A Clinical Audit On Diagnosis and Treatment Of Urinary Tract Infection In Pregnancy.

INTRODUCTION: Urinary tract infections (UTIs) occur commonly during pregnancy. Treatment of asymptomatic bacteriuria has been shown to reduce the rate of pyelonephritis in pregnancy and therefore screening for and treatment of asymptomatic bacteriuria has become a standard of obstetric care. Hence the primary aim of this clinical audit is to ensure guidelines are followed, treatment is appropriate and adequate follow up is carried out. Objective of study: To ensure guidelines are followed, treatment is appropriate and that adequate follow up with   clearance samples is carried out. MATERIALS AND METHODS: A tertiary care hospital AIMS &RC, Rajsamand, conducted a prospective observational study on ANC Patients, in them clinical audit was carried out for the diagnosis and treatment of UTI in pregnancy as per the assessment form. RESULT: The Re-audit after proper training of HCW’S showed 100% compliance in Standard quantitative urine routine microscopy performed routinely at first antenatal visit, 2. Asymptomatic bacteriuria was then treated with an antibiotic and 3. Urine culture was performed seven days after completion of antibiotic treatment as a test of cure. CONCLUSION: Clinical audit concludes that Health care providers need training which will improve the compliance. Audits aim to boost the standard of care through the systematic assessment of clinical practice. Hence, we conclude every health centre should develop and implement an Annual Clinical Audit Forward Plan as a component of its annual planning which will in turn improve the compliance.