The prevalence and management strategies of gestational urinary tract infections (UTI) in Kisumu County, Kenya

Abstract

Urinary tract infections (UTI) contribute to substantive proportions of adverse pregnancy outcomes. Current national statistics in Kenya show high maternal mortality (488/100,000) and neonatal mortality (24/1,000) rates. Kenya continues to report increasing prevalence and incidence rates of UTI associated with maternal and neonatal deaths. Kisumu County in western Kenya has a high maternal mortality rate of 495/100,000 with uncaptured maternal morbidity relative to the national average. However, information on the epidemiology of gestational UTI in the County, is limited. Semi-urban Chulaimbo and Nyahera Sub-County hospitals were used as model facilities to establish the burden of UTI during pregnancy and the specific clinical diagnosis and therapeutic management strategies.