PURPOSE: Urinary tract infection (UTI) is one of the most common conditions during pregnancy.
The aim of this study was to assess the prevalence of germs and the antimicrobial susceptibility profile in urine culture isolates from pregnant patients treated at a tertiary maternity hospital in Porto Alegre, Brazil.
METHODS: A cross-sectional, retrospective and descriptive study was carried out at Hospital Fêmina, a leading institution in prenatal, birth and postnatal healthcare in the city of Porto Alegre, Brazil. A total of 482 microbial community results were analyzed out of 1,558 positive urine cultures of pregnant women in all gestational ages treated at Fêmina Hospital between January 2007 and July 2013.
RESULTS: The susceptibility pattern presented in this research shows that the choice for UTI treatment during pregnancy should be nitrofurantoin (for uncomplicated infections) or second-generation cephalosporins such as cefuroxime (for uncomplicated and complicated infections), over ampicillin, first-generation cephalosporins and sulfamethoxazole/trimethoprim.
CONCLUSION: Empirical treatment for UTI in pregnancy should be started according to the susceptibility patterns described in the literature and re-analyzed after the results of the urine culture.
Written by:
Schenkel DF, Dallé J, Antonello VS. Are you the author?
Departamento de Ginecologia e Obstetrícia, Hospital Fêmina, Porto Alegre, RS, Brasil; Departamento de Prevenção e Controle de Infecções, Hospital Fêmina, Porto Alegre, RS, Brasil.
Reference: Rev Bras Ginecol Obstet. 2014 Mar;36(3):102-6.
doi: 10.1590/S0100-72032014000300002
PubMed Abstract
PMID: 24728312
Article in Portuguese.