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Bacteruria in Pregnancy
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== Asymptomatic bacteriuria == * '''One of the most common infections encountered during pregnancy.''' ** Prevalence of bacteriuria in pregnant females varies from 4-7% * '''Prevalence of asymptomatic bacteriuria in pregnancy is similar to that of the general population''' * '''More likely to progress to pyelonephritis''' ** Spontaneous resolution of asymptomatic bacteriuria in pregnant females is unlikely unless treated, unlike non-pregnant females who often clear their asymptomatic bacteriuria *** '''Risk of UTI progression to pyelonephritis''' **** '''Non-pregnant females: 1%[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1314413/ Β§]''' **** '''Pregnant females: 20-40%''' ***** '''Factors contributing to increased risk of progression from asymptomatic bacteruria to acute clinical pyelonephritis in pregnancy''' '''(2):''' *****# '''Anatomic and physiologic changes induced by the gravid state''' (see above) *****# '''Urine from pregnant females exhibits a more suitable pH for growth of E. coli''' in all stages of gestation. ***** '''Treatment for asymptomatic bacteruria reduces the risk of pyelonephritis to 0-5%.'''
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