Urinary Tract Infections and Preeclampsia among Pregnant Women Attending Two Hospitals in Mwanza City, Tanzania: A 1:2 Matched Case-Control Study
Joint Authors
Mshana, Stephen E.
Mushi, Martha F.
Kaduma, Joshua
Seni, Jeremiah
Chuma, Clotilda
Kirita, Richard
Mujuni, Fridolin
van der Meer, Frank
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-03-27
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Urinary tract infection (UTI) and preeclampsia are common among pregnant women and are associated with adverse maternal-fetal and neonatal outcomes.
Despite this, limited information exists on the association between UTIs and preeclampsia in Tanzania to guide specific management and thereby averting the adverse outcomes.
A 1:2 matched case-control study (by age and gravidity) involving 131 pregnant women with preeclampsia (cases) and 262 without preeclampsia (controls) was conducted.
Sociodemographic and clinical information was collected using a questionnaire.
Midstream urine samples were collected during admission for culture and antimicrobial susceptibility testing (AST).
Out of 393 pregnant women enrolled, 110 (28.0%), 95% CI: 23.8%-32.7%, had significant bacteriuria [cases: 50.4% (66/131) and control: 16.8% (44/262)].
Pregnant women with preeclampsia had 7.7 odds of having significant bacteriuria than those without preeclampsia [OR=7.7, 95% CI (4.11-14.49); p-value <0.001].
Escherichia coli, 50 (45.5%), and Klebsiella spp., 25 (23.6%), predominated, and resistance to gentamicin, ceftriaxone, and piperacillin-tazobactam ranged from 9.0% to 29.0% in these dominant species.
Extended spectrum beta lactamases (ESBL) production in Escherichia coli and Klebsiella spp.
was 18.0% (9/50) and 15.4% (4/26), respectively.
Routine urine culture and AST among pregnant women with preeclampsia should be introduced in the antenatal clinics to ensure prompt management.
Delineation of maternal-fetal and neonatal outcomes among pregnant women with preeclampsia and UTIs would be of interest in future studies.
American Psychological Association (APA)
Kaduma, Joshua& Seni, Jeremiah& Chuma, Clotilda& Kirita, Richard& Mujuni, Fridolin& Mushi, Martha F.…[et al.]. 2019. Urinary Tract Infections and Preeclampsia among Pregnant Women Attending Two Hospitals in Mwanza City, Tanzania: A 1:2 Matched Case-Control Study. BioMed Research International،Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1124981
Modern Language Association (MLA)
Kaduma, Joshua…[et al.]. Urinary Tract Infections and Preeclampsia among Pregnant Women Attending Two Hospitals in Mwanza City, Tanzania: A 1:2 Matched Case-Control Study. BioMed Research International No. 2019 (2019), pp.1-8.
https://search.emarefa.net/detail/BIM-1124981
American Medical Association (AMA)
Kaduma, Joshua& Seni, Jeremiah& Chuma, Clotilda& Kirita, Richard& Mujuni, Fridolin& Mushi, Martha F.…[et al.]. Urinary Tract Infections and Preeclampsia among Pregnant Women Attending Two Hospitals in Mwanza City, Tanzania: A 1:2 Matched Case-Control Study. BioMed Research International. 2019. Vol. 2019, no. 2019, pp.1-8.
https://search.emarefa.net/detail/BIM-1124981
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1124981