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Introduction . Asymptomatic bacteriuria (ASB), occurring in 2–11% of pregnancies, is a major predisposition to the development of pyelonephritis, which is associated with obstetrical complications, such as preterm labor and low birth weight infants. The aim of this study was to determine the prevalence of ASB, the antibacterial susceptibilities of the isolated microorganisms and the associated risk factors in an outpatient clinical setting in Zekai Tahir Burak Women's Health Education and Research Hospital in Ankara, Turkey.   Material and Methods . Between December 2009 and May 2010,  pregnant women admitted to the antenatal outpatient clinic were included in this study.  The results of a complete urine analysis, midstream urine culture and antibacterial susceptibility were  evaluated.  Results . Of the 2011 pregnant women included, 171 had ASB (8.5%).   E. coli  was the most frequently isolated microorganism (76.6%), followed by  Klebsiella pneumonia (14.6%). Both microorganisms were highly sensitive to  fosfomycin, sensivity being 99.2% for  E. coli  and 88% for Klebsiella pneumonia.   Conclusions . In this certain geographical region, we found  E. coli   as the most common causative agent of ASB in the obstetric population and it is very  sensitive to fosfomycin. We recommend fosfomycin for ASB in pregnant women  due to its high sensitivity, ease of administration and safety for use in pregnancy.

Asymptomatic Bacteriuria and Antibacterial Susceptibility Patterns in an Obstetric Population