Dangerous bacteriuria is dangerous during the baby tool?

Features of bacteriuria. Diagnosis of the disease. Asymptomatic bacteriuria during pregnancy. Treatment Methods and Prevention Measures

In medicine, bacteriuria is called a state in which bacteria are found in the urine. A violation will tell Urin’s research using microscopy.

Fully healthy person allocates sterile urine. However, with the infection of the kidneys or the urethral system, the microbes fall into the bladder and quickly multiply there.

Bacteriuria during pregnancy arises due to microbes through the renal filter, which is struck by the pathological process. In the case when the number of bacteria colonies is not more than 105 per 1 ml, then the pollution of urine. If these numbers above – bacteriuria began.

Features of the disease

Penetration of pathogenic microorganisms in Urin occurs in several ways – downward and ascending. In the first case, infection comes from the focus of inflammation: kidneys, bladder, prostate gland, urethra.

In the second case – through outside interventions (catheterization, cystoscopy, stone, bodging). It is possible to enter the intestine or genital organs (lymphohematogenic path) and from foci of infection (hematogen).

Distinguish true bacteriuria when the microbes are multiplied in the urinary tract, and false when bacteria pass from the blood to the urine through the kidneys, but do not multiply.

Bacteriuria, detected in the urine during pregnancy can be provoked: intestinal wand, staphylococcal, streptococcus, protemat, with a blue rod, etc. Often this happens when the kidneys or the urinary system is inflammation. Often bacteria are found in people recently experienced infectious disease. Also, the violation is possible in those who suffer from frequent constipation, colon diseases, proctitis, rear-pass cracks.

Basically, this phenomenon resembles cystitis or pyelonephritis: the temperature rises to subfebrile, there are frequent urge to urinate, urine becomes muddy, sometimes with a precipitate.

Diagnosis of the disease

Remove the violation is possible by several methods: a reduction glucose test, nitrite test Grasse and TTX test.

Under the conditions of the clinic, chemical studies are used with which you can quickly get the result. Quantitative bacteriological methods allow you to accurately determine the degree of violation and the number of bacteria colonies. Inaccuracy of the results is possible with abundant drinking, consumption of worryptics and T.D. When the diagnosis is confirmed, the next step is to determine the type of microbes, their sensitivity to antibiotics and sulfanimamides.

Asymptomatic bacteriuria during pregnancy

When bacteria are present in the urine, but the patient does not complain about anything, it is asymptomatic bacteriuria. It can be diagnosed when the level of microbes in the urine, which corresponds to true bacterurium, is detected at least in two samples. At the same time, the symptoms are completely absent.

But it is worth noting that most often it is diagnosed with healthy women and what they are older, the higher the risk of this state. In male, she usually manifests itself in old age. In some cases, the violation may be accompanied by diabetes.

Bacteriuria arising during pregnancy increases the risk of urinary tract infection and can lead to pyelonephritis. Also, women in this period are subject to expansion of the ureter and nephrolityia. Very often, pathology data are developing at the last trimension of pregnancy.

If you do not treat the disease, then the birth of a child with low weight or premature birth. With adequate and correct treatment in the overwhelming majority of cases during pregnancy, it is possible to prevent the development of complications.

There are several factors that influence the development of pathology during the period of having a child. However, they all occur for one reason – due to the action of progesterone (the main hormone of pregnancy) on the tone of muscles of the ureters, as well as due to the pressure on them, the uterus, which is growing rapidly at that time.

There are factors:

• Formation of physiological hydronephrosis;
• Slowed speed of urin passage, provoked by a decrease in the peristalsis of ureters;
• Decrease in the tone of the bladder;
• A large number of residual urine;
• Changing the characteristics of urins that contribute to the growth of microbes.

Still in early pregnancy is possible to identify violations. It is worth noting that only in 1% of cases it occurs at later pregnancy terms. Sometimes this state indicates the presence of bacterial vaginosis, which did not find before the occurrence of pregnancy.

Diagnosis of asymptomatic bacteriuria

Direct the tests of analyzes usually those patients who have high risk of developing complications. First of all, these are pregnant women. The optimal term for the study is considered to be 16 week of pregnancy.

People who have had invasive urological procedures, with fever, immunodeficiency, with unclear genesis should also be held. In mandatory, analyzes should pass children to a 6-year-old, who have suspicion of urinary tract infections.

Treatment of asymptomatic bacteriuria during pregnancy

Eliminate violation is not required by patients with diabetes, with blade, elderly and schoolchildren who have organic changes in urinary tract.

In the absence of immunosuppression, as such, treatment is also not required, but this is only if the structural changes of urinary tract is observed. It is worth noting that in some situations when passing antimicrobial therapy, there is a replacement for normal flora to a more pathogenic.

Otherwise, treatment should be complex. First it is necessary to eliminate the focus of inflammation, increase the jet forces of the body, eliminate the violation of the passage of Urin. Sometimes patients prescribe sanatorium-resort treatment and diet.

In the absence of symptoms, it is necessary to eliminate bacterialuria in newborns, preschoolers, adolescents. At the same time eliminate chronic prostatitis. Women usually prescribe an antimicrobial drug.

If necessary, the doctor may appoint antimicrobial means for the week. Often, precisely in such treatment needs pregnant women.

When choosing a medicine, the doctor takes into account not only the state of the mother, but also the possible effect of the drug drug on the fruit. Never prescribe fluoroquinolones, which are discharged by the rest of the patients with urinary tract infections.

Often, amoxicillin is used to treat pregnant women, or a drug complex consisting of amoxicillin and clavulanatom. Duration of reception – 7 days.

In the case when a large number of microbes were detected, that is, the violation is too launched, the doctor may write phosphomycintroomethamine (one-time). But in this situation it is advisable to apply the drug when the benefit for the mother exceeds the possible risk to the fetus.

But in most cases, the treatment of pregnant women is not carried out using a single reception of drugs, since the desired effect is very difficult to achieve in such a position. Therefore, for several days or weeks, women can drink cephalosporins, nitrofurans or ampicillin.

After the violation was determined, it is necessary to regularly pass tests to prevent the disease recurrences. If bacteriuria is detected in the urine again, supporting therapy is assigned, which lasts up to the birth. After the birth of a child, she continues for a couple more weeks. The course of therapy is to admit antibacterial drugs and booster.

However, the complex includes not only medication. Women should take measures to reduce urine acidity and strengthening its passage. Basically, for these purposes, appropriate products are introduced into the diet. Well proved cranberry morse.

Prevention

Pregnant women should take all possible measures to prevent the development of bacteriuria. When registering in female consultation, a woman gives the first biochemical and clinical blood tests and urine. In the future, she will take them regularly. In mandatory, all pregnant women are carried out bacteriological research Urin.

If necessary, the doctor can send to the ultrasound kidneys. In some situations it is necessary to take antimicrobial agents to reduce the risk of the development of purulent pyelonephritis, fetal hypotrophy and premature labor.