دورية أكاديمية
أعرض في EDS

Bacterial profile and prevalence of urinary tract infections in pregnant women in Latin America: a systematic review and meta-analysis.

التفاصيل البيبلوغرافية
العنوان: Bacterial profile and prevalence of urinary tract infections in pregnant women in Latin America: a systematic review and meta-analysis.
المؤلفون: de Souza HD; Disciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil.; Department of Maternal and Child Health, Medical School of the Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil., Diório GRM; Department of Internships, Medical School of the Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil., Peres SV; Disciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil., Francisco RPV; Disciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil., Galletta MAK; Disciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil. marco.galletta@fm.usp.br.
المصدر: BMC pregnancy and childbirth [BMC Pregnancy Childbirth] 2023 Nov 08; Vol. 23 (1), pp. 774. Date of Electronic Publication: 2023 Nov 08.
نوع المنشور: Meta-Analysis; Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 100967799 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2393 (Electronic) Linking ISSN: 14712393 NLM ISO Abbreviation: BMC Pregnancy Childbirth Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Bacteriuria*/epidemiology , Bacteriuria*/microbiology , Pregnancy Complications, Infectious*/epidemiology , Pregnancy Complications, Infectious*/diagnosis , Urinary Tract Infections*/microbiology , Pyelonephritis*/epidemiology , Pyelonephritis*/chemically induced , Pyelonephritis*/drug therapy, Infant, Newborn ; Pregnancy ; Female ; Humans ; Latin America/epidemiology ; Pregnant Women ; Prevalence ; Anti-Bacterial Agents/therapeutic use
مستخلص: Background: Given the physiological changes during pregnancy, pregnant women are likely to develop recurrent urinary tract infections (UTIs) and pyelonephritis, which may result in adverse obstetric outcomes, including prematurity and low birth weight preeclampsia. However, data on UTI prevalence and bacterial profile in Latin American pregnant women remain scarce, necessitating the present systematic review to address this issue.
Methods: To identify eligible observational studies published up to September 2022, keywords were systematically searched in Medline/PubMed, Cochrane Library, Embase, Web of Science, and Bireme/Lilacs electronic databases and Google Scholar. The systematic review with meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the quality of studies was classified according to the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. The meta-analysis employed a random-effects method with double-arcsine transformation in the R software.
Results: Database and manual searches identified 253,550 citations published until September 2022. Among the identified citations, 67 met the inclusion criteria and were included in the systematic review, corresponding to a sample of 111,249 pregnant women from nine Latin American countries. Among Latin American pregnant women, the prevalence rates of asymptomatic bacteriuria, lower UTI, and pyelonephritis were estimated at 18.45% (95% confidence interval [CI]: 15.45-21.53), 7.54% (95% CI: 4.76-10.87), and 2.34% (95% CI: 0.68-4.85), respectively. Some regional differences were also detected. Among the included studies, Escherichia coli (70%) was identified as the most frequently isolated bacterial species, followed by Klebsiella sp. (6.8%).
Conclusion: Pregnant women in Latin America exhibit a higher prevalence of bacteriuria, UTI, and pyelonephritis than pregnant women globally. This scenario reinforces the importance of universal screening with urine culture during early prenatal care to ensure improved outcomes. Future investigations should assess the microbial susceptibility profiles of uropathogens isolated from pregnant women in Latin America.
Trial Registration: This research was registered at PROSPERO (No. CRD42020212601).
(© 2023. The Author(s).)
References: Ginecol Obstet Mex. 2007 Jun;75(6):325-31. (PMID: 18297857)
Lancet. 1965 Feb 20;1(7382):395-9. (PMID: 14238090)
EClinicalMedicine. 2021 Jun 09;37:100952. (PMID: 34386744)
CMAJ. 2018 Jul 9;190(27):E823-E830. (PMID: 29986858)
Infect Drug Resist. 2021 Jul 23;14:2829-2841. (PMID: 34326651)
Cochrane Database Syst Rev. 2015 Aug 07;(8):CD000490. (PMID: 26252501)
Infect Dis Obstet Gynecol. 2012;2012:878241. (PMID: 22505801)
Rev Bras Ginecol Obstet. 2012 Nov;34(11):488-93. (PMID: 23288258)
Bull World Health Organ. 2007 Nov;85(11):867-72. (PMID: 18038077)
J Obstet Gynaecol Br Commonw. 1971 Feb;78(2):130-5. (PMID: 5105190)
J Pediatr Adolesc Gynecol. 2022 Jun;35(3):314-322. (PMID: 34742938)
World J Urol. 2022 Mar;40(3):755-763. (PMID: 35066637)
Rev Bras Ginecol Obstet. 2011 Aug;33(8):196-200. (PMID: 22159620)
Medicine (Baltimore). 2018 Sep;97(36):e12192. (PMID: 30200124)
Rev Bras Ginecol Obstet. 2017 Dec;39(12):653-658. (PMID: 29179243)
BMC Urol. 2019 May 30;19(1):43. (PMID: 31146773)
Int J Infect Dis. 2019 Jun;83:116-129. (PMID: 31028879)
JAMA Pediatr. 2019 Dec 1;173(12):1154-1163. (PMID: 31589252)
Rev Lat Am Enfermagem. 2009 Jul-Aug;17(4):507-13. (PMID: 19820858)
Rev Colomb Obstet Ginecol. 2019 Dec;70(4):243-252. (PMID: 32142239)
Cochrane Database Syst Rev. 2019 Nov 25;2019(11):. (PMID: 31765489)
Rev Bras Epidemiol. 2013 Jun;16(2):338-51. (PMID: 24142006)
Am J Public Health Nations Health. 1962 Nov;52:1887-93. (PMID: 13953704)
J Soc Gynecol Investig. 2005 Jan;12(1):50-3. (PMID: 15629672)
Biomed Res Int. 2021 Dec 01;2021:6551526. (PMID: 34901276)
BMJ Open. 2019 Mar 13;9(3):e021347. (PMID: 30872538)
Rev Bras Ginecol Obstet. 2014 Mar;36(3):102-6. (PMID: 24728312)
Obstet Gynecol. 1995 Jul;86(1):119-23. (PMID: 7784004)
J Epidemiol Community Health. 2013 Nov 1;67(11):974-8. (PMID: 23963506)
Front Public Health. 2022 Jul 27;10:888205. (PMID: 35968451)
Rev Med Inst Mex Seguro Soc. 2007 Mar-Apr;45(2):169-72. (PMID: 17550702)
Br Med J. 1965 Feb 27;1(5434):554-6. (PMID: 14243058)
J Fam Pract. 1989 Oct;29(4):372-6. (PMID: 2794885)
فهرسة مساهمة: Keywords: Asymptomatic Bacteriuria; Etiology; Latin America; Pregnant women; Prevalence; Pyelonephritis; Urinary Tract Infections
المشرفين على المادة: 0 (Anti-Bacterial Agents)
تواريخ الأحداث: Date Created: 20231108 Date Completed: 20231110 Latest Revision: 20231111
رمز التحديث: 20240829
مُعرف محوري في PubMed: PMC10631168
DOI: 10.1186/s12884-023-06060-z
PMID: 37940852
قاعدة البيانات: MEDLINE
الوصف
تدمد:1471-2393
DOI:10.1186/s12884-023-06060-z