بررسی شیوع باکتریوری بدون علامت در زنان باردار مبتلا به دیابت حاملگی و سالم شهر اصفهان

نوع مقاله : Original Article(s)

نویسندگان

1 دانشیار، گروه زنان و زایمان، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

2 دانشیار، گروه باکتری شناسی و ویروس شناسی،دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

3 پزشک عمومی، دانشکده‌ی پزشکی، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

4 پزشک عمومی، معاونت درمان، دانشگاه علوم پزشکی اصفهان، اصفهان، ایران

چکیده

مقدمه: باکتریوری بدون علامت یکی از مشکلات شایع بارداری است. هدف از این مطالعه، بررسی شیوع باکتریوری بدون علامت در زنان باردار سالم و مبتلا به دیابت حاملگی مراجعه کننده به مرکز پزشکی شهید بهشتی اصفهان بود.روش‌ها: این مطالعه‌ی موردی- شاهدی بر روی زنان باردار 40-16 ساله انجام گردید. زنان باردار در طی مراقبت‌های بارداری از نظر دیابت حاملگی بررسی و در دو گروه مبتلا به دیابت حاملگی و سالم از نظر باکتریوری بدون علامت مقایسه شدند. دیابت حاملگی با استفاده از آزمون تحمل گلوکز بررسی گردید. نمونه‌های ادرار صبحگاهی ناشتا به صورت نمونه‌ی میانه‌ی ادرار استریل تهیه و از لحاظ آزمایش‌های کامل ادرار و کشت بررسی شد.یافته‌ها: در طی این مطالعه، 172 زن باردار در هر گروه مورد بررسی قرار گرفتند. شیوع باکتریوری بدون علامت در زنان باردار سالم و مبتلا به دیابت حاملگی به ترتیب 4/24 و 3/27 درصد بود (05/0 < P). شیوع باکتریوری بدون علامت در زنان باردار سالم در گروه‌های سنی پایین‌تر، بیشتر بود ولی در زنان باردار مبتلا به دیابت حاملگی تفاوت معنی‌داری وجود نداشت. بین بروز باکتریوری بدون علامت و سابقه‌ی عفونت‌های ادراری رابطه‌ای وجود نداشت. اشرشیاکولی شایع‌ترین عامل ایجاد بیماری در 2/76 و 2/70 درصد در زنان باردار سالم و مبتلا به دیابت حاملگی بود.نتیجه‌گیری: باکتریوری بدون علامت، مشکل شایعی در جامعه‌ی ما تلقی می‌گردد و گر چه شیوع این بیماری در زنان باردار مبتلا به دیابت حاملگی تفاوتی با زنان باردار سالم نداشت ولی با توجه به شیوع بالای بیماری، جهت پیش‌گیری از عوارض آن، غربالگری زنان باردار با کشت ادرار پیشنهاد می‌گردد.

کلیدواژه‌ها

عنوان مقاله [English]

The Prevalence of Asymptomatic Bacteruria in Pregnant Women with and without Gestational Diabetes

نویسندگان [English]

  • Azar Danesh Shahraki 1
  • Ebtehaj Pishva 2
  • Sahar Mirbaha 3
  • Alireza Arabzadeh 4
1 Associate Professor, Department of Obstetrics and Gynecology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
2 Associate Professor, Department of Bacteriology and Virology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
3 General Practitioner, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran
4 General Practitioner, Vice Chancellor of Treatment, Isfahan University of Medical Sciences, Isfahan, Iran
چکیده [English]

Background: Asymptomatic bacteriuria is common in pregnant women. The aim of this study was to determine the prevalence of asymptomatic bacteruria in pregnant women with and without gestational diabetes.Methods: In this case-control study, pregnant women aged 16-40 years attended to Shahid Beheshti hospital in Isfahan were studied and the prevalence of asymptomatic bacteruria was compared in pregnant women with and without gestational diabetes. They were screened for gestational diabetes mellitus, using glucose challenge test. Asymptomatic bacteruria was determined using microscopic examination and culture of a clean midstream voided urine specimen.Finding: 172 pregnant women were enrolled in each group. The prevalence of asymptomatic bacteruria was 27.3% and 24.4% in pregnant women with and without gestational diabetes (P > 0.05). The rate of asymptomatic bacteruria was higher in lower age group in non diabetic patients, but it was not different significantly in pregnant women with gestational diabetes. There was not significant relationship between history of urinary tract infection and asymptomatic bacteruria (P > 0.05).The most common cause of asymptomatic bacteruria was E.Coli in both groups (76.2% in non diabetic and 70.2% in pregnant women with gestational diabetes).Conclusion: Asymptomatic bacteriuria considered as a major health problem in this region and though its prevalence was not higher in diabetic pregnant women than non diabetic ones but considering its high prevalence, screening for asymptomatic bacteruria during pregnancy seems to be essential.

کلیدواژه‌ها [English]

  • Asymptomatic bacteruria
  • Gestational diabetes
  • Pregnancy
  • Isfahan

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مجله دانشکده پزشکی اصفهان
دوره 28، شماره 118 - شماره پیاپی 118
بهمن و اسفند 1389
صفحه 1214-1222

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سابقه مقاله

  • تاریخ دریافت: 17 بهمن 1389
  • تاریخ بازنگری: 11 آبان 1403
  • تاریخ پذیرش: 17 فروردین 1401

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