Asymptomatic Bacteriuria Among Pregnant Women Attending Antenatal Clinic At Federal Medical Centre Umuahia (Fmc)

ABSTRACT

From the study, Fifty (50) samples of urine were collected from pregnant women attending antenatal clinic at Federal Medical Centre Umuahia, with sterile bottles, to determine the asymptomatic bacteriuria among pregnant women population. Out of 50 samples tested, 20 (40%) were found to have asymptomatic bacteriuria while 30 (60%) had non bacteriuria. The frequency of isolation of organism was Staphylococcus aureus (8.4%), Escherichia coli (5.2.%), Klebsella (2.1%) and Pseudomonas aeruginosa (5.2%).Pregnant women in their third trimester had the highest with respect to age while trader had highest with respect to occupation. This study emphasizes the need for routine screening of the urine of pregnant women for asymptomatic bacteriuria.

TABLE OF CONTENTS

Cover page ﾿ i

Title page ﾿ ii

Certification ﾿ iii

Dedication ﾿ iv

Acknowledgement ﾿ v

Abstract ﾿ vi

Table of contents ﾿ viii

List of Tables ﾿ x

List of Figure ﾿ xi

CHAPTER ONE:  INTRODUCTION                                                                               1                                                                                                                                             

1.1    Aims and Objectives ﾿ 2

CHAPTER TWO: LITERATURE REVIEW

2.1 Causes of asymptomatic bacteriuria in pregnant Women ﾿ 3

2.2 ﾿ Consequences of Asymptomatic Bacteriuria ﾿ 4

2.3 ﾿ Diagnosis of Asymptomatic Bacteriuria ﾿ 4

2.4 ﾿ Prevalence of asymptomatic Bacteriuria in Pregnant Women. ﾿ 5

2.5 ﾿ Prediposing Factors ﾿ 6

2.6       Symptoms ﾿ 7

2.7       Complications of Asymptomatic Bacteriuria in Pregnant Women ﾿ 7

2.8 ﾿ Prognosis /Expectations ﾿ 8

2.9 ﾿ Treatment of Asymptomatic Bacteriuria ﾿ 8

CHAPTER THREE: MATERIALS AND METHODS

3.1      Study Area ﾿ 10

3.2 ﾿ Study Population ﾿ 10

3.3 ﾿ Sample Collection ﾿ 10

3.4 ﾿ Media Preparation ﾿ 10

3.5 ﾿ Centrifugation ﾿ 11

3.6 ﾿ Microscopy ﾿ 11

3.7 ﾿ Isolation ﾿ 11

3.8 ﾿ Identification and Characterization of Isolates ﾿ 11

3.8.1 ﾿ Gram Staining ﾿ 12

3.9 ﾿ Biochemical Test ﾿ 12

3.9.1   Antibiotic sensitivity testing  ﾿ 14

CHAPTER FOUR: RESULTS                                                                                           15

CHAPTER FIVE: DISCUSIONS, CONCLUSION AND RECOMMENDATION       23

5.1 Discussion  ﾿ 23

5.2 Conclusion ﾿ 23

5.3 Recommendation ﾿ 24

REFERENCES

APPENDIX