Evaluation of Urine and Rectovaginal Culture Results in Pregnant Women with Threatened Preterm Labor

Abstract

Purpose: The onset of labor between 20 0/7 and 36 6/7 weeks of pregnancy is described as threatened preterm labor. One of the most important causes are urogenital infections. In this study, we aimed to investigate the relationship between urogenital infections on threatened preterm labor.

Materials and Methods: A total of 45 pregnant patients who were hospitalized in the Gynecology and Obstetrics Clinic between October 2018 and October 2019 with a diagnosis of threatened preterm labor were included in the study. The gynecological examination was performed for each patient, and urine and rectovaginal swab samples were taken for microbiological examination. The obtained data were collected in a database and analyzed.

Results: Reproduction occurred in 24.5% of patients in vaginal culture (n=12), 16.3% in urine culture (n = 8), and 6.1% in rectal culture (n=3). Vaginal culture results were as follows; 5 vaginal candidiasis (Candida albicans), 3 group B streptococcus, 2 Bacterial vaginosis (Gardnerelle vaginalis), 2 Tricomanas vaginalis. Urine culture results were as follows; 5 Escherichia coli, 2 Staphylococcus aureus, 1 Proteus mirabilis. Rectal culture results: 3 rectovaginal group B streptococcus. Preterm labor was observed in only one of culture positive patients who were treated with appropriate antibiotherapy.

Conclusions: Urinary and rectovaginal culture and appropriate treatment according to the identified pathogen are the most important steps to be taken to prevent the progression of labor.

Keywords

• labor
• candidiasis
• urogenital infection

Erken Doğum Tehdidi Olan Gebelerde İdrar ve Rektovajinal Kültür Sonuçlarının Retrospektif Olarak Değerlendirilmesi

Abstract

Amaç: Doğum eyleminin 20 0/7 ile 36 6/7 gebelik haftaları arasında başlamasına erken doğum tehdidi denir. En önemli sebeplerinden biri ürogenital enfeksiyonlardır. Bu çalışmada erken doğum tehdidi ile ürogenital enfeksiyonlar arasındaki ilişkinin araştırılması amaçlanmıştır.

Araçlar ve Yöntem: Ekim 2018-Ekim 2019 tarihleri arasında erken doğum tehdidi sebebiyle Kadın Hastalıkları ve Doğum servisine yatırılan 49 adet gebe çalışmaya dahil edildi. Her hastaya jinekolojik muayene yapıldı ve mikrobiyolojik inceleme için idrar ve rektovajinal sürüntü örnekleri alındı. Elde edilen veriler bir veri tabanında toplandı ve analiz edildi.

Bulgular: Hastaların %24.5’inde vajinal kültürde (n=12), %16.3’ünde idrar kültüründe (n=8), %6.1’inde rektal kültürde (n=3) üreme oldu. Vajen kültürü sonuçları; 5 adet vajinal kandidiyazis (Candida albicans), 3 adet Grup B streptokok, 2 adet bakteriyel vajinozis (Gardnerella vaginalis), 2 adet Trichomanas vaginalis, idrar kültürü sonuçları; 5 adet Escherichia coli, 2 adet Staphylococcus aureus, 1 adet Proteus mirabilis, rektal kültür sonuçları; 3 adet rektovajinal grup B streptokok idi. Kültürde üremesi olan ve uygun antibiyoterapi ile tedavi edilen 20 hastanın 1’inde erken doğum gözlendi.

Sonuç: Erken doğum tehdidi olan hastalarda idrar ve rektovajinal kültür yapılıp belirlenen patojene göre uygun tedavi verilmesi doğum eyleminin ilerlemesini engellemek için atılacak en önemli adımdır.

Keywords

• doğum
• kandidiazis
• ürogenital enfeksiyon

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