Antimicrobial Susceptibility Profile of Bacterial Pathogens Isolated From Pregnant Women with Asymptomatic Bacteriuria at Tertiary Hospital in Northeastern Nigeria

Abstract

Asymptomatic urinary tract infection among pregnant women is a common clinical episode that is frequently undiagnosed. A total of 200 clean-catch mid-stream urine (150 pregnant women and 50 non-pregnant women)were examined by microscopy and culture methods. Overall, the  prevalence of asymptomatic bacteriuria was 59.0% (118/200) and was significantly higher among pregnant (63.3%, 95/150) than non-pregnant (46.0%, 23/50) subjects (÷2 = 4.66, df = 1, p = 0.03). Tertiary education (72.6%, OR = 1.45, p = 0.014), third trimester (77.6%, OR = 1.39, p = 0.042), multi-gravidity (79.0%, OR = 1.41, p = 0.0017) and multiparity (75.9%, OR = 1.49, p = 0.03) were factors associated with asymptomatic bacteriuria in studied pregnant subjects. Of the 118 bacterial isolates, Klebsiella spp accounted for 39.8% (47/118), followed by S. aureus 22.9% (27/118), E.coli 19.5% (23/118), Proteus spp 9.3% (11/118) and P. aeruginosa 8.5% (10/118) (p < 0.0001). Antibacterial susceptibility test revealed that all bacterial isolates were susceptible to quinolones (ciprofloxacin, pefloxacin and ofloxacin). In addition to this, S. aureus was also susceptible to erythromycin. However, all bacterial isolates were resistant to readily available antibacterial drugs including augmentin®, cotrimoxazole, penicillin and cephalexin. In conclusion, prevalence of asymptomatic bacteriuria among pregnant women in this study isconsidered to be high and the bacterial isolates were quinolones sensitive and resistant to other commonly used antibacterial drugs. Considering the clinical implications of untreated urinary tract infection, it is therefore advisable that routine urine culture may be adopted as part of antenatal care.

Keywords: Asymptomatic bacteriuria, urinary tract infection, antimicrobial susceptibility, tertiary hospital