Predictors of Symptomatic Urinary Tract Infection After 20 Weeks’ Gestation View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

1999-10

AUTHORS

Lisa M Pastore, David A Savitz, John M Thorp, Gary G Koch, Irva Hertz-Picciotto, Debra E Irwin

ABSTRACT

OBJECTIVE: To identify predictors of symptomatic urinary tract infection (UTI) after 20 weeks' gestation. STUDY DESIGN: A retrospective cohort analysis was conducted of all deliveries at three North Carolina hospitals between 1990 and 1993. A total of 7403 deliveries remained after exclusions (pre-pregnancy diabetes, HIV-positive, structural urologic abnormalities, no prenatal care) and restrictions (black or white race, county of residence). Cystitis and pyelonephritis were identified by clinician diagnosis. Multiple logistic regression was conducted. RESULTS: Prior UTIs (both before and earlier in pregnancy), nonprivate clinics, and a history of chlamydia (white women only) doubled the risk of symptomatic UTIs after 20 weeks' gestation. The strongest predictor of pyelonephritis was prior antenatal UTIs (adjusted incidence odds ratio = 5.3, 95% confidence interval of 2.6-11.0), followed by less education (< 12 years), a history of chlamydia, nonprivate clinics, illicit drug use, sickle cell hemoglobinopathy, and being unmarried. CONCLUSION: Medical history and demographic factors predict cystitis and pyelonephritis after 20 weeks' gestation. Prospective studies of pyelonephritis predictors and screening strategies are warranted. More... »

PAGES

488

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/sj.jp.7200264

DOI

http://dx.doi.org/10.1038/sj.jp.7200264

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1042834520

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/10685296


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