Bacteriological Profile of Asymptomatic Bacteriuria among Antenatal women in a tertiary care centre in Central Kerala

Abstract

Usually asymptomatic bacteriuria during pregnancy is detected during routine antenatal checkups. IF IT IS NOT DETECTED and treated with appropriate antibiotics during early pregnancy it will lead to ascending infections such as acute pyelonephritis which is very serious condition which may lead to maternal and foetal complications. A cross-sectional study was conducted in the Department of Microbiology, Government Medical College Ernakulam to find out the proportion and bacteriological profile of asymptomatic bacteriuria in antenatal women who attended outpatient department of Obstetrics and Gynecology for antenatal checkups during a one year from January 2020 to December 2020.After proper collection and transport of midstream urine samples of these patients, the samples were cultured in the microbiology laboratory. Out of the 460 samples received only 27 isolates were obtained. Culture positivity was 5.86% only. The most common isolate in this study was E.coli (48.14%) followed by Klebsiella (33.33%) , Enterobacter species (7.4%), Stapylococcus aureus (3.7%), Stapylococcus saphropyticus (3.7%) and Enterococcus fecalis (3.7%). Antibiotic susceptibility testing of bacteria was done on Mueller Hinton agar by Kirby Bauer disc diffusion method and interpreted according to CLSI guidelines.

Key words: ASB, E.coli , Antibiotic sensitivity testing.