Asymptomatic bacteriuria in young pregnant women in modern society
- Authors: Sitdikova D.G.1, Fatkullina I.B1, Lazareva A.Y.1, Fatkullina Y.N1, Galiullina L.A2, Fayzullina L.A1, Galeeva S.A1
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Affiliations:
- Bashkir State Medical University
- I.I. Mechnikov Northwestern State Medical University
- Issue: Vol 103, No 1 (2022)
- Pages: 110-118
- Section: Reviews
- URL: https://journals.rcsi.science/kazanmedj/article/view/64073
- DOI: https://doi.org/10.17816/KMJ2022-110
- ID: 64073
Cite item
Abstract
The article provides an overview of the literature and existing international and national Guidelines on the etiology and main pathogens’ characteristics of asymptomatic bacteriuria, diagnostic criteria, management of young pregnant women with asymptomatic bacteriuria and antibacterial therapy regimens. Young pregnant women are a significant part of the society structure that requires protection. Young women in the age category of 15–17 years are identified as a group with a high risk of complications during pregnancy, delivery and the postpartum period, as well as perinatal pathologies. Women of this age group are characterized by a high risk of complications: the threatened miscarriage, premature birth as well as young pregnancies usually accompanied by sexually transmitted infections. It is important for this group of patients to be more carefully monitored by doctors in the hospitals, maternity welfare centers, during delivery and postpartum period. The main causative agents of asymptomatic bacteriuria in pregnant women are representatives of the Enterobacteriaceae family (88.0%). E. coli, Klebsiella spp., Staphilococcus spp. cause asymptomatic bacteriuria only in 3–10% of cases. The diagnosis is based on the Russian Clinical Guidelines for Urology and the Federal Clinical Guidelines 2020, as well as on the European Guidelines of the Urologists Association 2020. The National Guidelines indicate the main principles of asymptomatic bacteriuria treatment in high risk patients (pregnant and young). Despite the progress made in the urinary tract infections study, especially asymptomatic bacteriuria in pregnant women, and the development of practical Guidelines for the management of these patients, this issue remains important in modern society.
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##article.viewOnOriginalSite##About the authors
Dinara G. Sitdikova
Bashkir State Medical University
Author for correspondence.
Email: edi4ka1@mail.ru
ORCID iD: 0000-0001-8425-6553
MD, PhD stud., Depart. of Obstetrics and Gynecology with the IDPO course
Russian Federation, Ufa, RussiaIrina B Fatkullina
Bashkir State Medical University
Email: Fib1971@mail.ru
ORCID iD: 0000-0001-5723-2062
MD, Prof., Head of the Medical Service
Russian Federation, Ufa, RussiaAnna Yu Lazareva
Bashkir State Medical University
Email: lazarevaayu@mail.ru
ORCID iD: 0000-0002-8299-0268
MD, PhD stud., Depart. of Obstetrics and Gynecology with the IDPO course
Russian Federation, Ufa, RussiaYulia N Fatkullina
Bashkir State Medical University
Email: fatjul@mail.ru
ORCID iD: 0000-0003-0958-7891
MD, PhD stud., Depart. of Obstetrics and Gynecology with the IDPO course
Russian Federation, Ufa, RussiaLiana A Galiullina
I.I. Mechnikov Northwestern State Medical University
Email: galiullinamil@rambler.ru
ORCID iD: 0000-0002-3154-9157
Russian Federation, Saint-Petersburg, Russia
Liliana A Fayzullina
Bashkir State Medical University
Email: Liliana.92@inbox.ru
MD, PhD stud., Depart. of Obstetrics and Gynecology with the IDPO course
Russian Federation, Ufa, RussiaSvetlana A Galeeva
Bashkir State Medical University
Email: Svetagaleeva04@gmail.com
ORCID iD: 0000-0002-6911-3367
MD, PhD stud., Depart. of Obstetrics and Gynecology with the IDPO course
Russian Federation, Ufa, RussiaReferences
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