The Relationship between Nitrite and the Incidence of Urinary Tract Infections (UTI) among Pregnant Women in Hospital
Abstract
Urinary tract infections (UTI) among women are increasing at a higher rate than men. The overall incidence of UTI during pregnancy is approximately 8% and can cause serious illness for the mother and baby. One of the diagnostic tests used to diagnose UTI is the urine dipstick test which can detect the presence of leukocyte etrase and can be used as an indicator of pyuria and nitrite. The conversion of nitrates to nitrites only occurs when the urine contains bacteria. The aim of the research was to examine the relationship between nitrites and the incidence of UTI among pregnant women. This research was a correlational analytical quantitative study with a retrospective approach and cross-sectional design. The sample size was 47 pregnant women diagnosed with UTI. The data was taken from patients’ medical records. The data analysis used chi square test. The results showed a relationship between nitrite levels and the incidence of UTI among pregnant women with a p value of 0.042. Asymptomatic bacteriuria is one of the reasons why a routine urinalysis is recommended in antenatal examinations of low-risk pregnant women. A diagnostic test by a urine test should be employed to confirm the diagnosis of UTI since it can detect the presence of nitrites as an indicator of bacteriuria.
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References
Batur, T., Çokluk, E., Akyüz, S., Bünyamin, U., ALP, H. H., & Huyut, Z. (2022). Diagnostic performance evaluation of complete urinalysis in the diagnosis of urinary tract infection: complete urinalysis in the diagnosis of urinary tract infection. Chronicles of Precision Medical Researchers, 3(2), 52–56.
Belay, G., Dagnew, M., Ketema, A., Mequanint, H., Fasil, A., Biadgo, B., Wondifraw, H., & Gebrecherkos, T. (2019). Diagnostic performance of reagent strips and microscopy for the diagnosis of urinary tract infection among pregnant women at the University of Gondar comprehensive specialized Hospital, Northwest Ethiopia a cross sectional study. Ethiopian Journal of Health and Biomedical Sciences, 9(1), 105–114.
Bellazreg, F., Abid, M., Lasfar, N. Ben, Hattab, Z., Hachfi, W., & Letaie, A. (2019). Diagnostic value of dipstick test in adult symptomatic urinary tract infections: results of a cross-sectional Tunisian study. Pan African Medical Journal, 33(1).
Dinkes Kota Semarang, 2021. (2021). Profil Kesehatan Kota Semarang 2021. Dinas Kesehatan Kota Semarang, 30.
Fakhrizal, E. (2017). Infeksi Saluran Kemih pada Kehamilan: Prevalensi dan Faktor-Faktor yang Mempengaruhinya. Jurnal Ilmu Kedokteran, 11(1), 19–24.
Guspa, B. R., Rahayu, M., & Samsuria, I. K. (2019). Hubungan Dipstik Urin Dan Flowsitometri Urin dengan kultur urin pada Infeksi Saluran Kemih (ISK). Media Medika Muda, 3(1).
Hasanah. (2015). Mengenal Penyakit Batu Empedu (13th ed.). Keluarga Sehat Sejahtera.
Herdiawan. (2020). Biomarker Pada Ancaman Persalinan Prematur. Universitas Diponegoro Semarang.
Inayati, I., & Falah, K. (2014). Uji Diagnostik Urinalisis Lekosit Esterase terhadap Kultur Urin pada pasien Infeksi Saluran Kemih (ISK) dengan Kateterisasi Uretra. Syifa’medika: Jurnal Kedokteran Dan Kesehatan, 4(2), 100–108.
Irma Yuliana. (2020). Gambaran Klinis Infeksi Saluran Kemih Berdasarkan Jenis Kelamin, Usia dan Spesies Bakteri di Kota Jakarta.
Kemenkes RI. (2021). Profil Kesehatan Indonesia. In Pusdatin.Kemenkes.Go.Id.
Malau, U. N., & Adipireno, P. (2019). Uji korelasi leukosit esterase dan nitrit dengan kultur urin pada infeksi saluran kemih. Intisari Sains Medis, 10(1).
Parwati, P. A., & Cahyani, A. A. A. E. (2023). Penilaian Hasil Dipstik Urine (Nitrit Dan Leukosit Esterase) Sebagai Prediktor Bakteriuria. The Journal Of Muhammadiyah Medical Laboratory Technologist, 6(1), 108–114.
Pratiwi M. Arantika dan Fatimah. (2019). Patologi Kehamilan. Pustaka Baru Press.
Riswanto. (2015). Urinalisis: Menerjemahkan Pesan Klinis Urine (1st ed.). Pustaka Rasmedia.
Sabban, I. F., Wahyuni, I. N., Erawati, E., Hermawan, R. A., Nela, F. V., Kurniawan, A. E., & Anggraini, E. R. (2021). Pengaruh Kecepatan dan Waktu Sentrifugasi Terhadap Sedimentasi pada Pembuatan Sediaan dalam Pemeriksaan Mikroskopis Urin. Prosiding Seminar Hasil Penelitian 2020.
Susiana, S. (2019). Angka Kematian Ibu : Faktor Penyebab Dan Upaya Penanganannya.
Tuntun, M., & Aminah, S. (2021). Hubungan Hasil Dipstik Urin (Leukosit Esterase, Nitrit dan Glukosuria) dengan Kejadian ISK pada Pegawai. Jurnal Kesehatan, 12(3), 465–471.
