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GEBELİKTE ÜRİNER SİSTEM ENFEKSİYONLARI

URINARY SYSTEM INFECTIONS IN PREGNANCY

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Abstract (2. Language): 
In pregnancy the urinary tract is physiologically affected both directly and indirectly. The load of the urinary system is increased. The hormones secreted by the growing trophoblasts relax the tonus of the ureters thus causing urinary stasis. The consistency of urine is enriched by glucose, aminoacids and hormone metabolites causing bacterial over-growth. Asymptomatic urinary colonization is frequently observed in these altered conditions. As the pregnancy prog¬resses the obstructive effect of the growing uterus may yield serious complications such as pyelonephritis. In our overview, we aimed to discuss the role of the primary care physician in reducing the mor¬bidity and mortality rates caused by urinary system infections.
Abstract (Original Language): 
Gebelik üriner sistem üzerinde direkt ve indirekt fizyolojik etkiler gösterir. Üriner sistemin volümü artar, büyüyen trofoblastın salgıladığı hormonlar üreterlerin tonik gevşemesine ve üriner staza neden olabilir. İdrarın bileşimi gebelikten dolayı glükoz, aminoasitler ve hormon atıkları ile zenginleşir; bu da bakteri çoğalmasına yol açar. Bu değişen şartlarda asemptomatik üriner kolonizasyona sıkça rast¬lanır. Gebeliğin ilerleyen aylarında giderek büyüyen uterusun obst-rüktif etkisi de piyelonefrit gibi ciddi komplikasyonlara neden ola¬bilir. Bu derlemede gebelikte üriner enfeksiyona bağlı morbidite ve mortaliteyi azaltmak amacıyla 1. basamak sağlık hizmeti veren heki¬min tanı, tedavi ve korumadaki yeri literatür bilgileri ışığında irdele¬necektir.
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REFERENCES

References: 

1. Stapleton A, Stamm E. Prevention of urinary tract infection. Infect Dis Clin North Am 1997; 11(3):719-33.
2. Dafnis E, Sabatini S. The effect of pregnancy on renal function, physiology and pathophysiology. Am J Med Sci 1992; 303:184-205.
3. Roberts JA. Pathophysiology of pyelonephritis. Infect Surg 1986; Nov: 633.
4. Orrett FA, Bulbirsingh M, Carrington L. Socio-biological associations of bacteriuria in pregnancy. West Indian Med J 1995; 44(1):28-31.
5. Berg E, Benson DM, Haraszkiewicz P, Grieb J, McDonald J. High prevalence of sexually transmitted diseases in women with urinary infections. Acad Emerg Med 1996; 3(11):1030-4.
6. Whalley PG. Bacteriuria of pregnancy. Am J Obstet Gynecol 1967;
97:723-8.
7. Campbell-Brown M, McFadyen IR, Seal DV, Stephenson ML. Is screening for bacteriuria in pregnancy worthwhile? BMJ 1997; 294: 1579-82.
8. Lucas MJ, Cunningham FG. Urinary infection in pregnancy. Clin Obs-
tet Gynecol 1993; 36(4):855-68.
9. Lomberg H, Hanson LA, Jacobsson B, Jodal U, Leffler H, Svanborg-Eden C. Correlation of blood group, vesicoureteral reflux, and bacterial attachment in patients with recurrent pyelonephritis. N Eng J Med 1983;
308:1189-92.
10. Baker ER, Cardenas DD, Benedetti TJ. Risks associated with pregnancy in spinal cord-injured women. Obstet Gynecol 1992; 80:425-8.
11. Lye WC, Chan RK, Lee EJ, Kumarasinghe G. Urinary tract infections in patients with diabetes mellitus. J Infect 1992; 24:169-174.
12. Cruikshank DP. Gebelikte Kardiovasküler, Pulmoner, Renal ve Hematolojik Hastalıklar. Danforth Obstetrik ve Jinekoloji'de. Ed Scott JR, Di Saia PJ, Hammond CB, Spellacy WN. Çeviri Ed. Erez S. Çeviri Erez R. 6. Baskı, İstanbul, Yüce Yayınları, 1992; 532.
13.
Uzu
n Ö. Gebelikte üriner sistem enfeksiyonları. inf Hast Serisi 1999;
2(3):172-6.
14. Vercaigne LM, Zhanel GG. Recommended treatment for urinary tract infection in pregnancy. Ann Pharmother 1994; 28(2):248-51.
15. Hooton TM, Stamm WE. Diagnosis and treatment of uncomplicated uri¬nary tract infection. Infect Dis Clin North Am 1997; 11(3):551-81.
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Tuzcular Vural EZ ve ark. Gebelikte Üriner Enfeksiyonlar
16. Patterson TF, Andriole VT. Detection, significance, and therapy of bac-teriuria in pregnancy. Update in the managed health case era. Infect Dis
Clin North Am 1997; 11(3):593-608.
17. Cunnigham FC, Lucas ML, Hankins GDV. Pulmonary injury compli¬cating antepartum pyelonephritis. Am J Obstet Gynecol 1987; 156:797¬807.
18. Grio R, Porpiglia M, Vetro E ve ark. Asymptomatic bacteriuria in pregnancy: Maternal and fetal complications. Panminerva Med 1994;
36(4):198-200.
19. Mittendorf R, Lain KY, Williams MA, Walker CK. Preeclampsia. A nested, case-control study of risk factors and their interactions. J Reprod
Med 1996; 41(7):491-6.
20. Casey ML, Cox SM, Buetler B, Milewich L, MacDonald PC. Cachec-tin humor necrosis factor-p production in human decidua: potential role of cytokines in infection-induced preterm labor. J Clin Invest 1989;
83:430-6.
21. Harris RE, Gilstrap LC. Cystitis during pregnancy: a distinct clinical
entity. Obstet Gynecol 1981; 57:578-80.
22. Wilson PD, Loffredo CA, Correa-Villasenor A, Ferencz C. Attributab¬le fraction for cardiac malformations. Am J Epidemiol 1998; 148(5):414-
23.
23. Polivka BJ, Nickel JT, Wilkins JR 3rd. Urinary tract infection during pregnancy: a risk factor for cerebral palsy? J Obstet Gynecol Neonatal Nurs 1997; 26(4):405-13.

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