Urinary tract infections in pregnant women: prevention and treatment

Bakhareva I.V.

N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia, Moscow 117997, Ostrovityanova str. 1, Russia
Urinary tract infections (UTIs) are a common infectious disease during pregnancy, while the range of effective and safe medications for the mother and fetus is limited.
Objective. To assess current concepts on the etiology, pathogenesis, clinical presentations, diagnosis, and treatment of UTIs in pregnant women.
Material and methods. Publications by Russian and foreign authors were reviewed and analyzed.
Results. Particular attention is paid to the classification of UTIs, to their predisposing factors, etiology, pathogenesis, and diagnosis during pregnancyy, to the impact of UTIs on the development of pregnancy complications and fetal diseases, and to antimicrobial therapy policy. Emphasis is laid on the need for the prevention and combination treatment of asymptomatic bacteriuria in pregnant women and there is evidence that the large cranberry (Vaccinium macrocarpon) drug phytolysin prenatal should be used to prevent recurrent UTIs during pregnancy.
Conclusion. The timely diagnosis and rational therapy of UTIs in pregnant women can reduce the risk of recurrences and pregnancy complications.

Keywords

urinary tract infections
pregnancy
asymptomatic bacteriuria
pyelonephritis
large cranberry (Vaccinium macrocarpon) drugs
phytolysin prenatal

Supplementary Materials

  1. Table. The main types of urinary tract infection in pregnancy [1]

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Received 08.12.2017

Accepted 22.12.2017

About the Authors

Bakhareva Irina Viktorovna, MD, Professor of the Department of Obstetrics and Gynecology of the Faculty of Physiotherapy, N.I. Pirogov Russian National Research Medical University, Ministry of Health of Russia. 117997, Russia, Moscow, Ostrovityanova str. 1. E-mail: iribakhareva@yandex.ru

For citations: Bakhareva I.V. Urinary tract infections in pregnant women: prevention and treatment. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2018; (3): 129-37. (in Russian)
https://dx.doi.org/10.18565/aig.2018.3.129-137

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