Evidence map›Paper›PMID 37940852›Full record

SynthesisBMC pregnancy and childbirth2023

Bacterial profile and prevalence of urinary tract infections in pregnant women in Latin America: a systematic review and meta-analysis.

Henrique Diório de Souza, Giselle Rodrigues Mota Diório, Stela Verzinhasse Peres, Rossana Pulcineli Vieira Francisco, Marco Aurélio Knippel Galletta

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC pregnancy and childbirth, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

  1. Descriptive Epidemiology ofBioMed research international · 2025
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  6. Observational
  7. Bacteriuria profile and antimicrobial sensitivity among pregnant women attending antenatal care at Jazan and Sabyia general hospitals, Jazan Region, KSA: A cross-sectional study.International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Henrique Diório de SouzaDisciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil.
Giselle Rodrigues Mota DiórioDepartment of Internships, Medical School of the Federal University of Juiz de Fora, Juiz de Fora, MG, Brazil.
Stela Verzinhasse PeresDisciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil.
Rossana Pulcineli Vieira FranciscoDisciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil.
Marco Aurélio Knippel GallettaDisciplina de Obstetricia, Departamento de Obstetricia E Ginecologia, Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Avenida Doutor Enéas de Carvalho Aguiar, 155 - 10º Andar - Sala 10.037. CEP, São Paulo, BR, 05403-000, Brazil. marco.galletta@fm.usp.br.
Universidade de São Paulo · BRUniversidade Federal de Juiz de Fora · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGiven the physiological changes during pregnancy, pregnant women are likely to develop recurrent urinary tract infections (UTIs) and pyelonephritis, which may result in adverse obstetric outcomes, including prematurity and low birth weight preeclampsia. However, data on UTI prevalence and bacterial profile in Latin American pregnant women remain scarce, necessitating the present systematic review to address this issue.

methodsTo identify eligible observational studies published up to September 2022, keywords were systematically searched in Medline/PubMed, Cochrane Library, Embase, Web of Science, and Bireme/Lilacs electronic databases and Google Scholar. The systematic review with meta-analysis followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, and the quality of studies was classified according to the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. The meta-analysis employed a random-effects method with double-arcsine transformation in the R software.

resultsDatabase and manual searches identified 253,550 citations published until September 2022. Among the identified citations, 67 met the inclusion criteria and were included in the systematic review, corresponding to a sample of 111,249 pregnant women from nine Latin American countries. Among Latin American pregnant women, the prevalence rates of asymptomatic bacteriuria, lower UTI, and pyelonephritis were estimated at 18.45% (95% confidence interval [CI]: 15.45-21.53), 7.54% (95% CI: 4.76-10.87), and 2.34% (95% CI: 0.68-4.85), respectively. Some regional differences were also detected. Among the included studies, Escherichia coli (70%) was identified as the most frequently isolated bacterial species, followed by Klebsiella sp. (6.8%).

conclusionPregnant women in Latin America exhibit a higher prevalence of bacteriuria, UTI, and pyelonephritis than pregnant women globally. This scenario reinforces the importance of universal screening with urine culture during early prenatal care to ensure improved outcomes. Future investigations should assess the microbial susceptibility profiles of uropathogens isolated from pregnant women in Latin America.

trial registrationThis research was registered at PROSPERO (No. CRD42020212601).

Indexed as

BacteriuriaPregnancy Complications, InfectiousPyelonephritisUrinary Tract InfectionsAnti-Bacterial AgentsFemaleHumansInfant, NewbornLatin AmericaObservational Studies as TopicPregnancyPregnant PeoplePrevalenceAnti-Bacterial AgentsAsymptomatic BacteriuriaEtiologyLatin AmericaPregnant womenPrevalencePyelonephritisUrinary Tract Infections

Identifiers

PMID37940852
PMCPMC10631168
OpenAlexW4388513430

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.