Prevalence, resistant pattern and associated risk factors of asymptomatic bacteriuria among antenatal clients in a municipal hospital in Ghana

Authors

  • Solomon D. Y. Kwashie Department of Medical Laboratory Sciences, University for Development Studies, Tamale, Ghana
  • Benjamin Tetteh Mensah School of Biomedical and Allied Health Sciences, University of Ghana, Ghana
  • Israel Attipoe Department of Medical Laboratory Sciences, University for Development Studies, Tamale, Ghana
  • Eric Akorly Department of Medical Laboratory Sciences, University for Development Studies, Tamale, Ghana
  • Victor A. Degenu Department of Medical Laboratory, Korle Bu Teaching Hospital, Accra, Ghana
  • Edward K. Kupeh Ghana Health Services, Accra, Ghana
  • Dominic Danyi Department of Medical Laboratory, Juaboso government Hospital, Juaboso, Ghana
  • William Osei-Owusu Department of Medical Diagnostics, College of Health and Well-Being, Kintampo, Ghana
  • Maxwell Kwame Dzokoto Department of Health Information Management, College of Health and Well-Being, Kintampo, Ghana https://orcid.org/0000-0002-4368-7944

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20241814

Keywords:

Accra, Antenatal clinic, Pregnant women, Prevalence, Uro-pathogens, Weija-Gbawe

Abstract

Background: The aim of the study was to determine the prevalence and factors associated with asymptomatic bacteriuria among pregnant women.

Methods: A cross-sectional study was used to determine the prevalence of uro-pathogens among pregnant women attending Antenatal Clinic at Weija-Gbawe Municipal Hospital. The data was collected between May 2023 and October 2023. The data collection process involved the use of a structured questionnaire, while urine specimens were collected in sterile urine containers and cultured on CLED medium. The bacteria colonies were identified and evaluated for their susceptibility to antibacterial agents. Multiple logistics regression was used to determine the factors associated with bacteriuria among pregnant women.

Results: The age range of the participants was 14 years to 45 years with mean age of 30 years (SD±6.5). About 13% of the participants had no formal education. Majority (77.4%) of study participants were obese while only 3.42% had normal weight. Isolates were Escherichia coli (27%), Klebsiella species (23%), Proteus species (18%) and Citrobacter koseri (18%). Gentamicin was sensitive to E. coli and cotrimoxazole was the most resistant antibiotics. Factors such as BMI, educational level, smoking status, recurrent UTI, parity were not found to have statistical influence on prevalence of bacteriuria among pregnant women.

Conclusions: The study revealed 15.1% prevalence of ASB among pregnant women with E. coli being the predominate isolates. Gentamicin and cotrimoxazole were the most sensitive and resistant antibiotics respectively. Pregnant women should be advised to adhere to optimal hygiene practices and safe sexual behaviours, with a focus on the role of these practices in preventing uro-pathogen colonization.

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Published

2024-06-28

How to Cite

Kwashie, S. D. Y., Mensah, B. T., Attipoe, I., Akorly, E., Degenu, V. A., Kupeh, E. K., Danyi, D., Osei-Owusu, W., & Dzokoto, M. K. (2024). Prevalence, resistant pattern and associated risk factors of asymptomatic bacteriuria among antenatal clients in a municipal hospital in Ghana. International Journal Of Community Medicine And Public Health, 11(7), 2614–2623. https://doi.org/10.18203/2394-6040.ijcmph20241814

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Original Research Articles