Urinary tract infection during pregnancy is not uncommon. In addition to endangering the health of pregnant women, it may also have an adverse effect on the fetus and deserves attention.
The urinary tract infection during pregnancy is divided into the following types: ① asymptomatic bacterial urine; ② acute cystitis; ③ acute pyelonephritis.
Let’s learn the treatment of urinary tract infections during pregnancy.
An asymptomatic bacterial urine, as the name suggests, is bacteria in the urine, but there is no clinical symptoms.
The incidence of non -symptoms of bacterial urine during pregnancy is about 5%, which often occurs in the first month of pregnancy, but nearly half of the pregnant mothers will have acute pyelonephritis (the most serious cases) during pregnancy.
Therefore, it is recommended to conduct routine urine bacterial culture examination of all pregnant women in the early stages of pregnancy, and to find asymptomatic bacterial urine in time.
At present, it is recommended to treat anti-infection treatment for pregnant women with asymptomatic bacterial urine (A-level evidence-highest level evidence). The optional scheme is:
① Portal cause: 100mg each time, 2 times a day, 5-7 days of treatment;
② Cephalosporin, 100mg each time, once every 12 hours, 3-7 days of treatment;
③ Potassium of amoxicillin, 0.5 grams each time, 2 times a day, 3-7 days (A-level evidence).
Pregnant women who are required to be asymptomatic bacteria are required to review urine bacterial culture after 1 week of treatment and stop the drug, and review the urine culture once a month until the end of pregnancy.
For pregnant women who repeatedly occur without symptomatic bacterial urine, antibiotic preventive measures can be used during pregnancy: take a berth 50-100 mg or 0.25-0.5 grams of beef or cephalosporin.
Of course, general prevention measures such as drinking more water, diluing urine, paying attention to the combination of work and rest, ensuring sleep, and paying attention to local hygiene are also very important.
Urinary urgency, frequent urination, dysuria, but no fever, obvious back pain and other systemic infections are often acute cystitis. You can take the following measures first after retention of urine culture specimen:
① Portal cause: 100mg each time, 2 times a day, 7 days for treatment;
② Cephalosporin, 100mg each time, once every 12 hours, 7 days for treatment;
③ Potassium of amoxicillin, 0.5 grams each time, 2 times a day, 7 days for treatment
During the treatment process, the treatment plan was adjusted according to the condition and urine bacteria. The treatment plan was adjusted for at least 7 days.
The re -examination of urine culture is the same as asymptomatic bacterial urine.
Antibacterial therapy must be used for intravenous veins.
After 48 hours after the question is normal, or clinical symptoms have improved significantly, oral antibiotic therapy is changed.
Immediately after the urine label of urine bacteria cultivation, an experienced anti -infective treatment was performed:
Cefing (preferred) 1.0g intravenous drop once a day, or ammonia Quetan is 1.0g daily, once every 8-12 hours.
During the treatment, the treatment plan was adjusted according to the condition and urine bacterial antibacterial drug sensitive report. The treatment was 10-14 days.
After that, the reciprocity of urinary bacterial culture was the same as asymptomatic bacterial urine.
Urinary tract infections during pregnancy are often unexpected and focusing on prevention. Once you develop onset, do not hesitate. In order to protect the fetus, he insists on not resisting infection or drinking herbs or even remedies.
The prevention of scientific science is king, and correct and timely treatment is the right way.
I wish the expectant mothers in the world safe and smooth during pregnancy, everything is good.
Author: Dr. Li Xuegang, Department of Nephrology, Weihai Municipal Hospital
(In the text, the treatment suggestions are for reference only, and the actual treatment should be based on the opinions of a specialist at the clinic)