Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)

This study explores the prevalence and antibiotic resistance of urinary tract infections (UTIs) in pregnant women in central Portugal. A retrospective observational study was conducted on 201 positive urine cultures from pregnant women at a hospital center between January 2018 and December 2022. The...

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Main Authors: Francisco Rodrigues, Patrícia Coelho, Sónia Mateus, Hatem Eideh, Teresa Gonçalves, Armando Caseiro, Miguel Castelo Branco
Format: Article
Language:English
Published: MDPI AG 2025-02-01
Series:Bacteria
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Online Access:https://www.mdpi.com/2674-1334/4/1/10
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author Francisco Rodrigues
Patrícia Coelho
Sónia Mateus
Hatem Eideh
Teresa Gonçalves
Armando Caseiro
Miguel Castelo Branco
author_facet Francisco Rodrigues
Patrícia Coelho
Sónia Mateus
Hatem Eideh
Teresa Gonçalves
Armando Caseiro
Miguel Castelo Branco
author_sort Francisco Rodrigues
collection DOAJ
description This study explores the prevalence and antibiotic resistance of urinary tract infections (UTIs) in pregnant women in central Portugal. A retrospective observational study was conducted on 201 positive urine cultures from pregnant women at a hospital center between January 2018 and December 2022. The data collected included age, hospital admission source, history of antibiotic therapy, catheterization status, identity of bacterial isolates, and their antibiotic profile. The most common bacterial strains were <i>Escherichia coli</i> (52.4%) and <i>Streptococcus agalactiae</i> (16.9%). In terms of antibiotic resistance, <i>Escherichia coli</i> demonstrated complete sensitivity to ertapenem, while <i>Streptococcus agalactiae</i> showed sensitivity to four antibiotics, including trimethoprim/sulfamethoxazole. Notably, most infections occurred in the third trimester, underscoring the need for continuous monitoring throughout pregnancy. This study emphasizes the importance of tailored treatment strategies to manage UTIs in pregnancy effectively, reducing the potential maternal and fetal complications. These findings contribute to regional data on UTI management in pregnant populations and aim to support improved healthcare practices. These regional data provide a solid foundation for optimizing healthcare practices in pregnant women, suggesting targeted approaches to combat antibiotic resistance and improve maternal–fetal safety during UTI treatment.
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issn 2674-1334
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series Bacteria
spelling doaj-art-4b5d2ef7571641c7b7a2b9544829ed392025-08-20T02:42:38ZengMDPI AGBacteria2674-13342025-02-01411010.3390/bacteria4010010Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)Francisco Rodrigues0Patrícia Coelho1Sónia Mateus2Hatem Eideh3Teresa Gonçalves4Armando Caseiro5Miguel Castelo Branco6Sport Physical Activity and Health Research & Innovation Center (Sprint), Polytechnic Institute of Castelo Branco, 6000-084 Castelo Branco, PortugalSport Physical Activity and Health Research & Innovation Center (Sprint), Polytechnic Institute of Castelo Branco, 6000-084 Castelo Branco, PortugalSport Physical Activity and Health Research & Innovation Center (Sprint), Polytechnic Institute of Castelo Branco, 6000-084 Castelo Branco, PortugalDepartment of Medical Laboratory Sciences, Al-Quds University, Abu Dis P144, PalestineFMUC—Faculty of Medicine, University Coimbra, 3004-504 Coimbra, PortugalSchool of Health, Polytechnic University of Coimbra, Rua da Misericórdia, Lagar dos Cortiços, S. Martinho do Bispo, 3045-093 Coimbra, PortugalFaculty of Health Sciences, University of Beira Interior, 6201-001 Covilha, PortugalThis study explores the prevalence and antibiotic resistance of urinary tract infections (UTIs) in pregnant women in central Portugal. A retrospective observational study was conducted on 201 positive urine cultures from pregnant women at a hospital center between January 2018 and December 2022. The data collected included age, hospital admission source, history of antibiotic therapy, catheterization status, identity of bacterial isolates, and their antibiotic profile. The most common bacterial strains were <i>Escherichia coli</i> (52.4%) and <i>Streptococcus agalactiae</i> (16.9%). In terms of antibiotic resistance, <i>Escherichia coli</i> demonstrated complete sensitivity to ertapenem, while <i>Streptococcus agalactiae</i> showed sensitivity to four antibiotics, including trimethoprim/sulfamethoxazole. Notably, most infections occurred in the third trimester, underscoring the need for continuous monitoring throughout pregnancy. This study emphasizes the importance of tailored treatment strategies to manage UTIs in pregnancy effectively, reducing the potential maternal and fetal complications. These findings contribute to regional data on UTI management in pregnant populations and aim to support improved healthcare practices. These regional data provide a solid foundation for optimizing healthcare practices in pregnant women, suggesting targeted approaches to combat antibiotic resistance and improve maternal–fetal safety during UTI treatment.https://www.mdpi.com/2674-1334/4/1/10urinary tract infectionspregnancyantibiotic resistance<i>Escherichia coli</i><i>Streptococcus agalactiae</i>maternal health
spellingShingle Francisco Rodrigues
Patrícia Coelho
Sónia Mateus
Hatem Eideh
Teresa Gonçalves
Armando Caseiro
Miguel Castelo Branco
Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)
Bacteria
urinary tract infections
pregnancy
antibiotic resistance
<i>Escherichia coli</i>
<i>Streptococcus agalactiae</i>
maternal health
title Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)
title_full Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)
title_fullStr Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)
title_full_unstemmed Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)
title_short Rising Trends of Urinary Infections Among Pregnant Women: Insights from a Portuguese Hospital (2018–2022)
title_sort rising trends of urinary infections among pregnant women insights from a portuguese hospital 2018 2022
topic urinary tract infections
pregnancy
antibiotic resistance
<i>Escherichia coli</i>
<i>Streptococcus agalactiae</i>
maternal health
url https://www.mdpi.com/2674-1334/4/1/10
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