Review Article

Magnitude, Associated Risk Factors, and Trend Comparisons of Urinary Tract Infection among Pregnant Women and Diabetic Patients: A Systematic Review and Meta-Analysis

Table 1

List and characteristics of eligible studies included for systematic review from 2012 to 2022.

AuthorsPublication yearRegionStudy areaType of patientsStudy settingStudy designSample takenLaboratory method used for detection of UTIType of UTI (asymptomatic or symptomatic or both)Etiological agentsSample sizeCasePrevalence (95% CI)Quality

Alemu et al.2012 [23]AmharaGondarPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (13 symptomatic and 27 asymptomatic)Bacterial3854010.4 (6.2, 15.4)5
Ferede et al.2012 [24]AmharaGondarPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (10 symptomatic and 14 asymptomatic)Bacterial2002412 (8.1, 17.4)5
Yismaw et al.2012 [25]AmharaGondarDiabetic patientsHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (18 symptomatic and 57 asymptomatic)Bacterial4227517.8 (13.8, 22.1)4
Emiru et al.2013 [26]AmharaBahir DarPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (7 symptomatic and 28 asymptomatic)Bacterial367359.5 (5.3, 14.2)5
Tadesse et al.2014 [27]SidamaHawassaPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodAsymptomaticBacterial2444618.8 (15.3, 23.4)5
Girma and Aemiro2015 [18]OromiaAdamaPregnant womenHospital basedCross-sectionalClean-catch midstream urineUrine microscopy and culture methodAsymptomaticBacterial3675916.1 (13.6, 20.3)4
Derese et al.2016 [28]EasternDire DawaPregnant womenInstitutional basedCross-sectionalClean-catch midstream urineCulture methodBoth (15 symptomatic and 11 asymptomatic)Bacterial1862614.0 (11.3, 18.7)5
Ahmed et al.2016 [29]OromiaYabelloPregnant womenHospital basedCross-sectionalClean-catch midstream urineUrine microscopy, urine dipstic test, and culture methodBoth (27 symptomatic and 5 asymptomatic)Bacterial, yeast, and protozoa2803111.1 (7.2, 15.8)4
Gessese et al.2017 [30]OromiaAmboPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (21 symptomatic and 35 asymptomatic)Bacterial3005618.7 (14.4, 23.5)6
Nigussie and Amsalu2017 [31]SidamaHawassaDiabetic patientsHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (12 symptomatic and 21 asymptomatic)Bacterial2403313.8 (10.5, 17.7)5
Regea et al.2017 [32]OromiaNekemteDiabetic patientsInstitutional basedCross-sectionalClean catch midstream urineCulture methodBoth in symptomatic and asymptomaticBacterial2003316.5 (12.8, 20.5)4
Abate et al.2017 [33]EasternHararDiabetic patientsFacility basedCross-sectionalClean catch midstream urineCulture methodBoth (19 symptomatic and 18 asymptomatic)Bacterial2403715.4 (12.4, 20.8)5
Habteyohannes et al.2018 [34]AmharaBahir DarPregnant womenHospital basedCross-sectionalFreshly voided midstream urineCulture methodAsymptomaticBacterial2342711.5 (7.6, 16.2)5
Ali et al.2018 [35]AmharaDessiePregnant womenHospital basedCross-sectionalFreshly voided midstream urineCulture methodAsymptomaticBacterial3585615.6 (13.7, 19.6)5
Taye et al.2018 [36]OromiaBalePregnant womenInstitutional basedCross-sectionalEarly morning midstream urineCulture methodBoth (18 symptomatic and 26 asymptomatic)Bacterial1694426.0 (15.6, 28.8)5
Negussie et al.2018 [37]EasternJigjigaPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (4 symptomatic and 21 asymptomatic)Bacterial1902513.2 (9.3, 18.5)5
Tadesse et al.2018 [38]TigrayAdigratPregnant womenHospital basedCross-sectionalFreshly voided midstream urineCulture methodAsymptomaticBacterial2595521.2 (17.8, 26.4)5
Kumera et al.2018 [39]SidamaHawassaDiabetic patientsHospital basedCase-controlClean catch midstream urineCulture methodAsymptomaticBacterial1002222.0 (17.6, 26.4)4
Gutema et al.2018 [40]OromiaMetuDiabetic patientsInstitutional basedCross-sectionalClean catch midstream urineCulture methodBoth in symptomatic and asymptomaticBacterial2333916.7 (12.0, 21.5)6
Mama et al.2019 [41]SNNPRArba MinchDiabetic patientsFacility basedCross-sectionalClean catch midstream urineCulture methodBoth (52 symptomatic and 29 asymptomatic)Bacterial and yeast2398133.9 (28.2, 37.9)5
Woldemariam et al.2019 [42]Addis AbabaAddis AbabaDiabetic patientsHospital basedCross-sectionalClean catch midstream urineCulture methodBoth (35 symptomatic and 21 asymptomatic)Bacterial and yeast2485622.6 (18.4, 27.2)4
Tula et al.2020 [43]SidamaHawassaPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (11 symptomatic and 12 asymptomaticBacterial296237.8 (4.7, 10.8)6
Kumalo and Tadesse2020 [44]SNNPRMizan AmanPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodAsymptomaticBacterial2602810.3 (6.0, 15.0)5
Abate et al.2020 [45]EasternHararPregnant womenFacility basedCross-sectionalClean-catch midstream urineCulture methodBoth in symptomatic and asymptomaticBacterial6389014.1 (11.6, 17.8)5
Edae et al.2020 [46]EasternHararPregnant womenInstitutional basedCross-sectionalClean-catch midstream urineCulture methodAsymptomaticBacterial2835619.9 (16.4, 24.6)6
Wabe et al.2020 [47]Addis AbabaAddis AbabaPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodAsymptomaticBacterial2904916.9 (13.1, 21.5)6
Belete2020 [48]AmharaDessiePregnant womenHospital basedCross-sectionalFreshly voided midstream urineCulture methodBoth (21 symptomatic and 29 asymptomatic)Bacterial3235015.5 (13.6, 19.5)5
Biset et al.2020 [49]AmharaGondarPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (38 symptomatic and 23 asymptomatic)Bacterial3846115.9 (12.8, 20.1)6
Alemu et al.2020 [50]AmharaDessieDiabetic patientsHospital basedCross-sectionalClean catch midstream urineCulture methodBoth (11 symptomatic and 28 asymptomatic)Bacterial3363911.6 (7.3, 16.50)5
Mohammed et al.2020 [51]SidamaHawassaDiabetic patientsHospital basedCross-sectionalClean catch midstream urineCulture methodBoth (10 symptomatic and 16 asymptomatic)Bacterial2472610.5 (6.5, 13.2)5
Abu et al.2021 [52]B/GumuzAssosaPregnant womenFacility basedCross-sectionalFreshly voided midstream urineCulture methodAsymptomaticBacterial2833913.8 (10.5, 17.7)5
Bizuwork et al.2021 [53]Addis AbabaAddis AbabaPregnant womenFacility basedCross-sectionalClean-catch midstream urineCulture methodAsymptomaticBacterial2814415.7 (13.8, 20.7)5
Zebene et al.2021 [54]Addis AbabaAddis AbabaPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (14 symptomatic and 49 asymptomaticBacterial4246314.9 (11.8, 19.2)5
Ejerssa et al.2021 [55]EasternHararPregnant womenHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (13 symptomatic and 18 asymptomaticBacterial2003115.5 (13.5, 19.4)5
Nigussie et al.2021 [56]OromiaGobaPregnant womenHospital basedCross-sectionalFreshly voided midstream urineCulture methodBoth (37 symptomatic and 19 asymptomaticBacterial2345623.9 (13.7, 24.5)5
Worku et al.2021 [57]Addis AbabaAddis AbabaDiabetic patientsHospital basedCross-sectionalFreshly voided midstream urineCulture methodBoth (15 symptomatic and 7 asymptomaticBacterial225229.8 (7.10, 12.70)4
Walelgn et al.2021 [58]AmharaDessieDiabetic patientsHospital basedCross-sectionalClean catch midstream urineUrine microscopyBoth in symptomatic and asymptomaticBacterial3598022.3 (18.0, 27.0)6
Oumer et al.2022 [59]AmharaKombolchaDiabetic patientsFacility basedCross-sectionalFreshly voided midstream urineCulture methodBoth (37 symptomatic and 20 asymptomaticBacterial2825720.2 (17.3, 25.8)5
Worku et al.2022 [60]AmharaDebre TaborDiabetic patientsHospital basedCross-sectionalClean catch midstream urineCulture methodBoth (5 symptomatic and 23 asymptomaticBacterial2502811.2 (7.6, 15.3)5
Assegu2022 [61]SidamaHawassaDiabetic patientsHospital basedCross-sectionalClean-catch midstream urineCulture methodBoth (17 symptomatic and 27 asymptomatic)Bacterial3004414.7 (11.7, 19.3)5