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Related Experiment Videos

Cystitis during pregnancy: a distinct clinical entity

R E Harris, L C Gilstrap

    Obstetrics and Gynecology
    |May 1, 1981
    PubMed
    Summary

    Acute cystitis in pregnant women is uncommon, affecting 1.3% of deliveries. Most cases occur in the second trimester, commonly caused by E. coli, and are treated with oral antibiotics.

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    Area of Science:

    • Obstetrics and Gynecology
    • Infectious Diseases
    • Urology

    Background:

    • Acute cystitis in pregnancy presents with lower urinary tract symptoms and positive urine culture.
    • It is a distinct clinical entity requiring specific management during gestation.

    Purpose of the Study:

    • To determine the incidence and characteristics of acute cystitis in pregnant patients.
    • To identify common pathogens and recurrence rates for acute cystitis during pregnancy.

    Main Methods:

    • Retrospective analysis of 9734 deliveries over a 6-year period.
    • Identification of 126 patients diagnosed with acute cystitis.
    • Analysis of urine cultures, gestational trimester, bacterial isolates, and recurrence rates.

    Main Results:

    • The incidence of acute cystitis was 1.3% (126/9734 deliveries).
    • Most cases occurred during the second trimester, with Escherichia coli being the most frequent isolate.
    • Only 17% of patients experienced recurrent urinary tract infections.

    Conclusions:

    • Acute cystitis during pregnancy is relatively infrequent but requires appropriate management.
    • Early identification and treatment with oral antimicrobials are crucial, with a low recurrence rate observed.

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