Bacterial resistance of microbial agents causing urinary tract infections in pregnant women

Abstract

Introduction: urinary tract infection (UTI) is common in pregnant women due to different anatomical, hormonal and functional changes. The incidence of UTI in pregnant women is 5 % to 10 %. This study collected information related to etiological agents, predisposing factors for UTI, mechanisms and antibiotic resistance by etiological agents in pregnant women. Methods: a bibliographic review was carried out in databases in Pubmed, Scopus, Scielo, Elsevier and Google Google Scholar. In which, through the prism method, scientific articles and documents containing updated information published during the period 2018-2023 were selected and included. Results: a thorough search was carried out in different databases and 19 articles were selected, in which it was identified that the most frequent etiological agent was Escherichia coli, followed by Klebsiella pneumoniae. The antibiotic with the greatest resistance by the etiological agents was ampicillin and the main mechanism of resistance in uropathogens was the production of βLEE mainly in Escherichia coli. Conclusions: urinary tract infection is frequent in pregnant women, and resistance to antibiotics has currently been increasing, so it is important to constantly update the pattern of susceptibility and resistance to antibiotics in pregnant women for antibiotic treatment and prevention feto-maternal safety.