Profile of hospital admissions for genitourinary tract infections in pregnancy in the Brazilian Unified Health System from 2013 to 2022
DOI:
https://doi.org/10.47456/rbps.v28i1.48511Keywords:
Pregnancy complications, infectious, Hospitalization, Prenatal care, Health information systemsAbstract
Introduction: Genitourinary tract infections in pregnancy include urinary and genital conditions and may require hospital admission. Objective: To describe admissions for genitourinary tract infections in pregnancy within the Brazilian Unified Health System and contextualize regional differences in quantitative prenatal care adequacy. Methods: This descriptive ecological study examined hospital records classified under ICD-10 category O23 from 2013 to 2022. The hospitalization proportion used all Chapter XV admissions as its denominator. Records were described by race/skin color, age and administrative fields. Prenatal care data were obtained from the Live Birth Information System for 2014–2022, when classification was available, without individual linkage to hospital records. Results: There were 318,085 O23 admissions among 23,469,487 Chapter XV admissions (1.36%). Records classified as parda accounted for 42.48%, and those aged 20–29 years accounted for 52.30%. Unspecified urinary tract infection in pregnancy accounted for 150,785 records (47.40%). In the hospital tabulation, the North had the highest regional proportion (2.11%). In the live birth data, 17,579,978 of 25,541,508 births in 2014–2022 had adequate or more than adequate prenatal care (68.83%); the North had the lowest regional percentage (50.71%). Conclusion: These findings describe the composition of hospital admissions and regional differences between indicators covering distinct populations and periods. They do not estimate individual risk or the effect of prenatal care on hospitalization.
Downloads
References
World Health Organization. ICD-10 version 2019 [Internet]. Geneva: WHO; 2019. Disponível em: https://icd.who.int/browse10/2019/en#/O23. Acesso em: 29 out. 2026.
Schenkel DF, Dallé J, Antonello VS. Prevalência de uropatógenos e sensibilidade antimicrobiana em uroculturas de gestantes do Sul do Brasil. Revista Brasileira de Ginecologia e Obstetrícia. 2014;36(3):102–106. Disponível em: https://pubmed.ncbi.nlm.nih.gov/24728312/.
de Rossi P, Cimerman S, Truzzi JC, Cunha CA, Mattar R, Martino MDV, et al. Joint report of SBI (Brazilian Society of Infectious Diseases), FEBRASGO (Brazilian Federation of Gynecology and Obstetrics Associations), SBU (Brazilian Society of Urology) and SBPC/ML (Brazilian Society of Clinical Pathology/Laboratory Medicine): recommendations for the clinical management of lower urinary tract infections in pregnant and non-pregnant women. The Brazilian Journal of Infectious Diseases. 2020;24(2):110–119. https://doi.org/10.1016/j.bjid.2020.04.002
Brasil. Ministério da Saúde. Atenção ao pré-natal de baixo risco. Brasília: Ministério da Saúde; 2012. Cadernos de Atenção Básica, nº 32.
Brasil. Ministério da Saúde. DATASUS. Morbidade hospitalar do SUS por local de residência desde 2008: notas técnicas [Internet]. Disponível em: https://tabnet.datasus.gov.br/cgi/sih/Morb_geral_loc_res_2008.pdf. Acesso em: 29 out. 2026.
Brasil. Ministério da Saúde. DATASUS. Nascidos vivos Brasil: Sistema de Informações sobre Nascidos Vivos [Internet]. Disponível em: https://tabnet.datasus.gov.br/cgi/deftohtm.exe?sinasc/cnv/nvuf.def. Acesso em: 29 out. 2026.
Brasil. Ministério da Saúde. Saúde Brasil 2017: uma análise da situação de saúde e os desafios para o alcance dos Objetivos de Desenvolvimento Sustentável. Brasília: Ministério da Saúde; 2018.
Brasil. Conselho Nacional de Saúde. Resolução nº 510, de 7 de abril de 2016 [Internet]. Disponível em: https://bvsms.saude.gov.br/bvs/saudelegis/cns/2016/res0510_07_04_2016.html. Acesso em: 29 out. 2026.
Hackenhaar AA, Albernaz EP. Prevalência e fatores associados à internação hospitalar para tratamento da infecção do trato urinário durante a gestação. Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(5):199–204. https://doi.org/10.1590/S0100-72032013000500002
Vettore MV, Dias M, Vettore MV, Leal MC. Avaliação do manejo da infecção urinária no pré-natal em gestantes do Sistema Único de Saúde no município do Rio de Janeiro. Revista Brasileira de Epidemiologia. 2013;16(2):338–351. https://doi.org/10.1590/S1415-790X2013000200010
World Health Organization. WHO recommendations on antenatal care for a positive pregnancy experience. Geneva: WHO; 2016. Disponível em: https://www.who.int/publications/i/item/9789241549912. Acesso em: 29 out. 2026.
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Marina Sanguinêto, Brenda Thalia de Araujo Oliveira, Fernando Castim Pimentel, Nara Miranda Portela
This work is licensed under a Creative Commons Attribution 4.0 International License.
The Revista Brasileira de Pesquisa em Saúde (RBPS) adopts the CC BY 4.0 license, which means that authors retain the copyright of the works they submit to the journal. Authors are responsible for declaring that their contribution is an original manuscript, that it has not been previously published, and that it is not under simultaneous review by another scientific journal. Upon submitting the manuscript, authors grant RBPS the exclusive right of first publication, subject to peer review.
Authors are permitted to enter into additional contracts for the non-exclusive distribution of the version published by RBPS (for example, in institutional repositories or as a book chapter), provided that due acknowledgment of authorship and of initial publication by RBPS is given. Authors are also encouraged to make their work available online (for example, in institutional repositories or on their personal pages) after its initial publication in the journal, with due acknowledgment of authorship and of the original publication by RBPS.
Accordingly, under the CC BY 4.0 license, readers have the right to:
- Share — copy and redistribute the material in any medium or format for any purpose, even commercially;
- Adapt — remix, transform, and build upon the material for any purpose, even commercially.
The licensor cannot revoke these freedoms as long as you follow the license terms. Under the following terms:
- Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
- No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.
