ACTA FAC. MED. NAISS. 2003; 20 (2): 137-141

Original article

THE TREATMENT OF ASYMPTOMATIC BACTERIURIA IN PREGNANCY

¹Milena Veljković,  ²Radmila Veličković-Radovanović

¹Health Centre, Nis

²Institute of Nephrology and Hemodialysis, Nis

SUMMARY

             Asymptomatic bacteriuria (ASB) is defined as the presence of significant bacteriuria without  any obvious symptoms of the urinary tract infection (UTI). The found incidence ASB in the first trimester of pregnancy is 4.13%, in the second 7.42%, and in the third trimester 8.38%.  The most frequent cause is E. coli (86.97%). The presence of ASB in pregnancy requires antibiotic or uro antiseptic treatment. The first- generation cephalosporins were used in 62.45%, ampicillin in 18.77%, nitrofurantoin in 11.88% and sulphapreparations in 6.9%. The initial treatment was successful in 87.74%, but 28.3% of pregnant women who had ASB during the first trimester of pregnancy had recidive or relapse later.

Kay words: pregnancy, asymptomatic bacteriuria, treatment.