Impact of diagnostic criteria for asymptomatic bacteriuria on obstetric outcomes and urological complications during pregnancy

Мұқаба

Дәйексөз келтіру

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Аннотация

Aim. To study obstetric outcomes and urological complications using various diagnostic criteria for asymptomatic bacteriuria (AB) in pregnant women.

Materials and methods. A multicenter, retrospective, non-interventional, descriptive, parallel-group study was carried out. A total of 225 pregnant women with AB aged 18 to 45 years were included. They underwent bacteriological examination of urine. After the examination, patients were divided into 5 groups. Group 1 (n=82) included patients with 1 urine culture and antimicrobial treatment. Group 2 (n=57) included patients with 2 urine cultures and antimicrobial treatment. Group 3 (n=16) included patients with positive criteria for bacteriuria, but who refused treatment. In group 4 (n=51), there were women with uncomplicated pregnancy. Group 5 (n=19) included patients with bacteriuria, which did not meet the criteria for AB (<105).

Results. Based on the results of 225 patients (average age 28±5.5 years), preterm birth occurred significantly more often in all groups when AB was detected, regardless of treatment, in comparison with a normal pregnancy. In patients of groups 2, 3, 5, preeclampsia was significantly more common. There were no significant differences in complications such as arterial hypertension and amnionitis.

Urological complications. The degree of AB and administration of treatment did not affect the incidence of pyelonephritis or obstetric outcomes. However, in group 1 there was a weak tendency towards a more frequent development of pyelonephritis in the 3rd trimester.

Толық мәтін

Рұқсат жабық

Авторлар туралы

A. Tcukanov

FGBOU VO «Omsk State Medical University»

Хат алмасуға жауапты Автор.
Email: autt@mail.ru
ORCID iD: 0000-0002-3497-5856

Ph.D., MD, professor, Head of the Department of Surgical Diseases and Urology

Ресей, Omsk

I. Savelieva

FGBOU VO «Omsk State Medical University»

Email: saveljeva_iv_omsk@mail.ru
ORCID iD: 0000-0003-0464-4084

Ph.D., MD, associate professor, Head of the Department of Obstetrics and Gynecology No. 1

Ресей, Omsk

E. Kulchavenya

FGBOU VO Novosibirsk State Medical University of Ministry of Health of Russia; Medical Center “Avicenna” of the group of companies "Mother and Child"

Email: urotub@yandex.ru
ORCID iD: 0000-0001-8062-7775

Ph.D., MD, professor, professor at the Department of Phthisiopulmonology, Scientific Chief

Ресей, Novosibirsk; Novosibirsk

Kh. Ibishev

Rostov State Medical University, Ministry of Health of Russia

Email: Ibishev22@mail.ru
ORCID iD: 0000-0002-2954-842X

Ph.D., MD, Professor of the Department of Urology and Human Reproductive Health (with a course of pediatric urology and andrology)

Ресей, Rostov-on-Don

M. Firsov

FGBOU VO Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky of the Ministry of Health of Russia; KGBUZ “Krasnoyarsk Region Clinical Hospital”

Email: firsma@mail.ru
ORCID iD: 0000-0002-0887-0081

Ph.D., associate professor, Head of the Department of Urology, Andrology and Sexology, Chief soecialist on urology

Ресей, Krasnoyarsk; Krasnoyarsk

E. Alekseeva

FGBOU VO Krasnoyarsk State Medical University named after Prof. V.F. Voino-Yasenetsky of the Ministry of Health of Russia; KGBUZ “Krasnoyarsk Region Clinical Hospital”

Email: vohminak@mail.ru
ORCID iD: 0000-0002-8215-9095

Ph.D., associate professor of the Department of Urology, Andrology and Sexology

Ресей, Krasnoyarsk; Krasnoyarsk

T. Dugarzhapova

KGBUZ “Krasnoyarsk Region Clinical Hospital”

Email: dto93@mail.ru
ORCID iD: 0000-0003-2606-9914

urologist

Ресей, Krasnoyarsk

G. Krivchik

FGBOU VO «Omsk State Medical University»

Email: krivchikgalina@yandex.ru
ORCID iD: 0009-0000-0336-5425

Ph.D., associate professor at the Department of Obstetrics and Gynecology No. 1, Deputy Chief on Outpatient Department

Ресей, Omsk

M. Baipakova

FGBOU VO «Omsk State Medical University»

Email: m.madina.i1108@gmail.com
ORCID iD: 0009-0008-0306-5148

2nd year resident at the Department of Surgical Diseases and Urology

Ресей, Omsk

L. Treyvish

Email: ms.lubov_tr@mail.ru
ORCID iD: 0000-0002-5435-2955

Ph.D., Head of the Department of Obstetrics and Gynecology, obstetrician-gynecologist, pediatric gynecologist and gynecologist-endocrinologist

Ресей

Әдебиет тізімі

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Әрекет
1. JATS XML
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2. Fig. 1. The number of publications in the PubMed database from 1961 to 2024.

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Метадеректер
3. Fig. 2. Microbial landscape in groups 1,2,3.

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