MICROBIAL URINARY TRACT INFECTION IN PREGNANT WOMEN IN LOME, TOGO

International Journal of Innovative Medicine and Health Science, Vol. 3, 2014, 15-20

Adoum Fouda ABDERRAZZACKa,c, Dangbolo Segla TIGOSSOUb, Yaovi AMEYAPOHc*, Mounerou SALOUb, Bertin TCHOMBOU HIG-ZOUAd, Kodjo DJAGADOUOKOUe
a. Laboratoire d’analyses médicales et biologiques du Programme Sectoriel de lutte contre le sida, N’djamena, Tchad.
b. Laboratoire de microbiologie de CHU Sylvanus OLYMPIO de Lome, Togo.
c. Laboratoire de microbiologie et de contrôle de qualite de denrees alimentaires, Ecole Superieure des Techniques Biologiques et Alimentaires, Universite de Lome, Lome, Togo.
d. Service de prise en charge des Personnes Vivant avec le VIH/Sida du Programme Sectoriel de lutte contre le sida, N’djamena, Tchad.
e. Centre Hospitalier Universitaire de Tokoin de Lome, Lome, Togo.

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ABSTRACT
Asymptomatic bacteriuria (AB) is a Urinary Tract Infection (UTI) without clinical symptoms. It is recurrent in pregnant women and can cause severe maternofetal consequences. In fact, 87 (eighty seven) women were followed up for urinary infections examination for AB at the health center in Lome, Togo, in antenatal care session. The study aims to identify the possible germs responsible of AB among pregnant women in the center and its frequency. They did not have a presumption of UTI at the time of urine collection. The urine culture enabled us to conduct analyzes. This study has shown a frequency of 31.03 %. The age group (28-33) has been the most exposed with a percentage of 48.14%. The bacteria were isolated at all ages of pregnancy but the highest proportions were observed in pregnant women from 7 and 8th month of pregnancy with proportions respectively of 22.22% and 29.65%. By the first births and multiple births pregnant women were the most affected by the BA (29.65% and 33.33%). The frequency of positivity among retailers and seamstresses is estimated at 37.03% and 25.95% respectively. The main isolated germs were: Staphylococcus aureus (48, 14 %), Streptococcus agalactiae (14. 85 %), Enterococcus fecalis (11.11 %), Escherichia coli (7. 40 %), Klebsiella pneumoniae (7.40 %). The diagnosis of asymptomatic bacteriuria during pregnancy is important; it helps highlight the caused organisms to adapt better prenatal care.
Key words: Asymptomatic bacteriuria, Urinary tract infection, Pregnant women