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Brief Report

The antibiotic sensitivity pattern and the use of antibiotics in women with asymptomatic bacteriuria in pregnancy

Authors:

N. G. C. L. Samarawickrama ,

Colombo South Teaching Hospital, LK
About N. G. C. L.
Registrar in Obstetrics & Gynaecology
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M. R. Withanathantrige,

Colombo South Teaching Hospital, LK
About M. R.
Senior Registrar in Obstetrics & Gynaecology
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K. C. D. P. Silva

University of Sri Jayewardenepura, Nugegoda, LK
About K. C. D. P.
Senior lecturer, Department of Obstetrics & Gynaecology, Faculty of Medical Sciences

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Abstract

Background: Nitrofurantoin has been recommended as a first line therapy in Sri Lanka for urinary tract infections in pregnancy but it is not used frequently.

Materials and Methods: At the Colombo South Teaching Hospital a descriptive cross sectional study was carried out from June 2015 to April 2016 on 98 consecutive pregnant women between eight to 24 weeks of gestation, residing in Colombo district and presenting with no urinary symptoms suggestive of urinary tract infection at the time of urine collection but having a positive urine culture (colony count of > 105 per ml of urine). The antibiotic sensitivity of the identified pathogens was studied.

Results: The commonest organism found was Coliforms (n = 79) .The other organisms identified were Staphylococci (n = 10), Streptococci (n = 7) and Enterococci (n = 2). All the organisms were sensitive to Nitrofurantoin. However, Nitrofurantoin was used only in 57 women.

Conclusion: As all the organisms were sensitive to Nitrofurantoin, prescribing practices need to be changed to include Nitrofurantoin as the first line of therapy for asymptomatic bacteriuria of pregnancy.

How to Cite: Samarawickrama, N.G.C.L., Withanathantrige, M.R. & Silva, K.C.D.P., (2016). The antibiotic sensitivity pattern and the use of antibiotics in women with asymptomatic bacteriuria in pregnancy. Sri Lanka Journal of Obstetrics and Gynaecology. 38(1), pp.12–15. DOI: http://doi.org/10.4038/sljog.v38i1.7782
Published on 19 Aug 2016.
Peer Reviewed

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