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Section Medicine

Bacterial Urinary Tract Infections Among Pregnant Women in Al-Diwaniyah City

Vol. 11 No. 1 (2026): June :
DOI : https://doi.org/10.21070/acopen.11.2026.13366
Published : Jan 26, 2026

Layth Hussein Hadi Alshaibah (1)

(1) College of Dentistry, University of Al-Qadisiyah, Diwaniya, Iraq
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Abstract:

General Background: Urinary tract infections (UTIs) are the most prevalent infectious complication during pregnancy, ranging from asymptomatic bacteriuria to severe pyelonephritis. Specific Background: These infections cause significant maternal and fetal morbidity, yet bacterial etiology and severity patterns across gestational periods remain incompletely characterized regionally. Knowledge Gap: Limited data exist regarding trimester-specific bacterial profiles and inflammatory marker correlations with UTI severity in Al-Diwaniyah province. Aims: This cross-sectional study identified bacterial pathogens causing UTIs in 140 pregnant women and examined associations between inflammatory markers and infection severity across trimesters. Results: Escherichia coli (55%) and Klebsiella (18%) predominated, with severity increasing from mild first-trimester to severe third-trimester infections. Inflammatory markers (WBC, CRP, procalcitonin, proteinuria) correlated significantly with disease severity. Novelty: This study establishes trimester-specific bacterial distributions and severity-biomarker relationships in this population. Implications: Findings support targeted screening protocols and trimester-appropriate antimicrobial strategies for improved maternal-fetal outcomes.
Keywords : Urinary Tract Infections, Pregnant Women, Escherichia coli, Bacterial Pathogens, Pregnancy Complications
Highlight :



  • E. coli caused 55% of infections, primarily in severe third-trimester cases.

  • Infection severity increased significantly with gestational age across all three trimesters.

  • Inflammatory markers were highest in very severe cases, especially white blood cells.









 
 



 


 



 







 

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