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- Review Article Urinary Tract Infections in Pregnancy
- Bong Suk Shim, Mi Mi Oh, Young-suk Lee, Ha Na Lee
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임신 중 요로감염 - 심봉석, 오미미, 이영숙, 이하나
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Urogenital Tract Infection 2011;6(2):155-164.
Published online: October 31, 2011
From the Department of Urology, 1Ewha Womans University School of Medicine, Seoul, 2Korea University School of Medicine, Seoul, 3Sungkyunkwan University School of Medicine, Samsungchangwon Hospital, Changwon, 4Ewha Medical Center Seoul Seonam Hospital, Seoul, Korea
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Abstract
Urinary tract infections (UTIs) are more common during pregnancy because of changes in the urinary tract. Symptomatic UTI occurs in 1% to 2% of pregnancies, while asymptomatic bacteriuria has been reported in 2% to 11% of pregnant women. UTIs during pregnancy can lead to serious consequences if left untreated. Asymptomatic bacteriuria is associated with an increased risk of pyelonephritis and adverse outcomes of pregnancy. Therefore, antepartum screening is recommended to detect asymptomatic bacteriuria in pregnancy. Oral antibiotics are the treatment of choice for asymptomatic bacteriuria and cystitis. Antibiotic agent is selected by drug safety concerns and urine culture susceptibility data. The standard course of treatment for pyelonephritis is hospital admission and intravenous antibiotics. Antibiotic prophylaxis is indicated in some cases. Prompt treatment of symptomatic UTIs and asymptomatic bacteriuria is warranted in pregnant women.
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