Abstract
During a 5-year period all urine culture results from pregnant Caucasian and Bangladeshi women booked for confinement at the Royal London Hospital, London, UK, were reviewed to determine race-specific rates of bacteriuria. The results showed that the overall prevalence of bacteriuria in the Caucasian group was 6.3% compared to 2.0% for the Bangladeshi women. Caucasian women were found to be at significantly greater risk across all pregnancy outcome and history categories, with the greatest risk observed in grand multiparous women (RR: 4.7, 95% CI: 2.8–8.3). Pregnancies that resulted in preterm delivery showed a strong association of bacteriuria in Caucasian women which was not seen in the Bangladeshi women (RR: 4.4, 95% CI: 2.0–8.7). The data suggest that Caucasian women have a significantly higher prevalence of bacteriuria in pregnancy than their Bangladeshi neighbors. Differences in hygiene practices and clothing may explain the observed differences in the bacteriuria rates.
Similar content being viewed by others
References
Savage WE, Hajj SN, Kass EH. Demographic and prognostic characteristics of bacteriuria in pregnancy.Medicine 1967;46:385
Bengtsson C, Bengtsson U, Lincoln K. Bacteriuria in a population sample of women. Prevalence, characteristics, results of treatment, and prognosis.Acta Med Scand 1980;208:417–423
Mulholland SG. Controversies in management of urinary tract infection.Urology 1986;27:3–8
Norden CW, Kass EH. Bacteriuria of pregnancy: a critical appraisal.Ann Rev Med 1968;19:431
Dempsey C, Harrison RF, Moloney A, Darling M, Walshe J. Characteristics of bacteriuria in a homogenous maternity hospital population.Eur J Obstet Gynecol Reprod Biol 1992;44:189–193
Kass EH. Bacteriuria and pyleonephritis of pregnancy.Arch Intern Med 1960;105:194
Kunin CM. Detection, prevention, and management of urinary tract infections, 3rd edn. Philadelphia: Lea & Febiger, 1979
Gilstrap LC, Leveno KJ, Cunningham FG. Renal infection and pregnancy outcome.Am J Obstet Gynecol 1981;141:709
McGrady GA, Daling JR, Peterson DR. Maternal urinary tract infection and adverse fetal outcomes.Am J Epidemiol 1985;121:377–381
Guinn DA, Wigton TR, Owen J, Socol ML, Frederiksen MC. Prediction of preterm birth in nulliparous patients.Am J Obstet Gynecol 1994;171:1111–1115
Schultz R, Read AW, Straton JA, Stanley FJ, Morich P. Genitourinary tract infections in pregnancy and low birthweight: casecontrol study in Australian aboriginal women.Br Med J 1991;303:1369–1373
DeBaun M, Rowley D, Province M, Stockbauer JW, Cole FS. Selected antepartum medical complications and very low birthweight infants among black and white women.Am J Public Health 1994;84:1495–1497
Gratacos E, Torres PJ, Villa J, Salonso PL, Cararch V. Screening and treatment of asymptomatic bacteriuria in pregnancy prevent pyelonephritis.J Infect Dis 1994;169:1390–1392
Vincent T, Andriole MD, Patterson TF. Epidemiology, natural history, and management of urinary tract infections in pregnancy.Med Clin North Am 1991;75:359–373
Reddy, J, Campbell A. Bacteriuria in pregnancy.Aust NZ J Obstet Gynaecol 1985;25:176–178
Metcalf PA, Baker JR, Scragg RK, Scott AJ, Wild CJ, Dryson E. Asymptomatic bacteriuria in a multiracial worksforce.Ethn Dis 1993;3:270–277
Olusanya O, Ogunledun A, Fakoya TA. Asymptomatic significant bacteriuria among pregnant and non-pregnant women in Sagamu, Nigeria.West Africa J Med 1993;12:27–33
Versi E, Liu KL, Chai P, Seddon G. Obstetric outcome of Bangladeshi women in East London.Br J Obstet Gynaecol 1995;102:630–637
Stenqvist K, Dahlen-Nilsson I, Lidin-Janson G et al. Bacteriuria in pregnancy.Am J Epidemiol 1989;129:372
Turck M, Goffe BS, Petersdorf RG. Bacteriuria of pregnancy: relation to socioeconomic factors.N Engl J Med 1962;266:857
Orrett FA, Balbirsingh M, Carrington L. Socio-biological associations of bacteriuria in pregnancy.West Indian Med J 1995;44:28–31
Quershi RN, Khan KS, Darr O, Khattak N, Farooqui BJ, Rizvi JH. Bacteriuria and pregnancy outcome: a prospective hospital based study in Pakistani women.J Pak Med Assoc 1994;44:12–13
Whalley PJ. Bacteriuria of pregnancy.Am J Obstet Gynecol 1967;97:723
Romero R, Oyarzun E, Mazor M, Sirtori M, Hobbins JC, Bracken M. Meta-analysis of the relationship between asymptomatic bacteriuria and preterm delivery/low birthweight.Obstet Gynecol 1989;73:576–582
Beard RW, Roberts AP. Asymptomatic bacteriuria during pregnancy.Br Med Bull 1968;24:44
Kincaid-Smith P. Bacteriuria in pregnancy.Lancet 1965;1:395
Author information
Authors and Affiliations
Additional information
Editorial Comment: The authors present a well designed study looking at the incidence of bacteriuria during pregnancy among Caucasian and Bangladeshi women. Their results show a significantly lower prevalence of bacteriuria among Bangladeshi women. What this means clinically is unknown. Although a definite link between symptomatic urinary tract infection and preterm labor has been reported, the significance of asymptomatic bacteriuria remains unclear. In this study Bangladeshi women were more apt to deliver preterm and low-birthweight babies than Caucasian women, in spite of their lower incidence of bacteriuria. Among other factors, the authors suggest that the lower prevalence of bacteriuria among Bangladeshi women may be related to the common practice of ablution following micturition and defecation. Perhaps all women should be counseled to adopt this hygienic act in an effort to reduce the risk of urinary tract infection.
Rights and permissions
About this article
Cite this article
Versi, E., Chia, P., Griffiths, D.J. et al. Bacteriuria in pregnancy: A comparison of Bangladeshi and Caucasian women. Int Urogynecol J 8, 8–12 (1997). https://doi.org/10.1007/BF01920287
Issue Date:
DOI: https://doi.org/10.1007/BF01920287