الفهرس 
BacteriuriaOnly 14 pages are availabe for public view
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Abstract
The present study is a clinical, chemical and bacteriological examination of one hundred pregnant females and 30 married non-pregnant females, all with mean age between 20 and 35 years from obstetric and gynaecologic outpatients clinic of ”Manial Hospital”.
They are divided into 3 groups:-
(1)Married non-pregnant non-diabetic females (30 cases) (control) free from symptoms related to urinary tract infection.
(2)Pregnant non-diabetic females (30 cases) attending for antenatal care, free from symptoms related to urinary tract infection and with normal blood sugar level.
(3)Pregnant diabetic females (70 cases) proved to be diabetic by clinical, chemical examination and the presence of diabetes before pregnancy. Also, this group was free from symptoms related to urinary tract infection.
The three groups were investigated for :-
1-Diabetes mellitus.
2-Incidence of bacteriuria.
3-Incidence of different organismecausing bacteriuria.
4-Antibiotic sensitivity tests of different organisms. It was found that :-
1- The incidence of asymptomatic significant bacteriuria in pregnant diabetic and pregnant non-diabetic is 14.2 %, 10 % respectively as compared to 3.3 % in the control group.
2-The incidence of doubtfully significant bacteriuria in pregnant diabetic and pregnant non-diabetic is 7.1 %, 6.7 % respectively as compared to 6.6 % in control group.
3-The incidence of different organisms isolated from the urine of the three groups was as follow.:-
-Esch.coli takes the upper hand in the causation of asymptomatic bacteriuria (5 cases of significant bacter-iuria and 4 cases of doubtfully significant bacteriuria were due to Esch. coli).
-The second organism was the staphylococci.
-All isolates of Esch. coif were sensitive to gara-mycin, bactrim, ampicillin followed by Kanamycin then cephalosporin.
-Staph. albus was found sensitive to Keflex, ampici-llin followed by garamycin and polymixin B.
-Staph. aureus was found sensitive to ampicillin, cephalosporin, kanamycin and less sensitive to garamycin and resistant to nalidixic acid.
- Conclusion:
from the present study, we can reach to :-
1- The early detection of bacteriuria during pregnancy
with appropriate treatment is very important in the prevention of symptomatic pyeloneptritis and avoiding its long term complications.
2-If urine cultures are sterile at the beginning of pregnancy, they will likely to remain until term. However, since some females do develop infected urine as pregnancy progress, we must screen all gravidas several times during pregnancy.
3-A small percentage (about 10 %) of pregnant females are asymptomatic bacteriuric but symptomatic pyelonephritis is liable to occur in about 40 % of bacteriuric pregnant females,