ArticleThe American journal of tropical medicine and hygiene2010
Diagnostic and treatment difficulties of pyelonephritis in pregnancy in resource-limited settings.
Article in The American journal of tropical medicine and hygiene, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Delivering maternal and neonatal health interventions in conflict settings: a systematic review.BMJ global health · 2021Pooled it
- Neglected rickettsial diseases in Southeast Asia: Twenty-five years of progress in surveillance, diagnostics, and clinical research.PLoS neglected tropical diseases · 2026Review
- Cohort Profile: the SMRU Refugee and Migrant Pregnancy Study in Western Thailand and Eastern Myanmar.Wellcome open research · 2026Article
- Understanding bovine genital campylobacteriosis: A comprehensive review of its threat to global cattle reproduction.Open veterinary journal · 2025Review
- Particularities of Pyelonephritis With Multidrug-Resistant (MDR) Germs During Pregnancy: A Case-Control Study.Cureus · 2024Article
- Antenatal pyelonephritis: a three-year retrospective cohort study of two Irish maternity centres.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023Article
- Cellular angiofibroma in the retroperitoneal space during pregnancy: A case report.BMC women's health · 2023Article
- Article
- Early diagnosis and management of maternal ureterohydronephrosis during pregnancy.Experimental and therapeutic medicine · 2022Article
- Pyelonephritis in Pregnancy: Clinical and Laboratorial Aspects and Perinatal Results.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2017Observational
- The Aetiologies and Impact of Fever in Pregnant Inpatients in Vientiane, Laos.PLoS neglected tropical diseases · 2016Article
- Utility of Urine Dipstick Test for the Screening of Urinary Tract Infection in Catheterized Women Following Gynecological Surgeries.Journal of obstetrics and gynaecology of India · 2015Article
- The role of point-of-care tests in antibiotic stewardship for urinary tract infections in a resource-limited setting on the Thailand-Myanmar border.Tropical medicine & international health : TM & IH · 2015Article
- Effect of early detection and treatment on malaria related maternal mortality on the north-western border of Thailand 1986-2010.PloS one · 2012Article
- Serious and life-threatening pregnancy-related infections: opportunities to reduce the global burden.PLoS medicine · 2012Article
Corrections and comments
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Authors and funding
14 authors at 1 institution in 1 country.
Funding
Abstract
Limited microbiology services impede adequate diagnosis and treatment of common infections such as pyelonephritis in resource-limited settings. Febrile pregnant women attending antenatal clinics at Shoklo Malaria Research Unit were offered urine dipstick, sediment microscopy, urine culture, and a 5-mL blood culture. The incidence of pyelonephritis was 11/1,000 deliveries (N = 53 in 4,819 pregnancies) between January 7, 2004 and May 17, 2006. Pyelonephritis accounted for 20.2% (41/203) of fever cases in pregnancy. Escherichia coli was the most commonly isolated pathogen: 87.5% (28/32) of organisms cultured. Susceptibility of E. coli to ampicillin (14%), cotrimoxazole (21%), and amoxicillin-clavulanic acid (48%) was very low. E. coli was susceptible to ceftriaxone and ciprofloxacin. The rate of extended spectrum β-lactamase (4.2%; 95% confidence interval = 0.7-19.5) was low. The rate and causes of pyelonephritis in pregnant refugee and migrant women were comparable with those described in developed countries. Diagnostic innovation in microbiology that permits affordable access is a high priority for resource-poor settings.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.