The Genitourinary Microbial Isolates in Prelabour Rupture of Membranes in University of Maiduguri Teaching Hospital, Maiduguri, Northeastern NIigeria.

Abstract

GENITOURINARY MICROBIAL ISOLATES IN PRELABOUR RUPTURE OF MEMBRANES IN UMTH, MAIDUGURI, NORTH EASTERN NIGERIA.

Abstract:

Background: Prelabour rupture of membranes (PROM) is a common Obstetric problem associated maternal and perinatal morbidity and mortality. PROM complicates 10.7% of all pregnancies worldwide.

Objective: To determine the prevalence and genitourinary microbial pattern for PROM among antenatal patients at the University of Maiduguri Teaching Hospital, Maiduguri.

Methodology: Socio-demographic and obstetric variables were obtained from consecutive patients with PROM. For each patient an endocervical swab, high vaginal swab and urine samples were taken for micro bacteriologic studies. The next patient without PROM was used as control. Data were analyzed using SPSS 20.

Results: A total of 129 with PROM and another 129 without PROM were analyzed. Genito-urinary culture was positive in 102 (79.1%) and 7 (5.5%) of cases and control respectively (p-value 0.035) (OR 1.627, 95% CI: 1.281-2.273).

The major micro-organism cultured from the gentital tracts of women with PROM were Candida albicans (32 %), Staphylococcus aureas (16 %), Streptococcus Spp (15.5%) , E.Coli (5.4%), Klebsiella (3.9 %), Pseudomonas aurogenosa (3.9%) and Proteus mirabilis (2.3%). While their urines yielded Escherichia coli (15.5%), Staphylococcus aureus (3.9%), Candida albicans (5.4%), Pse

udomonas aerogenosa (5%), Klebsiella Spp (7%), Proteus mirabilis (4.7%), and Streptococcus spp (0.8%).

Conclusion: Genitourinary tract infection was found to be significantly associated with the risk of developing PROM with candida albicans and staphylococcus aureus being the commonest microbial organisms cultured.

Keywords: PROM, Genitourinary microbial isolates, Northeastern Nigeria.