Kholoud Hamed. Dekhel; Nihad Khalawi. Taktok
Abstract
Urinary tract infection (UTI) in pregnant women with diabetes mellitus type 2 have special importance due to the complication that results from it which can be dangerous to both mother ...
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Urinary tract infection (UTI) in pregnant women with diabetes mellitus type 2 have special importance due to the complication that results from it which can be dangerous to both mother and baby. Different bacteria were Isolated and diagnosed from (40) UTI samples collectedfrom pregnant women with diabetes mellitus type 2 and also bacteria in urine from (15) sample collected from women with diabetes mellitus type 2 (non pregnant non UTI). Five different genera of bacteria were isolated and identified from (40) samples these were (E.coli, Proteus mirabilis, Klebsiella pneumoniae, Streptococcus agalactiae and Staphylococcus aureus); six genera (E.coli, Proteus mirabilis,Klebsiella pneumoniae, Streptococcus agalactiae, Staphylococcus aureus, and Pseudomonas aeruginosa ) were isolated and Identified from women with diabetes mellitus type 2 (non pregnant non UTI).The data showed no astatistical significant differences (P> 0.05) between the type of bacteria isolated from the two groups. The microscopic examination of urine remains a useful test for diagnosis of UTI depending on the presence or non presence of pus cells, Epithelium cells, R.B.Cs, crystals and also bacteria seen in sediment of urine under the HPF of microscopic in high numbers it evident for present in urine with signification number inspite of that the urine culture and sensitivity is the standard basic in diagnosis of UTI.The datashowed no statistical significant differences between UTI and age but the results shows that sexual activity of women play essential role in UTI because the occurrence of infection UTI was more frequent at age group (26-35) with percentage (47.5%) also it was found that woman who have had many children were with high risk of UTI. The most bacterial isolates showed a wide range of variation to word the antibiotics tested the Proteus mirabilis show high percentage of resistance (57.4%)while Streptococcus agalactiae shows the lower percentage of resistance (14%). Tetracyclin gave the high percentage (67%) of resistant from all pathogens isolated while Gentamycin gave the lower percentage (10%).
