Pre-natal non-drug interventions to prevent urinary infection: integrative review

Authors

  • Larissa Piovesan Hoffelder
  • Matheus Henrique Mangini Bocchi
  • Tayomara Ferreira Nascimento
  • Vera Therezinha Medeiros Borges
  • Silvia Cristina Mangini Bocchi

DOI:

https://doi.org/10.34119/bjhrv6n3-380

Keywords:

urine, infections, prenatal care, disease prevention, maternal and child health

Abstract

Objective: To analyze the evidence levels of published articles that evaluated non-drug interventions used in prenatal care to prevent urinary tract infections (UTIs) and maternal and perinatal repercussions. Methods: Integrative review from 983 records, raised in LILACS, MEDLINE Complete - EBSCO, SCOPUS, CINAHL and Web of Science databases. Results: 940 records were removed due to duplicates, ineligibility, among other reasons, as well as 40 for not answering the research question. The corpus of analysis consisted of three primary surveys, levels of evidence II, III and V. Despite the scarcity of surveys, the three located showed a positive effect in raising preventive knowledge and, as an effect, one of them obtained statistically significant results for disease reduction in pregnant women. Final Considerations: Epidemiological studies of UTI and its maternal and perinatal conditions in Brazil are recommended, as well as clinical trials on the effectiveness of preventive actions.

References

Lee AC, Mullany LC, Quaiyum M, Mitra DK, Labrique A, Christian P, et al. Effect of population-based antenatal screening and treatment of genitourinary tract infections on birth outcomes in Sylhet, Bangladesh (MIST): a cluster-randomized clinical trial. Lancet Glob Health [Internet] 2019;7(1):e148-59. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2214109X18304418.

WHO? WHO recommendations on antenatal care for a positive pregnancy experience [Internet]. Geneva: WHO; 2016 [cited 2022 Apr 15]. Available from: https://www.who.int/publications/i/item/9789241549912.

Getaneh T, Negesse A, Dessie G, desta M, Tigabu A. Prevalence of urinary tract infection and its associated factors among pregnant women in Ethiopia: a systematic review and meta-analysis. Biomed Res Int 2021; 2021. Doi: 10.1155/2021/6551526.

Johnson B, Stephen BM, Joseph N, Asiphas O, Musa K, Taseera K. Prevalence and bacteriology of culture-positive urinary tract infection among pregnant women with suspected urinary tract infection at Mbarara regional referral hospital, South-Western Uganda. BMC Pregnancy Childbirth [Internet] 2021;21(1):159. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-021-03641-8.

Yadav K, Prakash S. Prevalence of asymptomatic bacteriuria during pregnancy at a Tertiary Care Hospital of Province No. 2, Nepal. Tribhuvan University Journal of Microbiology [Internet] 2019 [cited 2022 Apr 14];6:32-8. Available from: https://www.nepjol.info/index.php/tujm/article/view/26576.

Rhode S, Santos JC dos, Dam RI, Ferrazza MHSH, Tenfen A. Prevalence of urinary infection in pregnant women treated by the Basic Health Unit in Jaraguá do Sul, SC - Brazil. Brazilian Journal of Development [Internet] 2021;7(1):7035-47. Available from: https://www.brazilianjournals.com/index.php/BRJD/article/view/23399/18795.

Ejerssa AW, Gadisa DA, Orjino TA. Prevalence of bacterial uropathogens and their antimicrobial susceptibility patterns among pregnant women in Eastern Ethiopia: hospital-based cross-sectional study. BMC Women’s Health 2021;21(1). DOI: 10.1186/s12905-021-01439-6.

Karikari AB, Saba CKS, Yamik DY. Assessment of asymptomatic bacteriuria and sterile pyuria among antenatal attendants in hospitals in northern Ghana. BMC Pregnancy Childbirth 2020;20(1). DOI: 10.1186/s12884-020-02936-6.

Rhode S, Santos JC dos, Dam RI, Ferrazza MHSH, Tenfen A. Prevalence of urinary infection in pregnant women attended by a Basic Health Unit in Jaraguá do Sul, SC - Brazil. Brazilian Journal of Development 2021;7(1):7035-47. DOI: 10.34117/bjdv7n1-476.

Ruiz-Rodríguez M, Sánchez-Martínez Y, Suárez-Cadena FC, García-Ramírez JC. Prevalence and characterization of the infección del trato urinario en mujeres gestantes en condies de vulnerabilidad social de Bucaramanga, Colombia. Revista de la Facultad de Medicina [Internet] 2021 [cited 2022 Apr 14];69(2):e77949. Available from: https://doi.org/10.15446/revfacmed.v69n2.77949.

Menezes FM de C, Guimarães BM de A, Neto AG dos S, Alves LL, Pinheiro MS. Urinary tract infection in pregnant women: assessing uropathogens susceptibility to antimicrobials in positive urocultures/Urinary tract infection in pregnant women: assessing uropathogen susceptibility to antimicrobials in positive urocultures. Brazilian Journal of Health Review [Internet] 2020;3(6):17353-64. Available from: https://www.brazilianjournals.com/index.php/BJHR/article/view/20780/16601.

Gregory WT, Sibai BM. Obstetrics and pelvic floor disorders. In: Walters MD, Karram MM, editors. Urogynecology and pelvic reconstructive surgery. Rio de Janeiro: Elsevier; 2016. p. 660.

Johnson CY, Rocheleau CM, Howley MM, Chiu SK, Arnold KE, Ailes EC. Characteristics of women with urinary tract infection in pregnancy. J Womens Health 2021;30(11):1556-64. DOI: 10.1089/jwh.2020.8946.

Foch BJ, McDaniel ND, Chacko MR. Racial differences in vaginal douching knowledge, attitude, and practices among sexually active adolescents. J Pediatr Adolesc Gynecol 2001;14(1):29-33. DOI: 10.1016/s1083-3188(00)00080-2.

Su SB, Wang JN, Lu CW, Wang HY, Guo HR. Prevalence of urinary tract infections Int Urogynecol J [Internet] 2009;20(8):939-45. Available from: http://link.springer.com/10.1007/s00192-009-0892-z.

de Rossi P, Cimerman S, Truzzi JC, Cunha CA da, Mattar R, Martino MDV, et al. Joint report of SBI (Brazilian Society of Infectious Diseases), FEBRASGO (Brazilian Federation of Gynecology and Obstetrics Associations), SBU (Brazilian Society of Urology) and SBPC/ML (Brazilian Society of Clinical Pathology/Laboratory Medicine): recomm. The Brazilian Journal of Infectious Diseases [Internet] 2020 [cited 2022 Apr 21];24(2):110-9. Available from: www.elsevier.com/locate/bjid.

Nkamedjie Pete PM, Mabvouna Biguioh R, Bita Izacar AG, Béchir Adogaye S Ben, Nguemo C. Genital hygiene behaviors and practices: a cross-sectional descriptive study among antenatal care attendees. J Public Health Afr [Internet] 2019;10(1). Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85072651224&doi=10.4081%2Philadelphia.2019.746&partnerID=40&md5=7f96a708560fe964aff16fa4fe91885d.

Scholes D, Hooton TM, Roberts PL, Stapleton AE, Gupta K, Stamm WE. Risk factors for recurrent urinary tract infection in young women. J Infect Dis. 2000 Oct;182(4):1177-82 DOI: 10.1086/315827.

Grandson GF, Espírito Santo ACS, Ferraz RA, Botelho NM. Health profile of the patients with pre-eclampsia in a referral hospital in the Amazon region. Pregnancy Hypertens [Internet] 2022;27:134-7. Available from: https://linkinghub.elsevier.com/retrieve/pii/S2210778922000034.

Dachew BA, Scott JG, Alati R. Gestational urinary tract infections and the risk of antenatal and postnatal depression and anxiety symptoms: a longitudinal population-based study. J Psychosom Res [Internet] 2021;150:110600. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0022399921002452.

Haghdoost S, Pazandeh F, Darvish S, Khabazkhoob M, Huss R, Lak TB. Association of serum vitamin D levels and urinary tract infection in pregnant women: a case control study European Journal of Obstetrics & Gynecology and Reproductive Biology [Internet] 2019;243:51-6. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0301211519304713.

Nkamedjie Pete PM, Mabvouna Biguioh R, Bita Izacar AG, Béchir Adogaye SB, Nguemo C. Genital hygiene behaviors and practices: a cross-sectional descriptive study among antenatal care attendees. J Public Health Afr 2019;10(1). DOI: 10.4081/jphia.2019.746.

Dautt-Leyva JG, Canizalez-Román A, Acosta Alfaro LF, Gonzalez-Ibarra F, Murillo-Llanes J. Maternal and perinatal complications in pregnant women with urinary tract infection caused by Escherichia coli. Journal of Obstetrics and Gynaecology Research [Internet] 2018;44(8):1384-90. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jog.13687.

Cohen R, Gutvirtz G, Wainstock T, Sheiner E. Maternal urinary tract infection during pregnancy and long term infectious morbidity of the offspring. Early Hum Dev 2019;136:54-9. DOI: 10.1016/j.earlhumdev.2019.07.002.

Nsereko E, Uwase A, Mukabutera A, Muvunyi CM, Rulisa S, Ntirushwa D, et al. Maternal genitourinary infections and poor nutritional status increase risk of preterm birth in Gasabo District, Rwanda: a prospective, longitudinal, cohort study. BMC Pregnancy Childbirth [Internet] 2020;20(1):345. Available from: https://bmcpregnancychildbirth.biomedcentral.com/articles/10.1186/s12884-020-03037-0.

Soares CB, Hoga LAK, Peduzzi M, Sangaleti C, Yonekura T, Silva DRAD. Integrative review: concepts and methods used in nursing. Journal of the School of Nursing of USP [Internet] 2014;48(2):335-45. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342014000200335&lng=en&tlng=en.

The Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual: 2015 edition / Supplement [Internet]. Adelaide, Australia: 2015. Available from: www.joannabriggs.org.

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. PLoS Med [Internet] 2021;18(3):e1003583. Available from: https://dx.plos.org/10.1371/journal.pmed.1003583.

BIREME, PAHO, WHO. Health Sciences Descriptors: DeCS [Internet]. 2017 [cited 2022 Apr 22]; Available from: http://decs.bvsalud.org/I/homepagei.htm.

Melnyk BM, Ellen Fineout-Overholt. Making the case for evidence-based practice and cultivating a spirit of inquiry. In: Melnyk BM, Fineout-Overholt E, editors. Evidence-based practice in nursing & healthcare. Philadelphia: Lippincott Williams and Wilkins; 2018. p. 823.

C for S in M, Nuffield Department of Orthopaedics Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford. Equator Network. Equator network [cited 2022 Feb 27];1. Available from: https://www.equator-network.org/.

Brazil, Ministry of Health CN de S. Resolution No 510, 7 April 2016 - National Press; 2016.

Yazdi S, Alidousti K, Tirgari B, Jahani Y. Effect of integrated health promotion intervention and follow up on health issues (clothing way, food habits, urinary habits, sexual behavior habits) related to urinary tract infection among pregnant women. A randomized, clinical trial. J Prev Med Hyg [Internet] 2020;61(2):E194-9. Available from: https://www.scopus.com/inward/record.uri?eid=2-s2.0-85089710320&doi=10.15167%2F2421-4248%2Fjpmh2020.61.2.1412&partnerID=40&md5=062b40f071b079598adaf6469fdca8f4

Navarro A, Sison JM, Puno R, Quizon T, Manio LJJ, Gopez J, et al. Reducing the incidence of pregnancy-related urinary tract infection by improving the knowledge and preventive practices of pregnant women. Eur J Obstet Gynecol Reprod Biol. Oct;241:88-93. DOI: 10.1016/j.ejogrb.2019.08.018.

Fioravante FFS, Queluci GC. Educational technology for the prevention of urinary tract infections during pregnancy: a descriptive study. OBJN. 2017;16(1):28-36 DOI: 10.17665/1676-4285.20175447.

Merhy EE. Health: cartography of live work in act. 4th ed. Rio de Janeiro: HUCITEC; 2014.

Centers for Disease Control and Prevention. What is health literacy? | Health Literacy | CDC [Internet]. 2022 [cited 2022 Apr 23]; Available from: https://www-cdc-gov.translate.goog/healthliteracy/learn/index.html?_x_tr_sl=auto&_x_tr_tl=en&_x_tr_hl=en-US&_x_tr_pto=wapp.

Centers for Disease Control and Prevention. National Action Plan to Improve Health Literacy | Health Literacy | CDC [Internet]. [cited 2022 Apr 23]; Available from: https://www-cdc-gov.translate.goog/healthliteracy/planact/national.html?_x_tr_sl=auto&_x_tr_tl=pt&_x_tr_hl=pt-BR&_x_tr_pto=wapp.

Published

06/21/2023

How to Cite

HOFFELDER, L. P.; BOCCHI, M. H. M.; NASCIMENTO, T. F.; BORGES, V. T. M.; BOCCHI, S. C. M. Pre-natal non-drug interventions to prevent urinary infection: integrative review. Brazilian Journal of Health Review, [S. l.], v. 6, n. 3, p. 13271–13286, 2023. DOI: 10.34119/bjhrv6n3-380. Disponível em: https://ojs.brazilianjournals.com.br/ojs/index.php/BJHR/article/view/60851. Acesso em: 19 oct. 2026.

Issue

Section

Original Papers