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    3534 results match your criteria Urinary Tract Infections in Pregnancy

    1 OF 71

    Outcomes of UTI and bacteriuria caused by ESBL vs. non-ESBL Enterobacteriaceae isolates in pregnancy: a matched case-control study.
    Epidemiol Infect 2018 Mar 14:1-4. Epub 2018 Mar 14.
    Infectious Diseases Institute,Soroka University Medical Center and Joyce and Irving Goldman Medical School,Ben-Gurion University of the Negev,Beer-Sheva,Israel.
    Infections caused by extended-spectrum β-lactamase-producing Enterobacteriaceae (ESBL-E) have become increasingly prevalent, posing a serious public threat worldwide. It is commonly believed that untreated urinary tract infections (UTI) and asymptomatic bacteriuria (ABU) during pregnancy are associated with poor obstetric outcomes. Currently, there is a paucity of data regarding the outcomes or risk factors of such ESBL-E infections in pregnant women. Read More

    Urinary tract infection during pregnancy: current concepts on a common multifaceted problem.
    J Obstet Gynaecol 2018 Feb 6:1-6. Epub 2018 Feb 6.
    a 3rd Department of Obstetrics and Gynaecology , Aristotle University of Thessaloniki , Thessaloniki , Greece.
    Urinary tract infections (UTIs) are the most common bacterial infection in pregnancy, increasing the risk of maternal and neonatal morbidity and mortality. Urinary tract infections may present as asymptomatic bacteriuria, acute cystitis or pyelonephritis. Escherichia coli is the most common pathogen associated with both symptomatic and asymptomatic bacteriuria. Read More

    [Factors associated with epilepsy in children in Mexico: A case-control study].
    Bol Med Hosp Infant Mex 2017 Sep - Oct;74(5):334-340. Epub 2017 Sep 2.
    Centro de Investigación de Enfermedades Tropicales (CIET), Universidad Autónoma de Guerrero, Acapulco, Guerrero, México; Departamento de Medicina Familiar, Universidad de McGill, Montreal, Canadá.
    Background: Epilepsy is the most common chronic neurological disease in the world. In Mexico, epilepsy is among the diseases more related to mortality due to non-infectious diseases in children. The objective of the study was to identify the factors associated with epilepsy in children entitled to the Mexican Social Security Institute (IMSS), in Acapulco, Mexico. Read More

    Recommendations of the Spanish Working Group on Crohn's Disease and Ulcerative Colitis (GETECCU) on the use of tiopurines in inflammatory bowel disease.
    Gastroenterol Hepatol 2018 Mar 19;41(3):205-221. Epub 2018 Jan 19.
    Servicio de Digestivo, Hospital Universitario Ramón y Cajal, Madrid, España.
    Thiopurines (azathioprine and mercaptopurine) are widely used in patients with inflammatory bowel disease. In this paper, we review the main indications for their use, as well as practical aspects on efficacy, safety and method of administration. They are mainly used to maintain remission in steroid-dependent disease or with ciclosporin to control a severe ulcerative colitis flare-up, as well as to prevent postoperative Crohn's disease recurrence, and also in combination therapy with biologics. Read More

    Antibiotics Dispensed to Privately Insured Pregnant Women with Urinary Tract Infections - United States, 2014.
    MMWR Morb Mortal Wkly Rep 2018 Jan 12;67(1):18-22. Epub 2018 Jan 12.
    Urinary tract infections (UTIs) occur in about 8% of pregnant women, and untreated UTIs can have serious consequences, including pyelonephritis, preterm labor, low birth weight, and sepsis (1). Pregnant women are typically screened for UTIs during early pregnancy, and those with bacteriuria are treated with antibiotics (1,2). Antibiotic stewardship is critical to improving patient safety and to combating antibiotic resistance. Read More

    Diagnosis and treatment of urinary tract infections across age groups.
    Am J Obstet Gynecol 2018 Jan 2. Epub 2018 Jan 2.
    Department of Obstetrics and Gynecology, Washington University in St Louis.
    Urinary tract infections are the most common outpatient infections, but predicting the probability of urinary tract infections through symptoms and test results can be complex. The most diagnostic symptoms of urinary tract infections include change in frequency, dysuria, urgency, and presence or absence of vaginal discharge, but urinary tract infections may present differently in older women. Dipstick urinalysis is popular for its availability and usefulness, but results must be interpreted in context of the patient's pretest probability based on symptoms and characteristics. Read More

    Aust Nurs Midwifery J 2017 03;24(8):40
    The National Medical Research Council Australia website states that 20% of hospital acquired infections are urinary tract infections (UTIs). This percentage is derived from a study involving 75,694 participants, undertaken in England, Wales, Northern Ireland and the Republic of Ireland and of the reported UTIs, 40-57% are caused by urinary catheters (Smyth et al. 2008). Read More

    Effects of ciprofloxacin and quercetin on fetal brain development: a biochemical and histopathological study.
    J Matern Fetal Neonatal Med 2018 Jan 10:1-9. Epub 2018 Jan 10.
    e Department of Biochemistry, Faculty of Medicine , Inonu University , Malatya , Turkey.
    Purpose: Teratogens cause birth defects and malformations while human development is being completed. In pregnancy, urinary tract infection (UTI) is a common health problem caused by bacteria. The fluoroquinolones such as ciprofloxacin, levofloxacin, moxifloxacin, and gemifloxacin can treat various types of bacterial infections successfully. Read More

    [Nosocomial urinary tract and surgical site infection rates in the Maternity Ward at the General Referral Hospital in Katuba, Lubumbashi, Democratic Republic of the Congo].
    Pan Afr Med J 2017 21;28:57. Epub 2017 Sep 21.
    Ecole de Santé Publique, Université de Lubumbashi, République Démocratique du Congo.
    Introduction: In Intertropical Africa hospitalized patients are exposed to a risk of nosocomial infections. The dearth of published data on this subject limits the descriptive analysis of the situation. This study aimed to determine the incidence, the germs responsible for these infections and the risk factors of nosocomial infections in the Maternity Ward at the General Referral Hospital in Katuba, Lubumbashi, Democratic Republic of the Congo. Read More

    Bacteriology and Antibiogram of Urinary Tract Infection Among Female Patients in a Tertiary Health Facility in South Eastern Nigeria.
    Open Microbiol J 2017 31;11:292-300. Epub 2017 Oct 31.
    Department of Peadiatrics, Chukwuemeka Odumegwu Ojukwu University, Awka Campus, Anambra state, Nigeria.
    Background: Urinary Tract Infection (UTI) is a common contagion among men and women with the incidence relatively higher among women due to their differing anatomy. An understanding of the kind of pathogens implicated in urinary tract infections as well as antibiotic susceptibility profiling may help the clinician make rationally correct empirical choice in their treatment.

    Objective: This study is aimed at determining the type and antibiotic susceptibility pattern of bacterial uropathogens isolated from female patients attending Chukwuemeka Odumegwu Ojukwu University Teaching Hospital (COOUTH), Awka, Nigeria. Read More

    Routine antibiotic prophylaxis after normal vaginal birth for reducing maternal infectious morbidity.
    Cochrane Database Syst Rev 2017 11 13;11:CD012137. Epub 2017 Nov 13.
    UNDP/UNFPA/UNICEF/WHO/World Bank Special Programme of Research, Development and Research Training in Human Reproduction (HRP), Department of Reproductive Health and Research, World Health Organization, Avenue Appia 20, Geneva, Switzerland, CH-1211.
    Background: Infectious morbidities contribute to considerable maternal and perinatal morbidity and mortality, including women at no apparent increased risk of infection. To reduce the incidence of infections, antibiotics are often administered to women after uncomplicated childbirth, particularly in settings where women are at higher risk of puerperal infectious morbidities.

    Objectives: To assess whether routine administration of prophylactic antibiotics to women after normal (uncomplicated) vaginal birth, compared with placebo or no antibiotic prophylaxis, reduces postpartum maternal infectious morbidities and improves outcomes. Read More

    Cross-sectional interview study of fertility, pregnancy, and urogenital schistosomiasis in coastal Kenya: Documented treatment in childhood is associated with reduced odds of subfertility among adult women.
    PLoS Negl Trop Dis 2017 Nov 27;11(11):e0006101. Epub 2017 Nov 27.
    Center for Global Health and Diseases, Case Western Reserve University, Cleveland, Ohio, United States of America.
    Background: Previous research has documented an increased risk of subfertility in areas of sub-Saharan Africa, as well as an ecological association between urogenital schistosomiasis prevalence and decreased fertility. This pilot project examined reproductive patterns and the potential effects of childhood urogenital Schistosoma haematobium infection and individual treatment experience on adult subfertility among women who were long-term residents in an S. haematobium-endemic region of coastal Kenya. Read More

    Sacral neuromodulation and pregnancy: Results of a national survey carried out for the neuro-urology committee of the French Association of Urology (AFU).
    Neurourol Urodyn 2017 Nov 21. Epub 2017 Nov 21.
    Department of Urology, Andrology and Transplantation, CHU Rangueil, Toulouse, France.
    Aims: To assess the impact of sacral neuromodulation (SNM) on pregnancy and vice-versa, by identifying women who had received SNM for lower-urinary tract symptoms (LUTS) and had become pregnant.

    Methods: A cross-sectional descriptive study was carried out based on responses to an on-line questionnaire sent to practitioners listed on the InterStim enCaptureTM National Registry. Questions were related to pre-pregnancy health and SNM efficacy, deactivation of the device, its impact on LUTS, childbirth, the infant, its reactivation and postpartum effectiveness. Read More

    Maternal urogenital schistosomiasis; monitoring disease morbidity by simple reagent strips.
    PLoS One 2017 1;12(11):e0187433. Epub 2017 Nov 1.
    Department of Zoology, University of Ibadan, Ibadan, Oyo State, Nigeria.
    Background: Urine analysis is one of the recommended antenatal guidelines for early diagnosis of pregnancy-associated complications. While in practice, urine analysis by dipstick had been used to provide useful information on other urinary tract infections, its applications for early detection of urogenital schistosomiasis in pregnant women is often times not given due attention in most endemic areas. Our study therefore assessed the performance of some common urinalysis parameters in the diagnosis of maternal urogenital schistosomiasis in endemic rural communities of Nigeria. Read More

    Acta Med Croatica 2016 12;70(4-5):249-55
    Urinary tract infections (UTI) are the most common bacterial infections involving lower (cystitis, prostatitis) or upper (pyelonephritis, renal abscess, perinephric abscess) urinary tract. Differentiation of complicated and uncomplicated UTI is usually based on the presence of structural or functional urinary tract abnormalities, which can increase the risk of treatment failure and development of serious complications. Factors that increase the risk are foreign bodies, stones, obstruction, neurogenic bladder, kidney transplantation, immunosuppression, and pregnancy. Read More

    Evaluation of late adolescent pregnancies: Is late adolescence a risk factor for preterm labor?
    J Matern Fetal Neonatal Med 2017 Oct 29:1-6. Epub 2017 Oct 29.
    a Department of Obstetrics and Gynaecology, Faculty of Medicine , Marmara University , Maltepe, Istanbul , Turkey.
    Study Objective: We evaluated effect of late adolescence during pregnancy and its confounding factors on neonatal and maternal results.

    Objective: The aim of the present study is to evaluate the effect of late adolescence on maternal, perinatal outcomes and preterm labor.

    Methods: This retrospective study was carried out on 172 late adolescents and 160 adult women who delivered in a tertiary center. Read More

    Erythematous plaques and papules on a premature infant.
    J Am Acad Dermatol 2017 Apr;76(4):e111-e112
    Department of Medicine (Dermatology), Vanderbilt University Medical Center, Nashville, TN.
    A 2240 gram boy was born at 33.2 weeks gestation with nonblanching, deeply erythematous plaques and papules on the back, flanks, and scalp (Figure 1). His mother was GBS positive and on antibiotic suppression for prior cutaneous MRSA and urinary tract infections. Read More

    Human immunodeficiency virus infection acquired through a traditional healer's ritual: a case report.
    J Med Case Rep 2017 Oct 26;11(1):301. Epub 2017 Oct 26.
    Department of Cardiovascular Medicine, Jakaya Kikwete Cardiac Institute, P.O Box 65141, Dar es Salaam, Tanzania.
    Background: Globally, over 36 million people were infected with human immunodeficiency virus by the end of 2015. The Sub-Saharan African region home to less than one-fifth of the global population disproportionately harbors over two-thirds of the total infections and related deaths. Residents of Sub-Saharan Africa continue to face limited access to allopathic medicine and it is estimated that over 80% of primary health care needs in the region are met through traditional healing practices. Read More

    [Urinary tract infections : What has been confirmed in therapy?]
    Internist (Berl) 2017 Dec;58(12):1242-1249
    Urologische Klinik und Poliklinik, Klinikum der Universität München - Campus Großhadern, Ludwig-Maximilians-Universität München, Marchioninistr. 15, 81377, München, Deutschland.
    Urinary tract infections (UTIs) affect approximately 150 million people worldwide per year, causing annual health costs of over three billion dollars just in the USA. Every second woman experiences at least one UTI in her lifetime, with every one in four experiencing recurrence. Uncomplicated infections like single or recurrent cystitis and pyelonephritis can be distinguished from complicated disease. Read More

    Antibiotic Overconsumption in Pregnant Women With Urinary Tract Symptoms in Uganda.
    Clin Infect Dis 2017 Aug;65(4):544-550
    Department of Microbiology, Tumor and Cell Biology, Division of Clinical Microbiology, Karolinska Institutet and Karolinska University Hospital, Stockholm, Sweden.
    Background: Urinary tract infections (UTIs) are one of the most common bacterial infections in women. During pregnancy physiological changes, like frequency, mimic UTI symptoms, and therefore bacteriological cultures are needed to confirm the diagnosis. However, in developing countries antibiotic therapy is commonly initiated without culture confirmation. Read More

    Is Infection an Independent Risk Factor for Venous Thromboembolism? A Population-Based, Case-Control Study.
    Am J Med 2018 Mar 4;131(3):307-316.e2. Epub 2017 Oct 4.
    Department of Cardiovascular Diseases, Mayo Clinic, Rochester, Minn; Division of Hematology, Department of Internal Medicine, Mayo Clinic, Rochester, Minn; Division of Epidemiology, Department of Health Sciences Research, Mayo Clinic, Rochester, Minn.
    Background: The independent association of recent infection with venous thromboembolism is uncertain. The study aims were to test both overall infection (site unspecified) and specific infection sites as potential risk factors for deep vein thrombosis and pulmonary embolism adjusting for other known venous thromboembolism factors.

    Methods: By using Rochester Epidemiology Project resources, we identified all Olmsted County, Minnesota, residents with objectively diagnosed incident deep vein thrombosis or pulmonary embolism over the 13-year period 1988 to 2000 (cases; n = 1303) and 1 to 2 residents without venous thromboembolism matched to each case on age, sex, and incident venous thromboembolism date (controls; n = 1494). Read More

    Vigilance on use of drugs, herbal products, and food supplements during pregnancy: focus on fosfomycin.
    J Matern Fetal Neonatal Med 2017 Sep 17:1-4. Epub 2017 Sep 17.
    a Department of Biomedical and Dental Sciences and Morphofunctional Imaging , University of Messina , Messina , Italy.
    Purpose: Urinary tract infection (UTI) is defined as a common bacterial infection that can lead to significant morbidity such as stricture, fistula, abscess formation, bacteremia, sepsis, pyelonephritis, and kidney dysfunction with a mortality rates reported of 1% in men and 3% in women because of development of pyelonephritis. UTIs are more common in women and the 33% of them require antimicrobials treatment for at least one episode by the age of 24 years. UTIs are the most common infections observed during pregnancy and up to 30% of mothers with not treated asymptomatic bacteriuria may develop acute pyelonephritis which consequently can be associated to adverse maternal and fetal outcomes. Read More

    Effects of ciprofloxacin on fetal rat liver during pregnancy and protective effects of quercetin.
    Biotech Histochem 2017 24;92(7):481-486. Epub 2017 Aug 24.
    f Biochemistry , Inonu University, Faculty of Medicine , Malatya , Turkey.
    Urinary tract infections are common in pregnant women and ciprofloxacin frequently is used as a broad spectrum antibiotic. It has been suggested that ciprofloxacin causes liver damage in fetuses. Quercetin is a flavonoid with antioxidant properties. Read More

    Committee Opinion No. 717: Sulfonamides, Nitrofurantoin, and Risk of Birth Defects.
    • Authors:
    Obstet Gynecol 2017 09;130(3):e150-e152
    The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed. As with all patients, antibiotics should be prescribed for pregnant women only for appropriate indications and for the shortest effective duration. During the second and third trimesters, sulfonamides and nitrofurantoins may continue to be used as first-line agents for the treatment and prevention of urinary tract infections and other infections caused by susceptible organisms. Read More

    Committee Opinion No. 717 Summary: Sulfonamides, Nitrofurantoin, and Risk of Birth Defects.
    • Authors:
    Obstet Gynecol 2017 Sep;130(3):666-667
    The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed. As with all patients, antibiotics should be prescribed for pregnant women only for appropriate indications and for the shortest effective duration. During the second and third trimesters, sulfonamides and nitrofurantoins may continue to be used as first-line agents for the treatment and prevention of urinary tract infections and other infections caused by susceptible organisms. Read More

    Decidual Stromal Cell Necroptosis Contributes to Polyinosinic-Polycytidylic Acid-Triggered Abnormal Murine Pregnancy.
    Front Immunol 2017 2;8:916. Epub 2017 Aug 2.
    Key Laboratory of Zoonosis, Ministry of Education, College of Animal Medicine, Jilin University, Changchun, China.
    Infectious agents can reach the placenta eitherthe maternal blood or by ascending the genito-urinary tract, and then initially colonizing the maternal decidua. Decidual stromal cells (DSCs) are the major cellular component of the decidua. Although DSCs at the maternal-fetal interface contribute to the regulation of immunity in pregnancy in the face of immunological and physiological challenges, the roles of these DSCs during viral infection remain ill defined. Read More

    Maternofetal outcome of asymptomatic bacteriuria among pregnant women in a Nigerian Teaching Hospital.
    Pan Afr Med J 2017 30;27:69. Epub 2017 May 30.
    Department of Obstetrics and Gynaecology, University of Port Harcourt Teaching Hospital, Port Harcourt, Rivers State, Nigeria.
    Introduction: Asymptomatic bacteriuria has been reported to be associated with adverse pregnancy outcome. This study sought to determine the prevalence and complications of asymptomatic bacteriuria amongst parturient in the University of Port Harcourt Teaching Hospital (UPTH).

    Methods: The study was a prospective cohort study involving 220 eligible antenatal attendees. Read More

    Spinal cord injury during the second trimester of pregnancy.
    Spinal Cord Ser Cases 2017 10;3:17052. Epub 2017 Aug 10.
    Department of Physical Medicine and Rehabilitation King Fahad Medical City, Riyadh, Saudi Arabia.
    Introduction: Pregnancies in women with spinal cord injury (SCI) are at greater risk of morbidity and mortality. Although pregnancy after SCI is well elaborated in the literature, SCI occurring during pregnancy is rarely reported. Abrupt changes in the body physiology because of SCI and the resulting disability add a risk to maternal and fetal well-being. Read More

    [Group B streptococcal perinatal infection: A Global, Latin American and Mexican Overview].
    Gac Med Mex 2017 May-Jun;153(3):361-370
    Laboratorio de Inmunología y Virología, Facultad de Ciencias Biológicas, Universidad Autónoma de Nuevo León, Monterrey, N.L., México.
    Group B streptococci (Streptococcus agalactiae) cause a number of infections in women during pregnancy and postpartum, such as urinary tract infection, chorioamnionitis and endometritis, consequently may affect the newborn. Group B streptococci is the most common cause of severe infections in newborns in developed countries. Studies on the epidemiology of group B streptococci infections in Latin America are still limited. Read More

    Risk factors for early return visits to the emergency department in patients with urinary tract infection.
    Am J Emerg Med 2018 Jan 21;36(1):12-17. Epub 2017 Jun 21.
    Department of Pharmacy, Huntington Hospital, 100 W California Blvd, Pasadena, CA 91105, United States; University of Southern California, School of Pharmacy, 1985 Zonal Ave, Los Angeles, CA 90089, United States. Electronic address:
    Background: Optimal management of urinary tract infections (UTIs) in the emergency department (ED) is challenging due to high patient turnover, decreased continuity of care, and treatment decisions made in the absence of microbiologic data. We sought to identify risk factors for return visits in ED patients treated for UTI.

    Methods: A random sample of 350 adult ED patients with UTI by ICD 9/10 codes was selected for review. Read More

    [Pregnancy and delivery for women with congenital spinal cord defects and neurogenic bladder].
    Prog Urol 2017 Oct 17;27(12):618-625. Epub 2017 Jun 17.
    Service d'urologie, faculté de médecine Pierre-et-Marie-Curie, Sorbonne universités, université Paris 6, hôpital universitaire Pitié-Salpêtrière, Assistance publique-Hôpitaux de Paris, 47-83, boulevard de l'Hôpital, 75651 Paris cedex 13, France. Electronic address:
    Introduction: Data are scarce regarding pregnancy and delivery among women with a neurogenic bladder due to congenital spinal cord defects.

    Objective: To report the obstetrical and urological outcomes of women with congenital spinal cord defects and vesico-sphincteric disorders.

    Methods: A retrospective multicentric study included all consecutive women with a neurogenic bladder due to congenital spinal defects, who delivered between January 2005 and December 2014. Read More

    [Risk factors associated with preterm birth in a second level hospital].
    Rev Med Inst Mex Seguro Soc 2017 Jul-Aug;55(4):424-428
    Coordinación de Educación e Investigación en Salud, Hospital General de Zona 2, Instituto Mexicano del Seguro Social, Tuxtla Gutiérrez, Chiapas, México.
    Background: Preterm birth is one of the biggest problems in obstetrics and gynecology, given that it has an incidence of 10-11%. The objective was to identify the risk factors associated with a preterm birth.

    Methods: A retrospective, observational, transversal and analytic case-control study was made. Read More

    Central Hematocrit Levels in Fetal Malnourished Term Infants.
    J Pediatr Hematol Oncol 2017 Nov;39(8):e426-e429
    *Department of Pediatrics, Bakirkoy Dr. Sadi Konuk Training and Research, Hospital †Department of Pediatrics, Bağcilar Training and Research, Hospital, Istanbul, Turkey.
    Backround: Fetal malnutrition is especially important for common chronic diseases in adult life. They could potentially be prevented by achieving optimal fetal nutrition.

    Objective: The aim of this study was to investigate hematocrit levels of malnourished, term, appropriate for gestational age (AGA) neonates. Read More

    Morphometric abnormalities in spleen and kidney of the progeny of mice fed American cranberry extract (Vaccinium macrocarpon) during pregnancy and lactation.
    Pol J Vet Sci 2017 Mar;20(1):57-65
    Cranberries and cranberry-derived diet supplements are often recommended for the treatment of urinary tract infections, also during pregnancy. These products contain strongly anti-angiogenic chemical compounds which could not be indifferent to the developing fetus. In the present work we evaluated the effect of feeding pregnant and lactating mice American cranberry extract (daily dose 0. Read More

    Group B streptococcal bacteriuria during pregnancy as a risk factor for maternal intrapartum colonization: a prospective cohort study.
    J Med Microbiol 2017 Apr;66(4):454-460
    5​Gerència Territorial ICS Terres de l'Ebre.
    Purpose: Current evidence is inconclusive regarding the intrapartum administration of chemoprophylaxis, merely based on the presence of group B streptococcal (GBS) bacteriuria of any colony count, in the prevention of early-onset neonatal GBS infection. The aim of this study was to assess whether GBS bacteriuria is a risk factor for intrapartum colonization (IPC) regardless of urinary concentration or the results of late third-trimester rectovaginal screening cultures (RVSCs).

    Methodology: Six hundred and eight pregnant women, with urine specimens cultured between May 2011 and May 2013, were enrolled in this prospective cohort study. Read More

    Prevalence, aetiology and antibiotic sensitivity profile of asymptomatic bacteriuria isolates from pregnant women in selected antenatal clinic from Nairobi, Kenya.
    Pan Afr Med J 2017 30;26:41. Epub 2017 Jan 30.
    College of Public Health Jomo Kenyatta University Agriculture and Technology, Centre for Microbiology Research Kenya Medical Research Institute, Kenya.
    Introduction: Asymptomatic bacteriuria (ASB) is the presence of bacteria in urine without apparent symptoms of urinary tract infections. The importance of asymptomatic bacteriuria lies in the insight it provides into symptomatic infections. To determine prevalence, bacterial isolates and Antibiotic Sensitivity Profile of asymptomatic bacterial urinary tract infection in pregnant women in selected clinics in Nairobi. Read More

    Asymptomatic pyuria in pregnant women during the first trimester is associated with an increased risk of adverse obstetrical outcomes.
    Taiwan J Obstet Gynecol 2017 Apr;56(2):192-195
    Department of Obstetrics and Gynecology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan. Electronic address:
    Objective: Urinalysis is included in the prenatal examination in the first trimester in Taiwan, in contrast to Western countries. We aimed to investigate whether asymptomatic pyuria as detected by urinalysis was associated with adverse perinatal outcomes.

    Materials And Methods: A total of 1187 singleton pregnant women who received prenatal care at Kaohsiung Chang Gung Memorial Hospital between January 2012 and December 2013 were included for retrospective analysis. Read More

    Effect of a Food Supplement Containing L-Methionine on Urinary Tract Infections in Pregnancy: A Prospective, Multicenter Observational Study.
    J Altern Complement Med 2017 Jun 17;23(6):471-478. Epub 2017 Apr 17.
    4 Department of Gynecology and Obstetrics, Sant'Anna and San Sebastiano Hospital, University of Campania "Luigi Vanvitelli ," Caserta, Italy .
    Objective: Adjuvants or alternatives to antibiotics in urinary tract infections (UTIs) during pregnancy seem advisable because of possible fetal stress. The present study assessed the effectiveness of a food supplement containing L-methionine and Hibiscus sabdariffa L. and Boswellia serrata Roxb. Read More

    Antimicrobial-resistant infections among postpartum women at a Ugandan referral hospital.
    PLoS One 2017 13;12(4):e0175456. Epub 2017 Apr 13.
    Mbarara University of Science and Technology, Mbarara, Uganda.
    Introduction: Puerperal sepsis causes 10% of maternal deaths in Africa, but prospective studies on incidence, microbiology and antimicrobial resistance are lacking.

    Methods: We performed a prospective cohort study of 4,231 Ugandan women presenting to a regional referral hospital for delivery or postpartum care, measured vital signs after delivery, performed structured physical exam, symptom questionnaire, and microbiologic evaluation of febrile and hypothermic women. Malaria rapid diagnostic testing, blood and urine cultures were performed aseptically and processed at Epicentre Mbarara Research Centre. Read More

    Prevalence of undiagnosed asymptomatic bacteriuria and associated risk factors during pregnancy: a cross-sectional study at two tertiary centres in Cairo, Egypt.
    BMJ Open 2017 03 21;7(3):e013198. Epub 2017 Mar 21.
    Research Center for Public Health and Center for Global Health & Infectious Diseases, Tsinghua University, Beijing, China.
    Background: The prevalence of asymptomatic bacteriuria (ASB) during pregnancy is poorly understood in Egypt-a country with a high birth rate.

    Objectives: To determine the prevalence of ASB among pregnant women booking at El Hussein and Sayed Galal Hospitals in Al-Azhar University in Egypt; and to observe the relationship between ASB prevalence and risk factors such as socioeconomic level and personal hygiene.

    Setting: Obstetrics and gynaecology clinics of 2 university hospitals in the capital of Egypt. Read More

    Treatment selection for urolithiasis: percutaneous nephrolithomy, ureteroscopy, shock wave lithotripsy, and active monitoring.
    World J Urol 2017 Sep 16;35(9):1395-1399. Epub 2017 Mar 16.
    Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, India.
    Urolithiasis is a significant worldwide source of morbidity, constituting a common urological disease that affects between 10 and 15% of the world population. Recent technological and surgical advances have replaced the need for open surgery with less invasive procedures. The factors which determine the indications for percutaneous nephrolithotomy include stone factors (stone size, stone composition, and stone location), patient factors (habitus and renal anomalies), and failure of other treatment modalities (ESWL and flexible ureteroscopy). Read More

    Prevalence and predictors of prescription of antibiotics in pregnant women treated by gynecologists in Germany
    Int J Clin Pharmacol Ther 2017 Aug;55(8):643-649
    Aim: The aim of this study is to estimate the prevalence and potential predictors of the prescription of antibiotics in pregnant women treated by gynecologists in Germany.

    Methods: The current study included 90,312 women aged between 18 and 45 years with a full-term documented pregnancy during the index period (2005 - 2014). The primary outcome was the proportion of pregnant women with antibiotic prescriptions. Read More

    Risk factors associated with fluoroquinolone-resistant enterococcal urinary tract infections in a tertiary care university hospital in north India.
    Indian J Med Res 2016 Oct;144(4):604-610
    Department of Microbiology, Institute of Medical Sciences, Banaras Hindu University, Varanasi, India.
    Background & Objectives: Fluoroquinolone resistance in both Gram-positive and Gram-negative bacteria has increased with the widespread use of fluoroquinolones. Fluoroquinolone resistance in Gram-negative bacilli has been widely studied, though staphylococci and enterococci are also notably resistant. Enterococci being the second most common cause of healthcare-associated urinary tract infections (UTIs) fluoroquinolones are often the drug of choice. Read More

    Urinary tract infections during pregnancy - an updated overview.
    Dev Period Med 2016;20(4):263-272
    Women's Health Center GYNEKA, Kraków, Poland, Department of Gynecology and Obstetrics, Faculty of Medical Sciences, University of Warmia and Mazury, Olsztyn, Poland.
    Urinary tract infections (UTIs) are the most common type of infection during pregnancy, affecting up to 10% of pregnant women. They are also recognized as the second most common ailment of pregnancy, after anemia. Three clinical types of pregnancy-related UTI are distinguished: asymptomatic bacteriuria (ASB), cystitis, and pyelonephritis. Read More

    A Seven-Day Course of TMP-SMX May Be as Effective as a Seven-Day Course of Ciprofloxacin for the Treatment of Pyelonephritis.
    Am J Med 2017 Jul 16;130(7):842-845. Epub 2017 Feb 16.
    Division of Pediatric Infectious Diseases, Department of Pediatrics, The Johns Hopkins University School of Medicine, Baltimore, Md. Electronic address:
    Background: The Infectious Diseases Society of America guidelines recommend either 14 days of trimethoprim-sulfamethoxazole (TMP-SMX) or 7 days of ciprofloxacin for the treatment of pyelonephritis. Antibiotic courses of 7 days of TMP-SMX vs 7 days of ciprofloxacin for pyelonephritis have not been previously compared. We evaluated the odds of a subsequent, symptomatic urinary tract infection (UTI) for women with Escherichia coli pyelonephritis receiving a 7-day course of TMP-SMX vs a 7-day course of ciprofloxacin. Read More

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