Urinary tract infections in pregnancy.
Malays Fam Physician. 2007 Aug 31;2(2):54-7. eCollection 2007.
Loh K1, Sivalingam N2.
Urinary tract infections frequently affect pregnant mothers. This problem causes significant morbidity and healthcare expenditure.
Three common clinical manifestations of UTIs in pregnancy are: asymptomatic bacteriuria,
acute cystitis and
Escherichia coli remains the most frequent organism isolated in UTIs. All pregnant mothers should be screened for UTIs in pregnancy and antibiotics should be commenced without delay. Urine culture and sensitivity is the gold standard in diagnosing UTIs.
Without treatment, asymptomatic bacteriuria in pregnancy is associated with preterm delivery, intrauterine growth retardation, low birth weight, maternal hypertension, pre-eclampsia and anaemia.
Acute pyelonephritis can lead to maternal sepsis. Recurrent UTIs in pregnancy require prophylactic antibiotic treatment.