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Hafez W, Al Shareef J, Alyoussef A, Ghanem M, Abazid RR, Yadav A, Rashid A, Sayfoo FM, Venkataramani S, Restrepo PO, Elkott MM, Lakshman VS, Arief T, Mohammed AG, Abdulaal F, Hossam Y. Pulmonary Injury as a Complication of Urinary Tract Infection in Pregnancy. Int J MCH AIDS 2024; 13:e012. [PMID: 39247138 PMCID: PMC11380911 DOI: 10.25259/ijma_15_2024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/19/2024] [Accepted: 04/15/2024] [Indexed: 09/10/2024] Open
Abstract
Background and Objective Pulmonary injuries resulting from urinary tract infections (UTIs) during pregnancy are rare. Prompt detection of pulmonary complications in pregnant patients with UTIs is crucial to prevent adverse outcomes in both the mother and the fetus. These complications may include respiratory issues, pulmonary edema, and exacerbation of preexisting conditions, such as asthma. We aimed to detect reported cases of pulmonary injury after UTIs among pregnancies. Methods We retrospectively reviewed the reported cases and articles in the PubMed database up to September 2023 on pulmonary injury after UTIs among pregnancies through a detailed search strategy. The titles and abstracts of the selected 15 articles were assessed, and ultimately, 7 articles were chosen based on adherence to our inclusion and exclusion criteria. Results Approximately 1-2% of women may develop acute pyelonephritis due to persistent UTIs, which has been associated with an increased risk of pulmonary edema in certain cases. UTIs can affect pulmonary health. Uremia, a consequence of UTIs, can lead to alterations in the respiratory drive, mechanics, muscle function, and gas exchange. Furthermore, urinary infection-induced inflammation activates neutrophils and promotes their recruitment to the lungs, compromising lung function and damaging the surrounding tissue. Conclusion and Global Health Implications Although systematic research on this topic is limited, there may be a link between UTIs and pulmonary damage. However, it remains unclear whether pregnancy exacerbates this association. For maternal health, child health, and the whole public health, it is important to raise awareness of physicians and gynecologists, as well as the different specialties like emergency and intensive care units, with more information about pulmonary injury after UTI in pregnancy; it is important to note that UTIs may not directly cause pulmonary complications, but physiological changes associated with pregnancy can increase this risk, so more care, observation, early detection, and treatment are critical for treating these complications and achieving best outcome in pregnant women with UTIs. More research is needed in this area, as the mechanism underlying the existence of pulmonary damage post-UTI in pregnancy is unclear.
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Affiliation(s)
- Wael Hafez
- Department of Internal Medicine, Medical Research and Clinical Studies Institute, The National Research Centre, Dokki, Cairo Governorate, Egypt
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Jalal Al Shareef
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Afraa Alyoussef
- Department of Gynecology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates
| | - Mirvat Ghanem
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Reem Rizk Abazid
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Antesh Yadav
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Asrar Rashid
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | | | - Sneha Venkataramani
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | | | | | | | - Taahira Arief
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Alaa Gamal Mohammed
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Fatema Abdulaal
- Department of Gynecology, NMC Royal Hospital, Abu Dhabi, United Arab Emirates
| | - Yossef Hossam
- Faculty of Medicine, Mansoura University, Mansoura, Egypt
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Orji O, Dlamini Z, Wise AJ. Urinary bacterial profile and antibiotic susceptibility pattern among pregnant women in Rahima Moosa Mother and Child Hospital, Johannesburg. S Afr J Infect Dis 2022; 37:343. [PMID: 35169587 PMCID: PMC8832018 DOI: 10.4102/sajid.v37i1.343] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 11/26/2021] [Indexed: 11/01/2022] Open
Affiliation(s)
- Ogbonnaya Orji
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Zandile Dlamini
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
| | - Amy J. Wise
- Department of Obstetrics and Gynaecology, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa
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