2024/04/08 by Nwobodo, H. A., Udeani, T. K. C., Aneke, C. C. +8
#Enugu #Prevalence #urinary tract infection
paper · doi:10.60787/erjournal-9-2-589
Urinary tract infection (UTI) is infection of the bladder, ureters, kidneys and/or Urethra, symptoms of which vary depending on its severity and the characteristics of an infected individual. This study examined the prevalence of UTI among individual with presumptive UTI accessing health care services in two health facilities in Enugu metropolis. Mid-stream urine samples were collected from 384 participants and analyzed bacteriologically using standard methods. The prevalence of UTI among the study participants was 34.6%., 133 out of 384 having positive bacteria urine test. Staphylococcus aureus (n=19), Escherichia coli (n=52), Klebsiella pneumoniae (n=45), Pseudomonas aeruginosa (n=12), Enterococcus faecalis (n=9) and Proteus mirabilis (n=8) were isolated as a single or mixed culture. Escherichia coli was the most implicated in the study followed by Klebsiella pneumoniae, Staphylococcus aureus, Pseudomonas aeruginosa, Enterococcus faecalis and Proteus mirabilis. Prevalence of UTI in females was 63.9% and 36.1% in males. The married (56.8%) and the singles (34.1%) recorded higher prevalence of UTI compared with the widow/widower (6.0%) and the divorced (3.1%). UTI was comparatively high (33.1%) among the age group 25 – 34 years and low (27.1%) in those >64 years. Civil servants and participants with tertiary level of education had UTI prevalence of 41.4% and 38.3% respectively. There was a significant difference in UTI based on sex (p=0.001) and age (p=0.02), but no significant difference based on marital status, occupation and educational level (p˃0.05). The prevalence of UTI in the study was high with both gram-positive and gram-negative bacteria implicated. Sex and age seem to play a significant role in UTI unlike marital status, educational level and occupation. Antibiotic susceptibility pattern of the UTI bacteria uropathogens should be investigated.