Publication:

The bacteriological assessment of urine in patients with premature rupture of membranes

Background PROM occurs in 10% of all pregnancies. Urinary tract infections (UTIs) are the most common bacterial infections in pregnancy. Asymptomatic bacteriuria (ASB), occurring in 2-11% of pregnancies, is a significant predisposition to the development of pyelonephritis and UTI, which are associated with obstetrical complications, such as preterm labor and low birth weight infants.

Methods This study was carried out at the Department of Obstetrics and Gynaecology, Mymensingh Medical College Hospital, Mymensingh, Bangladesh, over a period of 6 Months from July 2011 to December 2011.

Results A total of 100 patients of PROM were included in this study within this period. The mean age was 27.10±4.49 (SD) years in patients’ of PROM, and the prevalence of gestational week was found at 26 (26%) at 30 weeks, 20 (20%) at 32 weeks, 22 (22%) at 33 weeks, 28 (28%) were at 34 weeks, and 4 (4%) were at 39 weeks. Most of the cases were no growth (84%), E. coli (12%), Streptococcus (2%), Candida (1%), and anaerobs (1%). 52% were preterm, and 42% were term delivery. 40% developed chorioamnionitis, 10% developed puerperal sepsis, and 8% developed DIC, and this prospective observational study revealed that 16% of cases of PROM patients’ were associated with urinary tract infection.

Conclusions This study was undertaken to determine the bacteriological assessment of urine of patient’s with premature rupture of membrane. It is found that 16% of patients’ with PROM have urinary tract infection with E. coli, Group B streptococcus, anaerobs, and candida organisms.