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Urinary Bacterial Profile and Antibiotic Susceptibility in Pregnant Adolescents and Pregnant Low Obstetric Risk Adult

Henrique Diorio de Souza1,2, Eliane Azeka Hase3, Marco Aurelio Knippel Galletta1

  • 1Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil.

Infection and Drug Resistance
|July 30, 2021
PubMed

Insights

Pregnant adolescents have higher rates of bacteriuria (urinary tract infections) compared to adult women. Escherichia coli was the most common bacteria found in both groups, highlighting the need for targeted screening in adolescent pregnancies.

Area of Science:

  • Obstetrics and Gynecology
  • Infectious Diseases
  • Urology

Background:

  • Significant bacteriuria is linked to adverse clinical and obstetric outcomes.
  • Existing research on urinary pathogens in pregnant women shows varied results and often excludes adolescents.
  • Data on pregnant adolescents is scarce, despite potential increased risks.

Purpose of the Study:

  • To compare the prevalence and characteristics of bacteriuria in pregnant adolescents versus adult women.
  • To identify risk factors and common pathogens associated with urinary tract infections in these populations.
  • To analyze urine sediment and antibiogram results for differences between adolescents and adults.

Main Methods:

  • Observational retrospective study conducted in a tertiary hospital.
  • Involved 388 pregnant adolescents and 2547 pregnant adults.
  • Compared urine sediment, urine culture, and antibiogram results from January 2010 to January 2016.

Main Results:

  • Bacteriuria prevalence was higher in adolescents (17.01%) than adults (10.13%).
  • Adolescence was identified as a risk factor for bacteriuria (OR=1.82).
  • Escherichia coli was the most common pathogen in both groups; adolescents showed higher urinary leukocyte counts.

Conclusions:

  • Pregnant adolescents exhibit higher rates of bacteriuria and abnormal urine sediments.
  • Escherichia coli and Streptococcus agalactiae were the primary causative agents.
  • Findings underscore the importance of screening for urinary tract infections in pregnant adolescents.
Abstract

Keywords:
anti-bacterial agentsbacterialbacteriuriadrug resistancemicrobial sensitivity testspregnancy in adolescencepregnant women

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