SILVEIRA, A. M. D.; http://lattes.cnpq.br/3457454144386981; SILVEIRA, Andreia Mayara Duarte.
Resumo:
The urinary tract infection (UTI) is a commom complication in pregnancy. Escherichia
coli is the most common uropathogen, found in approximately 80% of the infected
patients. Prematurity, low weight birth and even fetal death can be associated to UTI in
pregnancy. The objective of this review was to analyse the antibiotic therapy for the
treatment of the lower tract urinary infection in different trimesters of pregnancy. Was
done at bibliographic stand bases of national and international academic and scientific
data using the following key words: “urinary tract infection”, “pregnancy”, “antibiotic”
and “uropathogens”. According to the data lifted, it was observed that, ampicillin is safe
in any stage of the gestation however the Escherichia coli shows high rates of the
resistance to this drug. Cephalexin appears to be a safe drug at all stages of pregnancy.
Nitrofurantoin should be avoided in the end of the gestation by the risk of neonatal
hemolysis. The complications decrease by appropriated investigation and treatment. The
early screening of the bacteriúria in the gestation, even if it is asymptomatic, has
maternal and fetal benefits.