Urinary tract infections in pregnant women at the cocody's teaching hospital: epidemiology and management data

Abstract

Objective: Determine the epidemiological and bacteriological profile and the prognostic aspects of urinary tract infection (UTI) in pregnant women. Material and Methods: A retrospective descriptive study that' took place in the Obstetrical Gynecology department of the Hospital-University Center (HUC) of Cocody, from January 1st, 2020 to December 31st, 2020. All the pregnant women with a UTI confirmed by a cytobacteriological examination of the urine were included. Results: The hospital prevalence of UTI was not negligible (10%). The sociodemographic profile was that of pregnant women with average 28 years old, out of school or primary education level (58.1%), working in the informal sector (34.9%), and mostly married or living as a couple (88.2%). UTI was diagnosed in the second and  trimester of pregnancy (53.5%). The main etiology was Escherichia Coli (67.4%), sensitive to antibiotics
including 3rd generation cephalosporins (96%). the prevalence of lower urinary tract infections was clear (91%) including 63% cases of asymptomatic bacteriuria. Pyelonephritis were little concerned with 9% of pregnant women suffering. Complications were MPR (60.5%) and prematurity (30.2%). Conclusion: Urinary tract infection remains a frequent pathology of pregnancy. The main etiology was a bacteria named Escherichia Coli sensitive to 3rd generation cephalosporins. Asymptomatic bacteriuria is common with a
better prognosis. The main complications were Premature Rupture of the Membranes (60.5%) and prematurity (30.2%).