University of Cape Coast Institutional Repository

Evaluation of diagnostic methods and antimicrobial susceptibility pattern of asymptomatic bacteriuria among pregnant women in Ashanti Region, Ghana

Show simple item record

dc.contributor.author Acheampong, Desmond O.
dc.contributor.author Afoakwah, Michael K.
dc.contributor.author Boye, Alex
dc.contributor.author Opoku, Richard
dc.contributor.author Kwakye-Nuako, Godwin
dc.contributor.author Adokoh, Christian K.
dc.contributor.author Baafi, Samuel A.
dc.contributor.author Somuah, Daniel
dc.date.accessioned 2021-07-23T19:11:19Z
dc.date.available 2021-07-23T19:11:19Z
dc.date.issued 2018
dc.identifier.issn 23105496
dc.identifier.uri http://hdl.handle.net/123456789/5716
dc.description 8p:, ill. en_US
dc.description.abstract Background and objective: Asymptomatic bacteriuria (ASB) poses a serious health problem to pregnant women and fetuses. However, in most developing countries, routine screening for ASB and antimicrobial sensitivity test are rarely performed. This study, therefore, aimed to determine the best diagnostic method for routine screening of ASB and antmicrobial susceptibility pattern among pregnant women attending an antenatal clinic in the Ashanti Region of Ghana. Methods: Urine samples from 412 pregnant women between the ages of 16 and 45 years-old attending antenatal clinic at Anglo gold Ashanti Health Foundation Hospital and Ellolab Diagnostic Centre were screened for ASB by microscopy, dipstick urinalysis and bacteria culture. Susceptibility of the positive isolates was assessed against commonly used antmicrobial agents, adopting the disc diffusion test method. Results: Of the 412 pregnant women screened, 72 tested positive for ASB by the urine culture method, which translates into an overall prevalence of 17.5%. There was no association between age, marital status, occupation, parity, educational background or duration of pregnancy with ASB (p > 0.05). Additionally, dipstick urinalysis was found to be a better diagnostic method than microscopy. The most isolated bacteria were Escherichia coli (62.5%) and Klebsiella pneumoniae (30.6%), and nitrofurantoin and nalidixic acid were the most effective antimicrobial agents. Conclusions: Routine urine culture and antimicrobial susceptibility test should be carried out on all pregnant women attending antenatal clinic to detect possible ASB and prescribe appropriate drugs, such as nitrofurantoin and nalidixic acid, to prevent any related complications. However, in health centers that lack bacterial culturfacilities, dipstick urinalysis should be the preferred screening option en_US
dc.language.iso en en_US
dc.publisher University of Cape Coast en_US
dc.subject Asymptomatic en_US
dc.subject Bacteriuria en_US
dc.subject Antimicrobial agent en_US
dc.subject Diagnostic methods en_US
dc.title Evaluation of diagnostic methods and antimicrobial susceptibility pattern of asymptomatic bacteriuria among pregnant women in Ashanti Region, Ghana en_US
dc.type Article en_US


Files in this item

This item appears in the following Collection(s)

Show simple item record

Search UCC IR


Advanced Search

Browse

My Account