akusherstvoObstetrics, Gynecology and ReproductionАкушерство, Гинекология и Репродукция2313-73472500-3194IRBIS LLC10.17749/2313-7347/ob.gyn.rep.2020.144akusherstvo-791Research ArticleOriginal articlesОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯPrevalence and associated risk factors of urinary tract infection in pregnancy at the Douala General Hospital, Cameroon: a case–control studyРаспространенность и связанные с ней факторы риска инфекции мочевыводящих путей во время беременности в больнице общего профиля в Дуала, Камерун: исследование «случай-контроль»Дайас ФрансинВ. В.К.Dayas FrancineW. W.Ch.

Дайас Франсин Ваг Ваг Кристиан – факультет медицинских наук

Баменда

Wague Wague Christiane Dayas Francine – MD, Faculty of Health Sciences

Douala

Нана-НжаменТ.Nana-NjamenT.

Нана-Нджамен Теофил – факультет медицинских наук; отделение акушерства и гинекологии

Буэа

Theophile Nana-Njamen – MD, Faculty of Health sciences; Department of Obstetrics and Gynecology

Douala

ОмаринН.OmarineN.

Омарин Нжимантед – факультет медицинских наук

Баменда

Njimanted Omarine – MD, Faculty of Health Sciences

Douala

ЭгбеД. H.EgbeD. N.

Эгбе Доретта Нзеле – факультет медицины и фармацевтических наук

Дуала

Doretta Nzele Egbe – MD, Faculty of Medicine and Pharmaceutical Sciences

Douala

Эноу-ОрокД. Э.Enow-OrockG. E.

Энов-Орок Джордж Энончонг – кафедра патологии, факультет медицинских наук

Буэа

George Enonchong Enow-Orock – MD, Department of Pathology, Faculty of Health Sciences

Douala

ЭгбеТ. О.EgbeT. O.

Эгбе Томас Обинчемти – факультет медицинских наук; отделение акушерства и гинекологии

Буэа

Thomas Obinchemti Egbe – MD, Faculty of Health Sciences; Department of Obstetrics and Gynecology

Douala

toegbe@gmail.comУниверситет БамендыКамерунUniversity of BamendaCameroonУниверситет Буэа; Больница общего профиляКамерунUniversity of Buea; Douala General HospitalCameroonУниверситет ДуалыКамерунUniversity of DoualaCameroonУниверситет БуэаКамерунUniversity of BueaCameroon202013102020144426436Copyright © Dayas Francine W.W., Nana-Njamen T., Omarine N., Egbe D.N., Enow-Orock G.E., Egbe T.O., 20202020Дайас Франсин В.В., Нана-Нжамен Т., Омарин Н., Эгбе Д.H., Эноу-Орок Д.Э., Эгбе Т.О.Dayas Francine W.W., Nana-Njamen T., Omarine N., Egbe D.N., Enow-Orock G.E., Egbe T.O.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.gynecology.su/jour/article/view/791Introduction

Introduction. The burden of urinary tract infection (UTI) in pregnancy has been understudied in Cameroon.

Aim

Aim: to determine the prevalence and risk factors of UTI in pregnancy in a tertiary hospital in Cameroon.

Materials and methods

Materials and methods. A hospital-based matched case-control study of pregnant women with evidence of UTI and those without who underwent antenatal care and gave birth at the Douala General Hospital from January 2014 to December 2018. Demographic, reproductive health/clinical data were collected using a pre-tested questionnaire and analyzed with SPSS.

Results

Results. The prevalence of UTI in pregnancy was 4.41 %. Poor antenatal care uptake (AOR = 5.64; 95 % CI = 2.21–14.33), multiple weekly sexual intercourses (AOR = 4.64; 95 % CI = 0.22–96.94), a history of UTI (AOR = 3.01; 95 % CI = 1.12–8.04) and drying the genitals from back to front (AOR = 5.50; 95 % CI = 1.95–15.44) were associated factors.

Conclusion

Conclusion. The prevalence of UTI in pregnancy is low amid multiple associated factors. Screening for UTI in pregnancy should be made the standard of obstetric care in Cameroon.

Введение

Введение. Бремя инфекции мочевыводящих путей (ИМП) у беременных в Камеруне изучено недостаточно.

Цель исследования

Цель исследования: определить распространенность и факторы риска ИМП у беременных в центре специализированной медицинской помощи Камеруна.

Материалы и методы

Материалы и методы. В клиническом исследовании типа «случай–контроль» с участием беременных были сопоставлены показатели женщин с ИМП и без таковой среди тех, кого наблюдали до родов и родоразрешали в многопрофильном госпитале Дуалы в период с января 2014 г. по декабрь 2018 г. Демографические данные, данные о репродуктивном здоровье, клинические данные были собраны с помощью предварительно протестированной анкеты и проанализированы с использованием программы SPSS.

Результаты

Результаты. Распространенность ИПМ у беременных составила 4,41 %. Ассоциированными факторами риска явились низкая комплаентность к дородовому наблюдению (AOR = 5,64; 95 % CI = 2,21–14,33), неоднократная интимная близость в течение недели (AOR = 4,64; 95 % CI = 0,22–96,94), ИМП в анамнезе (AOR = 3,01; 95 % CI = 1,12–8.04) и протирание гениталий в направлении от спины кпереди (AOR = 5,50; 95 % CI = 1,95–15,44).

Заключение

Заключение. Распространенность ИМП во время беременности является низкой, несмотря на множество ассоциированных факторов риска. Скрининг на наличие ИМП во время беременности должен стать стандартом акушерской помощи в Камеруне.

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The authors declare that there are no conflicts of interest present.