric patient: a matched cohort study.

J Matern Fetal Neonatal Med 2021 May 9:1-6. Epub 2021 May 9.

Department of Obstetrics and Gynecology, Jewish General Hospital, McGill University, Montreal, Canada.

Purpose: To evaluate the effect of pregnancy on the clinical presentation, inpatient procedure rates, and length of hospital stay, on women with urolithiasis.

Materials And Methods: We carried out a matched cohort study using the United States' Healthcare Cost and Utilization Project-Nationwide Inpatient Sample database from 1999 to 2015. Pregnant women with urolithiasis were compared to age-matched non-pregnant women (1:1) with urolithiasis. Read More

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The clinical utility of intrapartum screening urinalysis for the prevention of postpartum pyelonephritis.

Eur J Obstet Gynecol Reprod Biol 2021 Apr 24;261:154-159. Epub 2021 Apr 24.

Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon. Electronic address:

Objectives: Urinary tract infection (UTI) is the most common bacterial infection to complicate pregnancy. Medical authorities recommend screening for asymptomatic bacteriuria (ASB) in pregnancy; albeit there is no consensus on ideal timing and frequency for testing. Due to the persistent physiologic changes of pregnancy postpartum, a recent trend to perform urinalysis upon presentation for delivery has been adopted at our institution and various satellite hospitals to putatively minimize cases of postpartum pyelonephritis. Read More

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Urinary tract infection in women.

Prz Menopauzalny 2021 Apr 21;20(1):40-47. Epub 2021 Apr 21.

Department of Obstetrics and Gynaecology Didactics, Faculty of Health Sciences, Medical University of Warsaw, Warsaw, Poland.

Urinary tract infection (UTI) is one of the most common infections afflicting women. UTI often accompanies vaginal infections and is frequently caused by pathogens originating in the digestive tract. The paper discusses the prevalence of UTI in various patient populations, including postmenopausal, pregnant, diabetic, epileptic, and perioperative female patients. Read More

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Placentas associated with female neonates from pregnancies complicated by urinary tract infections have higher cAMP content and cytokines expression than males.

Am J Reprod Immunol 2021 Apr 27:e13434. Epub 2021 Apr 27.

Departamento de Biología de la Reproducción Dr. Carlos Gual Castro, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Ciudad de México, México.

Problem: The cAMP pathway is involved in important biological processes including immune regulation and hormone signaling. At the feto-maternal unit, cAMP participates in placental function/physiology and the establishment of immunoendocrine networks. Low cAMP in male fetuses cord blood has been linked to poorer perinatal outcomes; however, cAMP placental content and its relationship with immune factors and fetal sex in an infectious condition have not been investigated. Read More

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Screening for HPV and dysplasia in transgender patients: Do we need it?

Eur J Obstet Gynecol Reprod Biol 2021 May 31;260:177-182. Epub 2021 Mar 31.

Department of Obstetrics and Gynecology, Inselspital, Bern University Hospital, University of Bern, Switzerland. Electronic address:

Introduction: Aim of this study was the evaluation of prevalence of HPV infection and resulting genital dysplasia to assess the necessity and reasonability of pap smears and HPV testing in transgender patients. HPV is the most common sexually transmitted infection and responsible for the majority of genital dysplasias and malignancies. However, few data exist about the prevalence of HPV and dysplasia in transgender people. Read More

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Epidemiology and antimicrobial susceptibility of invasive Escherichia coli infection in neonates from 2012 to 2019 in Xiamen, China.

BMC Infect Dis 2021 Mar 23;21(1):295. Epub 2021 Mar 23.

Department of Neonatology, Women and Children's Hospital, School of Medicine, Xiamen University, No.10 Zhenhai Road, Siming District, Xiamen, 361003, Fujian Province, China.

Background: Escherichia coli (E. coli) is one of the important causative pathogens of neonatal invasive infection. The epidemiological and clinical profile of invasive E. Read More

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Antimicrobial Resistance among Pregnant Women with Urinary Tract Infections Attending Antenatal Clinic at Levy Mwanawasa University Teaching Hospital (LMUTH), Lusaka, Zambia.

Int J Microbiol 2021 4;2021:8884297. Epub 2021 Mar 4.

School of Public Health, Department of Epidemiology and Biostatistics, University of Zambia, Lusaka, Zambia.

Introduction: Globally, there is a growing concern over antimicrobial resistance (AMR) which is currently estimated to account for more than 700,000 deaths per year worldwide. AMR undermines the management of infectious diseases in general especially in pregnancy where significant bacteriuria continues to be a serious cause of maternal and perinatal morbidity and mortality. We therefore aimed to determine the prevalence of AMR and the associated factors among pregnant women with urinary tract infections (UTIs) attending antenatal clinic at a selected hospital in Lusaka, Zambia. Read More

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Predictive score for vesicoureteral reflux in children with a first febrile urinary tract infection.

Int J Urol 2021 05 20;28(5):573-577. Epub 2021 Mar 20.

Panyananthaphikkhu Chonprathan Medical Center, Srinakharinwirot University, Nonthaburi, Thailand.

Objective: To develop a simple score for predicting vesicoureteral reflux after a first febrile urinary tract infection in children.

Methods: A retrospective cohort study was conducted for a 12-year period (January 2008 to December 2019), including patients aged <72 months who underwent renal ultrasonography and voiding cystourethrography after a first febrile urinary tract infection. Patients with a history of antenatal hydronephrosis were excluded. Read More

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Investigating Pelvic Floor Muscle Strength in Women of Reproductive Age and Factors Affecting It.

Clin Nurs Res 2021 Mar 14:10547738211000350. Epub 2021 Mar 14.

Ege University Faculty of Medicine, Izmir, Turkey.

This descriptive study was designed to investigate the pelvic floor muscle strength (PFMS) of women aged 18 to 49 years and to examine the factors that may have an effect on PFMS. The study was conducted on 258 women who visited a gynecology outpatient clinic between January 2019 and January 2020, who met the research criteria, and who agreed to participate in the study. The data were collected using the Sociodemographic Characteristics Information Form. Read More

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Different classes of antibiotics given to women routinely for preventing infection at caesarean section.

Cochrane Database Syst Rev 2021 03 4;3:CD008726. Epub 2021 Mar 4.

Cochrane Pregnancy and Childbirth Group, Department of Women's and Children's Health, University of Liverpool, Liverpool, UK.

Background: Caesarean section increases the risk of postpartum infection for women and prophylactic antibiotics have been shown to reduce the incidence; however, there are adverse effects. It is important to identify the most effective class of antibiotics to use and those with the least adverse effects.  OBJECTIVES: To determine, from the best available evidence, the balance of benefits and harms between different classes of antibiotic given prophylactically to women undergoing caesarean section, considering their effectiveness in reducing infectious complications for women and adverse effects on both mother and infant. Read More

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Prevalence and bacteriology of culture-positive urinary tract infection among pregnant women with suspected urinary tract infection at Mbarara regional referral hospital, South-Western Uganda.

BMC Pregnancy Childbirth 2021 Feb 23;21(1):159. Epub 2021 Feb 23.

Department of Microbiology, Mbarara University of Science and Technology, Mbarara City, Uganda.

Background: Urinary tract infections (UTIs) in pregnant women contribute about 25% of all infections and are among the most frequent clinical bacterial infections. Pregnancy changes in women that include anatomical, physiological and hormonal make them susceptible to develop UTI. Left untreated, UTI in pregnancy is associated with grave complications to the mother and fetus. Read More

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February 2021

Rising prevalence of multidrug-resistant uropathogenic bacteria from urinary tract infections in pregnant women.

J Taibah Univ Med Sci 2021 Feb 11;16(1):102-111. Epub 2020 Nov 11.

Department of Biotechnology, Institute of Molecular Biology and Biotechnology, The University of Lahore, Main Campus, Lahore, Pakistan.

Objectives: This study aimed to determine the prevalence of urinary tract infections (UTI) in pregnant women and characterise the uropathogenic bacterial strains associated with symptomatic and asymptomatic bacteriuria in Lahore, Pakistan.

Methods: Between December 2018 and June 2019, we analysed the uropathogenic bacterial strains from midstream urine samples in 80 pregnant women. The age of the pregnant women ranged from 19 to 45 years, and they resided in urban and rural areas. Read More

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February 2021

Brain death in pregnancy: a systematic review focusing on perinatal outcomes.

Am J Obstet Gynecol 2021 May 16;224(5):445-469. Epub 2021 Feb 16.

Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA.

Objective: Brain death (BD) during pregnancy might justify in select cases maternal somatic support to obtain fetal viability and maximize perinatal outcome. This study is a systematic review of the literature on cases of brain death in pregnancy with attempt to prolong pregnancy to assess perinatal outcomes.

Data Sources: We performed a systematic review of the literature using Ovid MEDLINE, Scopus, PubMed (including Cochrane database), and CINHAIL from inception to April 2020. Read More

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Deimplementation strategy to reduce overtreatment of asymptomatic bacteriuria: a study protocol for a stepped-wedge cluster randomised trial.

BMJ Open 2021 02 9;11(2):e039085. Epub 2021 Feb 9.

Internal Medicine, Infectious Diseases, Amsterdam UMC, Locatie AMC, Amsterdam, North Holland, The Netherlands.

Introduction: Antimicrobial treatment of asymptomatic bacteriuria (ASB) is one of the most common unnecessary uses of antimicrobials. Earlier studies have shown that the prevalence of this inappropriate treatment ranges from 45% to 83%. Multifaceted interventions based on international guidelines and antimicrobial stewardship can decrease overtreatment of ASB. Read More

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February 2021

Kidney damage associated with vesico ureteric reflux.

Curr Opin Pediatr 2021 Apr;33(2):247-251

Pediatric Nephrology, Dialysis and Transplant Unit, Fondazione Ca' Granda IRCCS, Policlinico di Milano.

Purpose Of Review: The aim of this review is to highlight the most recent developments in the understanding of kidney damage associated with vesico ureteral reflux. The severe damage, with major adverse long-term sequelae, was thought to be, for the most part, the result of pyelonephritis, predisposed to by vesico ureteral reflux.

Recent Findings: It is now recognized that there are two distinct forms of kidney damage (congenital and acquired), in association with reflux. Read More

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Early use of corticosteroids in non-critical patients with COVID-19 pneumonia (PREDCOVID): a structured summary of a study protocol for a randomised controlled trial.

Trials 2021 Jan 26;22(1):92. Epub 2021 Jan 26.

Hospital Santiago Oriente, Santiago, Chile.

Objectives: To evaluate the efficacy of early treatment with prednisone to decrease the progression of COVID-19 pneumonia.

Trial Design: This is a pragmatic, non-blinded, randomized, two arms, parallel trial.

Participants: Patients between 18 and 90 years, with COVID-19 pneumonia, confirmed by RT PCR. Read More

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January 2021

Spontaneous miscarriages in patients with bladder pain syndrome/interstitial cystitis - effect of stress on inflammation?

J Biol Regul Homeost Agents 2021 Jan-Feb;35(1):5-10

Department of Obstetrics and Gynecology, South Shore Hospital, South Weymouth, MA, USA.

Interstitial cystitis/painful bladder syndrome (IC/PBS) affects mostly women and is characterized by pelvic pain or pressure and frequency of voiding in the absence of urinary tract infection. Acute stress worsens IC/PBS symptoms and bladder inflammation associated with increased number of activated mast cells. We investigated retroactively the incidence of spontaneous miscarriages and any related stress in IC/PBS patients. Read More

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Patterns of infections and antimicrobial drugs' prescribing among pregnant women in Saudi Arabia: a cross sectional study.

J Pharm Policy Pract 2021 Jan 14;14(1). Epub 2021 Jan 14.

Department of Pharmacy, School of Applied Sciences, University of Huddersfield, Huddersfield, UK.

Background: Antimicrobial agents are among the most commonly prescribed drugs in pregnancy due to the increased susceptibility to infections during pregnancy. Antimicrobials can contribute to different maternal complications. Therefore, it is important to study their patterns in prescription and utilization. Read More

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January 2021

Massive thrombosis in an infant with suspected nephrocalcinosis: case report and literature review.

Cent Eur J Immunol 2020 1;45(3):355-360. Epub 2020 Nov 1.

Department of Pediatrics and Nephrology, Medical University of Warsaw, Warsaw, Poland.

Introduction: Perinatal period is characterized by an increased risk of thrombosis due to low resources and limited compensatory capacity of the coagulation system in early stages of life.

Case Report: We report a case of a second pregnancy female infant born at 39 weeks by caesarean section, due to pre-labor rupture of membranes, with body weight of 3,570 γ and Apgar score 10. The pregnancy was complicated by hypothyroidism, uterine myoma, urinary tract infections, and mother's appendectomy at 16 Hbd. Read More

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November 2020

Bacterial Profile and Antibiotic Susceptibility Pattern of Urinary Tract Infection among Pregnant Women Attending Antenatal Care at a Tertiary Care Hospital in Southern Ethiopia.

Can J Infect Dis Med Microbiol 2020 24;2020:5321276. Epub 2020 Dec 24.

Hawassa University College of Computational and Natural Science Department of Biology, Awassa, Ethiopia.

Background: Urinary tract infection is one of the most common bacterial infections encountered in pregnant women with significant morbidity. This study aimed to determine the bacterial profile and its antimicrobial susceptibility pattern of urinary tract infection among pregnant women attending antenatal care (ANC) at a Hawassa University Comprehensive Specialized Hospital (HUCSH), Southern Ethiopia.

Method: A cross-sectional study was conducted in which consecutive pregnant women enrolled in the study from March to June 2019. Read More

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December 2020

Efficacy and safety of the long-acting C5 inhibitor ravulizumab in patients with atypical hemolytic uremic syndrome triggered by pregnancy: a subgroup analysis.

BMC Nephrol 2021 Jan 6;22(1). Epub 2021 Jan 6.

Instituto de Investigación Hospital Universitario 12 de Octubre i+12, Madrid, Spain.

Background: Atypical hemolytic uremic syndrome (aHUS) triggered by pregnancy is a rare disease caused by dysregulation of the alternative complement pathway that occurs in approximately 1 in 25,000 pregnancies. The 311 phase 3 trial (NCT02949128) showed that ravulizumab, a long-acting C5 inhibitor obtained through selective modifications to eculizumab, is efficacious in inhibiting complement-mediated thrombotic microangiopathy (TMA) in patients with aHUS. In this analysis, we report outcomes in a subgroup of patients from the 311 study who developed TMA postpartum. Read More

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January 2021

Chorioamnionitis: An Underrecognized Cause of Preterm Premature Rupture of Membranes in the Second Trimester.

Microorganisms 2021 Jan 3;9(1). Epub 2021 Jan 3.

Clinical Microbiology Laboratory, IRCCS Arcispedale Santa Maria Nuova, 42122 Reggio Emilia, Italy.

is a Gram-negative, rod-shaped bacterium, responsible for hospital and community acquired pneumonia, urinary tract and wound infections, and bloodstream dissemination. infection in pregnancy, leading to acute chorioamnionitis (AC), preterm premature rupture of membranes (PPROM) and early pregnancy loss in the second trimester, has been rarely reported. Herein, we present a case of AC that caused intrauterine fetal demise (IUFD) at 19 weeks + 5 days. Read More

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January 2021

Pregnancy Outcomes in 2 Women Born with Complex Anorectal Malformations: Challenges and Considerations.

J Pediatr Adolesc Gynecol 2021 Jun 31;34(3):424-426. Epub 2020 Dec 31.

Department of Maternal Fetal Medicine, Osaka Women's and Children's Hospital, Osaka, Japan.

Background: Complex anorectal malformations (ARMs) are a group of rare congenital malformations involving numerous anomalies that require reconstruction and can affect sexuality, fertility, and pregnancy outcomes. Few cases of pregnancy in complex ARM patients have been reported.

Cases: We report on 2 patients with ARMs who delivered 3 term infants, all by cesarean section with successful collaboration between pediatric urologists and obstetricians. Read More

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Outpatient Antibiotic Prescriptions in Pregnant Women in Małopolska Province.

Antibiotics (Basel) 2020 Dec 26;10(1). Epub 2020 Dec 26.

Microbiology, Jagiellonian University Medical College, 31-121 Kraków, Poland.

Background: excessive and incorrect use of antibiotics is a common event that contributes to increased bacterial resistance to antibiotics. Based on the European Centre for Disease Control and Prevention (ECDC) European Surveillance of Antimicrobial Consumption (ESAC)-Net reports, outpatient antibiotics prescribing in Poland, is higher than the European average rate. However, ECDC reports do not provide data on consumption in specific patient groups. Read More

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December 2020

Association of genitourinary infections and cervical length with preterm childbirth.

Braz J Med Biol Res 2020 21;54(1):e10235. Epub 2020 Dec 21.

Departamento de Ginecologia e Obstetrícia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brasil.

A prospective cohort study was conducted on a convenience sample of 1370 pregnant women with a gestational age of 20 to 25 weeks in the city of Ribeirão Preto. Data on obstetrical history, maternal age, parity, smoking habit, and a history of preterm delivery was collected with the application of a sociodemographic questionnaire. Cervical length was determined by endovaginal ultrasound, and urine and vaginal content samples were obtained to determine urinary tract infection (UTI) and bacterial vaginosis (BV), respectively. Read More

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February 2021

Effect of a Mediterranean Diet-Based Nutritional Intervention on the Risk of Developing Gestational Diabetes Mellitus and Other Maternal-Fetal Adverse Events in Hispanic Women Residents in Spain.

Nutrients 2020 Nov 14;12(11). Epub 2020 Nov 14.

Endocrinology and Nutrition Department, Hospital Clínico Universitario San Carlos and Instituto de Investigación Sanitaria del Hospital Clínico San Carlos (IdISSC), E 28040 Madrid, Spain.

Gestational diabetes mellitus (GDM) is the most frequent morbidity found in pregnancy, and it increases the risk for several maternal-fetal complications. Hispanic women are considered at high risk. The St. Read More

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November 2020

[Experience in the use of herbal preparations for the complex treatment of uncomplicated lower urinary tract infections in pregnant women].

Urologiia 2020 11(5):33-36

Akvion AO, Moscow, Russia.

Introduction: During pregnancy, therapeutic options which can be used to treat and prevent acute lower urinary tract infections are significantly limited. In this regard, new opportunities to increase time to relapse of urinary tract infections are urgently required.

Aim: To evaluate the results of the use of the dietary supplements "Cystenium II" in pregnant women for the complex treatment of acute cystitis and asymptomatic bacteriuria. Read More

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November 2020