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KMID : 1234520110060020155
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Korean Journal of Urogenital Tract Infection Inflammation
2011 Volume.6 No. 2 p.155 ~ p.164
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Urinary Tract Infections in Pregnancy
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Shim Bong-Suk
Oh Mi-Mi
Lee Young-Suk
Lee Ha-Na
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Abstract
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Urinary tract infections (UTIs) are more common during pregnancy because of changes in the urinary tract. Symptomatic UTI occurs in 1% to 2% of pregnancies, while asymptomatic bacteriuria has been reported in 2% to 11% of pregnant women. UTIs during pregnancy can lead to serious consequences if left untreated. Asymptomatic bacteriuria is associated with an increased risk of pyelonephritis and adverse outcomes of pregnancy. Therefore, antepartum screening is recommended to detect asymptomatic bacteriuria in pregnancy. Oral antibiotics are the treatment of choice for asymptomatic bacteriuria and cystitis. Antibiotic agent is selected by drug safety concerns and urine culture susceptibility data. The standard course of treatment for pyelonephritis is hospital admission and intravenous antibiotics. Antibiotic prophylaxis is indicated in some cases. Prompt treatment of symptomatic UTIs and asymptomatic bacteriuria is
warranted in pregnant women.
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KEYWORD
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Urinary tract infections, Pregnancy
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