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PREGNANCY BACTERIURIA: THE SIGNIFICANCE OF SITE OF INFECTION
Author(s) -
Fairley K. F.,
Whitworth J. A.,
Radford N. J.,
Butler Hildred M.
Publication year - 1973
Publication title -
medical journal of australia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.904
H-Index - 131
eISSN - 1326-5377
pISSN - 0025-729X
DOI - 10.5694/j.1326-5377.1973.tb115204.x
Subject(s) - bacteriuria , medicine , incidence (geometry) , pregnancy , urinary system , urine , perinatal mortality , urology , obstetrics , fetus , gastroenterology , biology , genetics , physics , optics
The hypothesis that renal bacteriuria may have a worse prognosis in pregnancy than bacteriuria confined to the lower urinary tract was investigated. Patients with renal bacteriuria had significantly higher titres of antibody to the O antigen of the homologous infecting organism and a significantly higher incidence of preeclamptic toxaemia. No significant differences in the incidence of acute pyelonephritis, anaemia, uraemia, hyperuri‐ caemia, prematurity, fetal wastage, radiological abnormalities or relapse rate were found between patients with renal or bladder bacteriuria. Treatment reduced the incidence of acute pyelonephritis but was not of demonstrable benefit in reducing the incidence of preeclamptic toxaemia, prematurity or fetal wastage.