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urinary way infection pregnancy

Caroline Schneeberger, Suzanne E Geerlings, Philippa Middleton, Caroline A Crowther
BACKGROUND: Recurrent urinary tract infections (RUTI) are common in women who are pregnant and may cause serious adverse pregnancy outcomes for both mother and child including preterm birth and small-for-gestational-age babies. Interventions used to prevent RUTI in women who are pregnant can be pharmacological (antibiotics) or non-pharmacological (cranberry products, acupuncture, probiotics and behavioural modifications). So far little is known about the best way to prevent RUTI in pregnant women...
2015: Cochrane Database of Systematic Reviews
Kevin Wymer, Beth A Plunkett, Sangtae Park
OBJECTIVE: The purpose of this study was to determine the cost-effectiveness of serial stenting vs ureteroscopy for treatment of urolithiasis during pregnancy as a function of gestational age (GA) at diagnosis. STUDY DESIGN: We built decision analytic models for a hypothetical cohort of pregnant women who had received a diagnosis of symptomatic ureteral calculi and compared serial stenting to ureteroscopy. We assumed ureteral stent replacement every 4 weeks during pregnancy, intravenous sedation for stent placement, and spinal anesthetic for ureteroscopy...
November 2015: American Journal of Obstetrics and Gynecology
N Galusca, K Charvier, F Courtois, G Rode, R C Rudigoz, A Ruffion
OBJECTIVE: More and more women with spinal cord injury (SCI) can have a pregnancy. Few data have been published on these pregnancies and their urological impact. We report a series of these cases illustrating the urological experience of specialized centers. METHODS: This is a retrospective study that identified pregnancies in women with SCI followed-up between 2000 and 2014. Data covering all urological and obstetric events during pregnancies, before and after implementation of weekly oral cyclic antibiotics (WOCA) program, were collected from medical records...
June 2015: Progrès en Urologie
L Gaspard, B Tombal, R-J Opsomer, Y Castille, V Van Pesch, C Detrembleur
AIM: This randomized controlled trial compare the efficacy of pelvic floor muscle training vs. transcutaneous posterior tibial nerve stimulation. PATIENTS AND METHODS: Inclusion criteria were EDSS score<7 and presence of lower urinary tract symptoms. Exclusion criteria were multiple sclerosis relapse during the study, active urinary tract infection and pregnancy. The primary outcome was quality of life (SF-Qualiveen questionnaire). Secondary outcomes included overactive bladder (USP questionnaire) score and frequency of urgency episodes (3-day bladder diary)...
September 2014: Progrès en Urologie
D Kochiashvili, A Khuskivadze, G Kochiashvili, G Koberidze, V Kvakhajelidze
Urinary Tract Infections (UTI) represent a serious medical problem with considerably high rate of morbidity. Recurrent episodes of urinary tract infection (rUTI) may commonly develop in the way of relapse or reinfection. For patients, rUTI is always associated with costs, discomfort and decreased quality of life. Standard treatment of rUTI is through antibiotics and usually such treatment is required repeatedly. Repeat course of antibiotics leads to increase of resistance of uropathogenic strains. According to the European Association of Urology, "the present state of microbial resistance development is alarming"...
June 2014: Georgian Medical News
Ahmad Aref Al-Dessoukey, Ayman Salah Moussa, Ahmed Mahmoud Abdelbary, Ahmed Zayed, Rabie Abdallah, Ahmad A Elderwy, Amr Medhat Massoud, Aly Hussein Aly
OBJECTIVES: To compare the safety, efficacy, and complications of percutaneous nephrolithotomy (PCNL) in the oblique supine lithotomy position vs the prone position in a randomized comparative study. PATIENTS AND METHODS: The study included 101 and 102 patients in the oblique supine lithotomy position and prone position, respectively. Inclusion criteria were renal and upper ureteral stones. Exclusion criteria were uncorrectable bleeding disorders, active urinary tract infection, and pregnancy...
September 2014: Journal of Endourology
Hany Abdel-Aleem, Mohamad Fathallah Aboelnasr, Tameem M Jayousi, Fawzia A Habib
BACKGROUND: Caesarean section (CS) is the most common obstetric surgical procedure, with more than one-third of pregnant women having lower-segment CS. Bladder evacuation is carried out as a preoperative procedure prior to CS. Emerging evidence suggests that omitting the use of urinary catheters during and after CS could reduce the associated increased risk of urinary tract infections (UTIs), catheter-associated pain/discomfort to the woman, and could lead to earlier ambulation and a shorter stay in hospital...
2014: Cochrane Database of Systematic Reviews
Sarah Bar-Zeev, Lesley Barclay, Sue Kruske, Sue Kildea
OBJECTIVE: there is a significant gap in pregnancy and birth outcomes for Australian Aboriginal and Torres Strait Islander women compared with other Australian women. The provision of appropriate and high quality antenatal care is one way of reducing these disparities. The aim of this study was to assess adherence to antenatal guidelines by clinicians and identify factors affecting the quality of antenatal care delivery to remote dwelling Aboriginal women. SETTING AND DESIGN: a mixed method study drew data from 27 semi-structured interviews with clinicians and a retrospective cohort study of Aboriginal women from two remote communities in Northern Australia, who gave birth from 2004-2006 (n=412)...
March 2014: Midwifery
Caroline Schneeberger, Suzanne E Geerlings, Philippa Middleton, Caroline A Crowther
BACKGROUND: Recurrent urinary tract infections (RUTI) are common in women who are pregnant and may cause serious adverse pregnancy outcomes for both mother and child including preterm birth and small-for-gestational-age babies. Interventions used to prevent RUTI in women who are pregnant can be pharmacological (antibiotics) or non-pharmacological (cranberry products, acupuncture, probiotics and behavioural modifications). So far little is known about the best way to prevent RUTI in pregnant women...
2012: Cochrane Database of Systematic Reviews
J L Peacock, O Sauzet, S M Ewings, S M Kerry
Dichotomisation of continuous data is known to be hugely problematic because information is lost, power is reduced and relationships may be obscured or changed. However, not only are differences in means difficult for clinicians to interpret, but thresholds also occur in many areas of medical practice and cannot be ignored. In recognition of both the problems of dichotomisation and the ways in which it may be useful clinically, we have used a distributional approach to derive a difference in proportions with a 95% CI that retains the precision and the power of the CI for the equivalent difference in means...
November 20, 2012: Statistics in Medicine
Paul Erhunmwunse Imade, Patience Emiolu Izekor, Nosakhare Odeh Eghafona, Onaiwu Idahosa Enabulele, Endurance Ophori
BACKGROUND: Asymptomatic bacteriuria is the significant presence of bacteria in the urine of an individual without symptoms. In pregnancy, the apparent reduction in immunity of pregnant women tends to encourage the growth of pathogens. AIM: This study was carried out to determine the prevalence of asymptomatic bacteriuria in pregnant women attending a primary health centre in Benin City, Nigeria. MATERIALS AND METHODS: A total of 1,228 pregnant women were recruited for this study...
June 2010: North American Journal of Medical Sciences
Jing Wu, Jing Liu, Zhi-chun Feng, Jun-jin Huang, Gang Wu
OBJECTIVE: To observe the influence of premature rupture of membranes (PROM) on neonatal health. METHOD: A retrospective cohort study was conducted among 3320 in-patient newborns of Bayi Children's Hospital from October 2006 to March 2008. One hundred term newborns and one hundred preterm newborns with PROM were chosen to be compared with fifty normal term newborns and preterm newborns respectively. The data were analyzed with Minitab 12.0 software. RESULT: Of the 3320 newborns, 711 (21...
June 2009: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Nigel G Anderson, Jesse Fischer, Diane Leighton, James Hector-Taylor, Rachael L McEwing
Infants with mild postnatal renal dilatation but without vesicoureteral reflux pose a challenge. For how long and in what way should they be followed? From May 1989 to December 2006, we prospectively followed 1,795 pregnancies in which the foetal renal pelvis measured 4 mm or greater. Voiding cystourethrography (VCUG) and renal ultrasound were performed on 1,315 infants at 6 weeks of age. Our study group comprised 208 (167 male) infants with normal VCUG findings who had a renal pelvis of 6-11 mm. We followed them for 1-17 years (mean 11 years)...
March 2010: Pediatric Nephrology: Journal of the International Pediatric Nephrology Association
José Antonio Pérez Arbej, María Isabel Cameo Rico
BACKGROUND: The renal parenchyma acute infection, known as acute pyelonephritis (APN), is diagnosed and treated in some Hospital Departments of the H.C.U. Lozano Blesa. We want to know if the process was made in a homogeneous way, fixed to the described quality standards and if we could detect improvement areas. METHODS: Retrospective study in admitted patients with the diagnosis of APN over and 2 year period (11-05/10-07), evaluating some variables referred to epidemiological data, diagnosis, treatment and evolution...
April 2009: Archivos Españoles de Urología
N Kamilova, I Sultanova, V Akhmed-Zadeh
Miscarrying of pregnancy remains a major problem in obstetrics and gynecology. Inflammatory disease is known to affect reproductive function. To identify the role of the urogenital infection in the genesis of miscarriage, 58 women with complicated obstetrical anamnesis are examined. It is found that the persisting sexually transmitted urogenital infection plays a leading role in the genesis of miscarrying. The way of treatment for imminent abortion which significantly increases (70-90%) the rate of full term viable babies in women with habitual noncarrying of pregnancy is offered...
November 2008: Georgian Medical News
Iwona Rawicka
PURPOSE: Solitary maternity is a significant problem of modern times requiring socio-economic and psychological, as well as perinatological studies. The twentieth anniversary of the Maternity Home managed by the Benedictine Samaritan Sisters motivated the present study. MATERIAL AND METHODS: Hospital discharge summaries of 429 women (group DSM) who lived at the Maternity Home between 26 July 1983 and 26 February 2002 were analyzed. This documentation was supplemented with hospital data on 177 women who gave birth at two Szczecin hospitals and on 13 who left the Home before delivery...
2006: Annales Academiae Medicae Stetinensis
Genevieve Lewis
No abstract text is available yet for this article.
2006: Midwifery Today with International Midwife
Josefina Lira Plascencia, Héctor Oviedo Cruz, Luis A Simón Pereira, Claudia Dib Schekaiban, Juan M Grosso Espinoza, Francisco Ibargüengoitia Ochoa, Roberto Ahued Ahued
OBJECTIVE: To evaluate the perinatal outcomes within a pregnant cohort of adolescents aged 16 years and younger. PATIENTS AND METHODS: Case review prospective study. All pregnant adolescents who attended to the Coordination for assistance of the adolescent patient from June 1998 to July 2003 were included. INCLUSION CRITERIA: age, irrespective from antenatal care inside or outside of the Coordination and delivering inside the institution. Variables analyzed were: age, occupation, marital status, gestational age at first antenatal visit, number of antenatal visits, medical complications during pregnancy, gestational age on delivery, mode of delivery and contraceptive acceptance on discharge...
May 2006: Ginecología y Obstetricia de México
U B Hoyme, P Schneede
The microbial colonization of vulva, vagina and cervix uteri represents the reservoir for recurrent urinary tract infection. All bacterial species of normal cutaneous or gastrointestinal flora can be found in the external genital tract even under physiological conditions. The higher concentration of microbes adds to the predisposition for urinary tract infection in cases of dysbiosis or inflammation, apart from specific infection by Trichomonas vaginalis, Neisseria gonorrhoeae or Chlamydia trachomatis. The specific immunological interaction between bacteria and host, i...
April 2006: Der Urologe. Ausg. A
Kees Waaldijk
OBJECTIVE: It has been a general rule to wait with the repair of an obstetric fistula for a minimum period of 3 months allowing the patient to become an outcast. In a prospective way an immediate management was studied and antibiotics were not used, all according to basic surgical principles. METHODS: A total of 1716 patients with a fistula duration of 3 to 75 days after delivery were treated immediately on presentation by catheter and/or early closure. Instead of antibiotics, a high oral fluid regimen was instituted...
September 2004: American Journal of Obstetrics and Gynecology
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