Asymptomatic Urinary Tract Infection in Pregnant Women attending Public Health Centres in Makassar 2020 Rizalinda Sjahril (a, b*), Dini Mutia Khairunnisa (a), Ahmad Dzaki Aditya (a), Ridha Wahyuni (a), Yuliani Ridwan (b), Sadyah Sadyah (b), Syafri Syafri (a)
UNHAS
Abstract
Background. Asymptomatic urinary tract infection is important to identify amongst pregnant women because of its potential to cause adverse maternal and foetal outcome. However, information on such prevalence based on urine culture in Makassar is currently not available. The aim of this preliminary study was to determine the prevalence and significance of bacterial agents as the causative agent of asymptomatic urinary tract infection.
Methods. Mid stream urine of pregnant women attending the public health centres in Makassar who admits no urinary symptoms were collected. Using semiquantitative method urine was streaked in Blood Agar and MacConkey Agar Plate and incubated at 35oC in aerobic condition. Bacterial colony count was performed after 24 hours of incubation. Asymptomatic bacteriuria refers to the presence of bacterial colonies of the same type of more than 105 CFU/mL.
Results. Between August - September 2020, 67 urine specimens were collected and processed for bacterial culture, among which 3 (4.5%) samples fulfilled the criteria of urinary tract infection. The bacteria identified were Pantoea spp (1.5%), Pseudomonas aeruginosa (1.5%) and Staphylococcus epidermidis (1.5%). All study subjects were pregnant between 8-12 weeks.
Conclusion. This preliminary study on asymptomatic urinary infections in pregnant women in Makassar revealed that routine screening based on bacterial culture among pregnant women is required to be able to identify the causative agent and further determining the appropriate antibiotic therapy.
Keywords: asymptomatic; urinary tract infection; pregnant; women
