Bacteriuria in Pregnancy: Prevalence and Antimicrobial Sensitivity Pattern Amongst Pregnant Women Attending the North West Regional Hospital, Bamenda

2013 ◽  
Vol 1 (1) ◽  
pp. 3
Author(s):  
Ndohnui N Noel ◽  
Emmanuel Ngohtu Tufon ◽  
Nyianbam Y Waindim ◽  
Tabe-Tanyi C Akwo ◽  
Roland N Bong
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Edward Kwabena Ameyaw ◽  
Kenneth Setorwu Adde ◽  
Shadrach Dare ◽  
Sanni Yaya

Abstract Background In 2018, Nigeria accounted for the highest prevalence of malaria worldwide. Pregnant women and children under five years bear the highest risk of malaria. Geographical factors affect utilization of insecticide-treated nets (ITN), yet existing literature have paid little attention to the rural–urban dimension of ITN utilization in Nigeria. This study aimed at investigating the rural–urban variation in ITN utilization among pregnant women in Nigeria using data from the 2018 Demographic and Health Survey. Methods A total of 2909 pregnant women were included in the study. The prevalence of ITN utilization for rural and urban pregnant women of Nigeria were presented with descriptive statistics. Chi-square test was employed to assess the association between residence, socio-demographic characteristics and ITN utilization at 95% level of significance. Subsequently, binary logistic regression was used to assess the influence of residence on ITN utilization. Results Eight out of ten of the rural residents utilized ITN (86.1%) compared with 74.1% among urban residents. Relative to urban pregnant women, those in rural Nigeria had higher odds of utilizing ITNs both in the crude [cOR = 2.17, CI = 1.66–2.84] and adjusted models [aOR = 1.18, CI = 1.05–1.24]. Pregnant women aged 40–44 had lower odds of ITN utilization compared to those aged 15–19 [aOR = 0.63, CI = 0.44–0.92]. Poorer pregnant women had higher odds of ITN utilization compared with poorest pregnant women [aOR = 1.09, CI = 1.04–1.32]. Across regions, those in the south [aOR = 0.26, CI = 0.14–0.49] and south-west [aOR = 0.29, CI = 0.16–0.54] had lower odds of ITN use compared to their counterparts in the north-west region. Conclusion The high use of ITNs among pregnant women in Nigeria may be due to the prioritization of rural communities by previous interventions. This is a dimension worth considering to enhance the attainment of the national anti-malarial initiatives. Since possession of ITN is not a guarantee for utilization, women in urban locations need constant reminder of ITN use through messages delivered at ANC and radio advertisements. Moreover, subsequent mass ITN campaigns ought to take cognizance of variations ITN use across regions and pragmatic steps be taken to increase the availability of ITN in households since there is a moderately high use in households with at least one ITN in Nigeria.


2015 ◽  
Vol 5 (3) ◽  
pp. 183-190 ◽  
Author(s):  
Bita Sadin ◽  
Bahram Pourghassem Gargari ◽  
Fatemeh Pourteymour Fard Tabrizi

2019 ◽  
Vol 14 (2) ◽  
pp. 31-35
Author(s):  
Tripti Shrestha ◽  
Gehanath Baral

Aims: To estimate the prevalence of asymptomatic bacteriuria, its causative agents and their antimicrobial susceptibility pattern; and to determine the relationship of asymptomatic bacteriuria and pyuria in pregnant women. Methods: A cross sectional study was conducted in a total of 240 asymptomatic pregnant women in Paropakar Maternity and Women’s Hospital from August 2016 to January 2017. Clean catch midstream urine samples were collected from each participant. Urine samples were cultured using standard microbiological methods. Identification of isolates and antibiotic sensitivity testing were done. Results: Out of 240 pregnant women, 17 (7.1%) were positive for asymptomatic bacteriuria [colony forming unit (CFU) >10 5 /ml]. There was no any significant difference in the prevalence of asymptomatic bacteriuria with respect to age, gestational age and parity. The prevalence of asymptomatic bacteriuria was significantly different with respect to education level (p=0.01) and number of pus cells in urine specimen (p=0.04). The most frequently isolated microorganisms were E.coli (70.6 %) followed by Klebsiella spp (11.8%). Ciprofloxacin followed by Nitrofurantoin and Norfloxacin had the highest sensitivity to all the isolates. Conclusions: Asymptomatic bacteriuria is common in pregnancy. Routine urine culture should be done on all pregnant women to detect asymptomatic bacteriuria. Treatment should be based on antimicrobial sensitivity pattern due to increased antibiotic resistance to commonly used antimicrobial agents.


Curationis ◽  
2004 ◽  
Vol 27 (1) ◽  
Author(s):  
C.F. Pretorius ◽  
M. Greeff

Since the implementation of free maternity services in South Africa from 1994, more maternity services were provided (SA, 1994: 73). These services are however inaccessible to many pregnant women in the rural areas, leading to sub-optimal antenatal health service utilization. Another problem that emerged, is deterioration in antenatal health service rendering throughout the country, as well as a lack of guidelines for the mobilization of pregnant women in order to promote optimal antenatal health service utilization (ANHSU) in the North West Province. The mentioned problems were the reasons for undertaking this research.


2019 ◽  
Vol 10 (1) ◽  
pp. 43-48
Author(s):  
Dmitry O. Ivanov ◽  
Vadim K. Iurev ◽  
Kseniia G. Shevtsova ◽  
Karina E. Moiseeva ◽  
Shalva D. Kharbedia ◽  
...  

An important role in the normal development of the fetus and the successful outcome of pregnancy is played by the state of health of pregnant women. One of the significant factors of perinatal risk is anemia of pregnant women. In order to assess the level and dynamics of the incidence of anemia in pregnant women, official statistical reports and publications of the Federal State Statistics Service for 2005-2017 and Central Research Institute for Organization and Informatization of Health of the Ministry of Health of the Russian Federation for 2012-2018 were analyzed. Using a trend analysis using a trend method, a prognosis was made for the incidence of anemia in pregnant women up to 2021 in the Russian Federation as a whole and separately in the North-West Federal District. In order to assess the impact of the predictor “anemia of pregnant women” on the infant mortality rate, data from primary medical documentation was copied to 250 children who died before the age of 1 year in the North-West Federal District. It has been established that the incidence of anemia in pregnant women in the North-West Federal District significantly exceeds the average level in the Russian Federation. Provided that factors affecting the course of pregnancy remain unchanged, the incidence of anemia in pregnant women by 2021 on average in the Russian Federation will decrease to 32.2% of the number of women who have completed pregnancy, and in the North-West Federal District will increase to 37.5%. During pregnancy, the incidence of anemia in women whose child died before the age of 1 year in the North-West Federal District amounted to 44.16 ± 0.39% of the number of women who completed the pregnancy, which significantly exceeded the average figure in the district, which in 2017 was equal to 35.90 ± 0.35% (p < 0.05). A direct correlation has been established between the predictor “anemia in pregnant women” and the infant mortality rate.


2020 ◽  
Vol 27 (4) ◽  
pp. 325
Author(s):  
IdrisUsman Takai ◽  
BadiaMaje Sayyadi ◽  
SaiduAdamu Ibrahim ◽  
Kabiru Abdulsalam ◽  
UsmanMuhammad Ibrahim

1973 ◽  
Vol 122 (568) ◽  
pp. 319-329 ◽  
Author(s):  
Peter Bruggen ◽  
John Byng-Hall ◽  
Tom Pitt-Aikens

In recent years provision of care for psychiatrically disturbed adolescents has received increasing attention. The present situation was summarized in a leading article in the British Medical Journal (1971) which emphasized one aspect of this provision—the need for adolescent in-patient facilities based within the community. This paper describes the ideas and practices of an adolescent unit which was opened at Hill End Hospital, St. Albans, in September 1969 to take younger adolescents (up to 16) of both sexes, from the area of the North-West Metropolitan Regional Hospital Board. This area covers 13,000 square miles and has a population of 4½ million, which the Unit aims to serve with 11 available beds. Who should be admitted to these places is clearly a critical question.


2019 ◽  
Vol 12 (1) ◽  
Author(s):  
Manuel Ndo Akono ◽  
Larissa Pone Simo ◽  
Valirie Ndip Agbor ◽  
Sylvain Laah Njoyo ◽  
Dora Mbanya

Abstract Objective We sought to determine the spectrum of heart diseases among adult patients at the Bamenda Regional Hospital in the North West Region of Cameroon. This is a chart review of echocardiographic records. Results In total, 673 records were included in our study, of which 506 had a definite heart disease. Of the 506, 93 had mixed cardiopathies. Their ages ranged from 18 to 105 years with a median age of 64.0 (Interquartile range = 47–75) years. Females accounted for a greater proportion (55.3%) of the study population. The most common echocardiographic diagnoses were hypertensive heart disease (41.1%), valvular heart disease (22.3%) and cardiomyopathies (11.4%). The prevalence of heart failure was 17.5%, with hypertensive heart disease being the leading cause.


PLoS ONE ◽  
2020 ◽  
Vol 15 (11) ◽  
pp. e0241812
Author(s):  
Atem Bethel Ajong ◽  
Bruno Kenfack ◽  
Innocent Mbulli Ali ◽  
Martin Ndinakie Yakum ◽  
Loai Aljerf ◽  
...  

Introduction Hypocalcaemia in pregnancy remains a major health issue, particularly in the developing world where daily calcium intakes are suboptimal. This electrolyte imbalance can lead to severe maternofoetal and childhood consequences. Calcium supplementation, amongst others, contributes significantly to meeting calcium demands in pregnancy. With ionised calcaemia as the gold standard for diagnosis, total calcaemia and albumin-corrected calcaemia in other pathological states have been found to overestimate the burden of hypocalcaemia. The main objectives of this study are to describe the blood calcium level (total, albumin corrected, and ionised calcaemia) and associated maternofoetal outcomes while identifying determinants of calcium supplementation and ionised hypocalcaemia. This study will also evaluate the sensitivity and specificity of albumin corrected calcaemia as a diagnostic tool for hypocalcaemia (ionised calcaemia as the gold standard) among pregnant women in the Nkongsamba Regional Hospital, Cameroon. Methods Our study will target a total of 1067 term pregnant women who shall be included consecutively into the study as they arrive the maternity of the Nkongsamba Regional Hospital for their last antenatal care visit. Data shall be collected using a semi-structured interview-administered questionnaire and blood samples collected for total plasma calcium, albumin and serum ionized calcium assays. Additional data will be collected at birth (maternal and foetal variables; foetal outcomes evaluated as secondary outcomes). Total calcaemia and albuminemia shall be measured by atomic absorption spectrophotometry, while ionised calcaemia will be measured by ion-selective electrode potentiometry(using MSLEA15-H electrolyte analyzer) per standard BIOLABO and MSLEA15 protocols, respectively. Data will be analysed using the statistical softwares epi-Info version 7.2.2.16 and STATA version 16. Expected research outcome This study will present a more precise estimate of the burden of hypocalcaemia in late pregnancy as well as identify and analyse the different factors associated with calcium supplementation and ionised hypocalcaemia among term pregnant women in a developing world setting. Maternofoetal outcomes associated with hypocalcaemia will be determined as well as the sensitivity and specificity of total and albumin-corrected calcaemia in diagnosing hypocalcaemia. Our findings will contribute significantly to designing or strengthening interventions to control this electrolyte imbalance.


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