- I am pregnant in 38 weeks and after a uroculture test I was detected with 15,000 g / ml E.Coli germs. Please tell me what effect it will have at the time of birth, in case I do not have time to do a treatment. What treatment is recommended? I mention that I just took the result from the lab and I have not yet reached the gynecologist. What are the causes that led to this problem, considering that this is the first time I have been confronted with it, although so far the uroculture studies have been good. As symptoms I mention only the fact that I have strong middle pains that give in to antispastic and constipation (with pain in defecation). Thank you in advance in the hope that you will give me an answer as you like. Thank you.Answer:
A value of the germs detected in the uroculture of 15,000 / ml is inconclusive and requires the repetition of the uroculture. Normally, up to 10,000 germs / ml is considered negative uroculture (urinary infection is not present); between 10,000 and 100,000 germs / ml the value is considered inconclusive (these values are due to harvesting errors: either the harvesting procedure was not respected or the harvesting was done after the administration of an antibiotic); values over 100,000 germs / ml especially if they appear in three consecutive cultures, can establish the diagnosis of urinary tract infection. In case of urinary tract infection, a DST It is useful in identifying the antibiotic to which the germ is sensitive, thus, the medication administered is more likely to be effective.
Depending on the result of the antibiogram, an antibiotic is chosen that does not interfere with the normal development of the pregnancy. Causes of an E. Coli infection (germs are present in the intestine) are multiple (eg strict non-observance of the rules of personal hygiene, chronic constipation or the state of pregnancy itself, by modifying the internal organs, with the compression they perform on the organs of the urinary system. leads to urinary stasis that favors the appearance of these infections (or compressions exerted on the digestive tract).
What you can do (if the urinary tract infection is confirmed) is first of all to start water treatment (the first therapeutic option in the case of urinary tract infection), which represents the ingestion of at least 2.5 liters of liquid daily; you also have to take care of the diet you are following (it is good to also contain foods rich in cellulose and fiber, to ensure a normal intestinal transit and thus to prevent constipation).
In any case, it is important to maintain a good collaboration between you and the obstetrician who monitors your pregnancy, in order to combat and prevent such problems.
Dr. Ciprian Pop-Began
- Obstetrics and Gynecology -
Clinical Hospital of Obstetrics-Gynecology Prof. Dr. Panait Sarbu