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      Urinary tract infection during pregnancy: current concepts on a common multifaceted problem.

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          Abstract

          Urinary tract infections (UTIs) are the most common bacterial infection in pregnancy, increasing the risk of maternal and neonatal morbidity and mortality. Urinary tract infections may present as asymptomatic bacteriuria, acute cystitis or pyelonephritis. Escherichia coli is the most common pathogen associated with both symptomatic and asymptomatic bacteriuria. If asymptomatic bacteriuria is untreated, up to 30% of mothers develop acute pyelonephritis, with an increased risk of multiple maternal and neonatal complications, such as preeclampsia, preterm birth, intrauterine growth restriction and low birth weight. Urinary tract infection is a common, but preventable cause of pregnancy complications, thus urinary tests, such as urine culture or new technologies such as high-throughput DNA sequence-based analyses, should be used in order to improve antenatal screening of pregnant women.

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          Author and article information

          Journal
          J Obstet Gynaecol
          Journal of obstetrics and gynaecology : the journal of the Institute of Obstetrics and Gynaecology
          Informa UK Limited
          1364-6893
          0144-3615
          May 2018
          : 38
          : 4
          Affiliations
          [1 ] a 3rd Department of Obstetrics and Gynaecology , Aristotle University of Thessaloniki , Thessaloniki , Greece.
          [2 ] b Department of Obstetrics and Gynaecology, King's College Hospital NHS Foundation Trust , Princess Royal University Hospital , Orpington , UK.
          Article
          10.1080/01443615.2017.1370579
          29402148
          ac5f03d4-f37a-4dc4-8741-c06dc849cce4
          History

          Urinary tract infection,asymptomatic bacteriuria,preeclampsia,pyelonephritis,urinary microbiome

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