Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management

Background: Urinary tract infections (UTIs) are common in pregnant women due to significant changes during gestation. UTIs can affect any part of the urinary system and are typically caused by bacteria, though fungi and viruses can also be responsible. Asymptomatic bacteriuria (ASB is frequent in p...

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Main Authors: Patrycja Kałuziak, Jakub Parys, Agnieszka Mikosińska, Martyna Kaźmierczak, Marta Jajczak, Maciej Mossakowski, Aleksandra Witek, Mateusz Litwin, Stanisław Jesionek
Format: Article
Language:English
Published: Nicolaus Copernicus University in Toruń 2025-01-01
Series:Quality in Sport
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Online Access:https://apcz.umk.pl/QS/article/view/57277
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author Patrycja Kałuziak
Jakub Parys
Agnieszka Mikosińska
Martyna Kaźmierczak
Marta Jajczak
Maciej Mossakowski
Aleksandra Witek
Mateusz Litwin
Stanisław Jesionek
author_facet Patrycja Kałuziak
Jakub Parys
Agnieszka Mikosińska
Martyna Kaźmierczak
Marta Jajczak
Maciej Mossakowski
Aleksandra Witek
Mateusz Litwin
Stanisław Jesionek
author_sort Patrycja Kałuziak
collection DOAJ
description Background: Urinary tract infections (UTIs) are common in pregnant women due to significant changes during gestation. UTIs can affect any part of the urinary system and are typically caused by bacteria, though fungi and viruses can also be responsible. Asymptomatic bacteriuria (ASB is frequent in pregnancy and must be treated to prevent serious maternal and fetal complications. Routine screening for ASB is standard in prenatal care, and treatment with safe, effective antibiotics is essential. Preventive strategies also help reduce UTI during pregnancy. Aim of the study: The study aimed to explore the changes that occur during gestation, which predispose pregnant women to UTIs, assess the diagnostic methods and select the most effective treatment to prevent complications. State of knowledge: Urinary tract infections (UTIs) are common perinatal complications, with higher prevalence in pregnancy due to changes that occur during gestation. UTIs can perform as asymptomatic bacteriuria (ASB), cystitis and pyelonephritis, which can result in severe complications. Clinical guidelines recommend screening for ASB in early pregnancy and prescribing a short course of antibiotics if detected. Escherichia coli is the most common cause of UTIs. As most antibiotics cross the placenta, treatment must be safe for the fetus and effective against the pathogens. Guidelines recommend short courses of antibiotics.  Conclusions: UTIs in pregnancy are common and lead to serious complications if untreated. Pregnant women are more susceptible to UTIs due changes that occur during gestation. Healthcare professionals play a critical role in managing UTIs during pregnancy. Early detection through routine screening and prompt treatment is crucial for optimal outcomes. Healthcare professionals, including obstetricians, should educate patients on preventive measures and recognizing early UTI symptoms. Abbreviations: UTIs- urinary tract infections; ASB- asymptomatic bacteriuria
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institution Kabale University
issn 2450-3118
language English
publishDate 2025-01-01
publisher Nicolaus Copernicus University in Toruń
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series Quality in Sport
spelling doaj-art-f5777c9d0b4f4def92d26b6128bf644d2025-01-14T08:22:49ZengNicolaus Copernicus University in ToruńQuality in Sport2450-31182025-01-013710.12775/QS.2025.37.57277Review of Urinary Tract Infections in Pregnancy: Risks, Complications and ManagementPatrycja Kałuziak0https://orcid.org/0009-0008-0976-1523Jakub Parys1https://orcid.org/0009-0009-1955-7865Agnieszka Mikosińska2https://orcid.org/0009-0003-0891-9089Martyna Kaźmierczak3https://orcid.org/0009-0007-7798-0069Marta Jajczak4https://orcid.org/0009-0009-6000-7769Maciej Mossakowski5https://orcid.org/0009-0008-0423-2083Aleksandra Witek6https://orcid.org/0009-0002-1214-2199Mateusz Litwin7https://orcid.org/0009-0006-5131-1863Stanisław Jesionek8https://orcid.org/0009-0004-6026-702XCharles Jonscher Medical Center, Łódź Central Clinical Hospital of Medical University of Lodz, ŁódźCentral Clinical Hospital of Medical University of Lodz, ŁódźCentral Clinical Hospital of Medical University of Lodz, ŁódźUniversity Clinical Hospital No.2 of Medical University of Lodz, ŁódźCentral Clinical Hospital of Medical University of Lodz, ŁódźCentral Clinical Hospital of Medical University of Lodz, Łódź University Clinical Hospital No.2 of Medical University of Lodz, ŁódźPabianice Medical Center Sp. o.o., Pabianice Background: Urinary tract infections (UTIs) are common in pregnant women due to significant changes during gestation. UTIs can affect any part of the urinary system and are typically caused by bacteria, though fungi and viruses can also be responsible. Asymptomatic bacteriuria (ASB is frequent in pregnancy and must be treated to prevent serious maternal and fetal complications. Routine screening for ASB is standard in prenatal care, and treatment with safe, effective antibiotics is essential. Preventive strategies also help reduce UTI during pregnancy. Aim of the study: The study aimed to explore the changes that occur during gestation, which predispose pregnant women to UTIs, assess the diagnostic methods and select the most effective treatment to prevent complications. State of knowledge: Urinary tract infections (UTIs) are common perinatal complications, with higher prevalence in pregnancy due to changes that occur during gestation. UTIs can perform as asymptomatic bacteriuria (ASB), cystitis and pyelonephritis, which can result in severe complications. Clinical guidelines recommend screening for ASB in early pregnancy and prescribing a short course of antibiotics if detected. Escherichia coli is the most common cause of UTIs. As most antibiotics cross the placenta, treatment must be safe for the fetus and effective against the pathogens. Guidelines recommend short courses of antibiotics.  Conclusions: UTIs in pregnancy are common and lead to serious complications if untreated. Pregnant women are more susceptible to UTIs due changes that occur during gestation. Healthcare professionals play a critical role in managing UTIs during pregnancy. Early detection through routine screening and prompt treatment is crucial for optimal outcomes. Healthcare professionals, including obstetricians, should educate patients on preventive measures and recognizing early UTI symptoms. Abbreviations: UTIs- urinary tract infections; ASB- asymptomatic bacteriuria https://apcz.umk.pl/QS/article/view/57277urinary tract infectionspregnancymaternal outcomesperinatal infections
spellingShingle Patrycja Kałuziak
Jakub Parys
Agnieszka Mikosińska
Martyna Kaźmierczak
Marta Jajczak
Maciej Mossakowski
Aleksandra Witek
Mateusz Litwin
Stanisław Jesionek
Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management
Quality in Sport
urinary tract infections
pregnancy
maternal outcomes
perinatal infections
title Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management
title_full Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management
title_fullStr Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management
title_full_unstemmed Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management
title_short Review of Urinary Tract Infections in Pregnancy: Risks, Complications and Management
title_sort review of urinary tract infections in pregnancy risks complications and management
topic urinary tract infections
pregnancy
maternal outcomes
perinatal infections
url https://apcz.umk.pl/QS/article/view/57277
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