دورية أكاديمية
Bacteriuria in Pregnant Adolescents and Behavioral Risk Factors: A Cross-Sectional Study at a Brazilian Teaching Hospital.
| العنوان: | Bacteriuria in Pregnant Adolescents and Behavioral Risk Factors: A Cross-Sectional Study at a Brazilian Teaching Hospital. |
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| المؤلفون: | de Souza HD; Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil; Faculdade de Medicina, Universidade Federal de Juiz de Fora, Av. Eugênio do Nascimento, Juiz de Fora, MG 36038-330, Brazil., Francisco RPV; Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil., Hase EA; Divisão de Clínica Obstétrica, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Diório GRM; Faculdade de Medicina, Universidade Federal de Juiz de Fora, Av. Eugênio do Nascimento, Juiz de Fora, MG 36038-330, Brazil., Waissman AL; Divisão de Clínica Obstétrica, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Peres SV; Divisão de Clínica Obstétrica, Hospital das Clínicas HCFMUSP, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil., Zugaib M; Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil., Galletta MAK; Disciplina de Obstetrícia, Departamento de Obstetrícia e Ginecologia, Faculdade de Medicina FMUSP, Universidade de São Paulo, São Paulo, Brazil. Electronic address: marco.galletta@fm.usp.br. |
| المصدر: | Journal of pediatric and adolescent gynecology [J Pediatr Adolesc Gynecol] 2022 Jun; Vol. 35 (3), pp. 314-322. Date of Electronic Publication: 2021 Nov 04. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Country of Publication: United States NLM ID: 9610774 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-4332 (Electronic) Linking ISSN: 10833188 NLM ISO Abbreviation: J Pediatr Adolesc Gynecol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: <2001->: New York : Elsevier Science Original Publication: Philadelphia, PA : Chapman & Hall, 1996- |
| مواضيع طبية MeSH: | Bacteriuria*/diagnosis , Bacteriuria*/epidemiology , Bacteriuria*/urine , Pregnancy Complications, Infectious*/epidemiology , Urinary Tract Infections*/epidemiology, Adolescent ; Brazil/epidemiology ; Cross-Sectional Studies ; Escherichia coli ; Female ; Hospitals, Teaching ; Humans ; Microbial Sensitivity Tests ; Pregnancy ; Risk Factors |
| مستخلص: | Introduction: Bacteriuria during pregnancy is a frequent and important cause of morbidity and complications. Data on its occurrence in pregnant adolescents are still scarce. Methods: A cross-sectional study was conducted at a tertiary teaching hospital in São Paulo, Brazil. All adolescents (≤18 years) who came for prenatal care between January 2010 and January 2016 were included. Sociodemographic characteristics, medical history, obstetric history, and the results of laboratory tests were selected. A urine sample was aseptically collected from each patient to undergo microscopic and culture analysis. Results: A total of 388 pregnant adolescents averaging 15.30 ± 1.24 years of age were included. The frequency of bacteriuria in this group was 17.01% (66/388). The lack of sports practice (OR = 8.65; 95% CI, 1.09-68.39), the fact that pregnancy was desired (OR = 2.17; 95% CI, 1.08-4.34), and the use of hormonal methods of contraception (OR = 2.46; 95% CI, 1.04-5.84) turned out to be independent risk factors for bacteriuria. Protective factors were identified as late coitarche (OR = 0.75; 95% CI, 0.57-0.98) and a urine culture analysis at a later gestational age (OR = 0.94; 95% CI, 0.90-0.98). The most often isolated pathogens were Escherichia coli (49%) and Streptococcus agalactiae (18%). Conclusion: Bacteriuria among pregnant adolescents is a relatively common condition. The infection risk of the urinary tract was increased by physical inactivity and seemingly by the influence of behavioral and sexual factors. Such results can help to identify patients at risk, favoring the early diagnosis of urinary tract infections and optimizing prenatal care. Competing Interests: Conflicts of Interest The authors have no conflicts of interest to disclose. (Copyright © 2021. Published by Elsevier Inc.) |
| فهرسة مساهمة: | Keywords: Bacteriuria; Pregnancy in adolescence; Prenatal care; Sedentary behavior; Sexual behavior; Urinary tract infections |
| تواريخ الأحداث: | Date Created: 20211107 Date Completed: 20220531 Latest Revision: 20220531 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.jpag.2021.10.011 |
| PMID: | 34742938 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1873-4332 |
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| DOI: | 10.1016/j.jpag.2021.10.011 |