Journal of Rawalpindi Medical College | 2026
Authors: Shahid M.; Mushtaq R.; Jabeen N.
DOI: 10.37939/jrmc.v30i1.3008
Journal: Journal of Rawalpindi Medical College
Year: 2026
Publisher: Rawalpindi Medical University
Document Type: Article
Open Access: All Open Access; Gold Open Access
Cited by: 0
Objective: This study aimed to determine the prevalence of asymptomatic bacteriuria among pregnant women and to ascertain the associated risk factors. Methods: This cross-sectional study was conducted in the Gynae/Obs department of the Rawal Institute of Health Sciences from 1st Sept 2024, to July 31, 2025. We included 300 pregnant women of any gestational age who attended their first antenatal visit and were asymptomatic for urinary tract infection. Patients with symptoms of acute urinary tract infection, on antibiotics for at least 72 h for any infection, acute or chronic kidney disease, or urinary stent were excluded. Midstream clean-catch samples were collected for analysis and culture. Information on maternal demographics, obstetric history, and potential determinants of asymptomatic bacteriuria was systematically recorded. SPSS version 25 was used for data analysis. Results: Prevalence of ASB in our study was 22%. Regarding sociodemographic factors of patients (300), the maximum number of cases, 48%, presented between 26 and 32 years, with a mean age of 28 years. Urban residents 77%, 48% matriculate, 71 % from the middle class, 68% had parity from 1-4, 52% presented in the 3rd trimester. The predominant pathogen isolated was E. coli in 78%. The principal maternal complication was preterm labour (11%), 14% developed p-pyrexia. Multivariate logistic regression confirmed significant associations of ASB with low socioeconomic status, low education, rural residence, parity >4, and recurrent UTI, with a statistically significant P value<0.05. Conclusion: This study highlights the notable prevalence of ASB in pregnancy and underscores the importance of targeted screening for women with identifiable risk factors. © 2026.
Asymptomatic bacteriuria; Infectious; Pregnancy Complications; Risk factors