Urinary Tract Infection in Premature Rupture of Membrane (PROM): A University Hospital Based Study



Nuring Pangastuti(1*), Muhammad Nurhadi Rahman(2), Rivaldi D Liligoly(3)

(1) Departemen Obstetri Ginekologi Fakultas Kedokteran Kesehatan Masyarakat dan Keperawatan, Universitas Gadjah Mada Yogyakarta
(2) Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito General Hospital, Yogyakarta, Indonesia
(3) Department of Obstetrics and Gynaecology, Faculty of Medicine, Universitas Gadjah Mada, Dr. Sardjito General Hospital, Yogyakarta, Indonesia
(*) Corresponding Author

Abstract


ABSTRACT

 

Introduction. Premature rupture of membrane (PROM) and preterm PROM (PPROM) are commonly related with poor maternal and perinatal outcomes. Urinary tract infection (UTI) has been known as one of its risk factors.

Aim. To ascertain the frequency and pattern of urinary symptoms as well as the risk factors for UTI in PROM and preterm PROM (PPROM)

Method. A retrospective study was conducted at Dr. Sardjito General Hospital, Yoyakarta, Indonesia. All pregnancy cases with the history of PROM/PPROM from January to December 2015 were included. The research subjects were obtained from medical records, using the format of basic data collection to identify the risk factors of UTI in pregnancy

Results. One hundred cases of complicated pregnancy with either PROM or PPROM were obtained. The mean of maternal age, gestational age, and birth weight were 28 ± 5.99 years; 34.05 ± 4:28 weeks; 2170.79 ± 835.447 grams; respectively. Urinalysis were done in 58 patients. The prevalence of bacteriuria was 55.17%. Symptomatic vs asymptomatic bacteriuria showed statistically significant differences (p <0.001, OR = 0.409; CI = 0287-0584). In multivariate analysis using linear regression, maternal age, gestational age, and parity were not directly related to the occurrence of UTI (p = .367; p = .697; p = .385; respectively).

Conclusion. It was revealed that the proportions of symptomatic bacteriuria in pregnancy were significantly higher than asymptomatic. There were no significant differences related to the prevalence of UTI in pregnancy complicated with PROM and PPROM.


Keywords


urinary tract infection, premature rupture of membranes, preterm premature rupture of membranes





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Journal of the Medical Sciences (Berkala Ilmu Kedokteran) by  Universitas Gadjah Mada is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
Based on a work at http://jurnal.ugm.ac.id/bik/.