scholarly journals Study on urinary tract infection among females of reproductive age group in a rural area of Kancheepuram district, Tamil Nadu

Author(s):  
Muthulakshmi M. ◽  
Gopalakrishnan S.

Background: Urinary tract infection (UTI) is defined as the presence of microbial pathogens in the urinary tract and women of the reproductive age group (15-44 years) are the most vulnerable population. UTIs are one of the most common bacterial infections seen in primary care. This study aims to estimate the prevalence rate of UTI among females of reproductive age group and to determine the association between socio demographic factors and prevalence of UTI.Methods: This is a cross sectional descriptive study carried out in the rural field practice area attached to a Medical college in Kancheepuram district. The study group were 250 women of reproductive age group (15-44 years). The data was collected using a structured interview schedule followed by collection of urine for microscopic examination and culture. Data was analysed using SPSS 15 software. Prevalence of UTI was calculated using percentages and strength of association was tested between socio-demographic characteristics and prevalence of UTI.Results: Prevalence of UTI among females of reproductive age group was found to be 20.4%. There was a strong statistical significant association between levels of education of the study subjects (Odds Ratio 18.11, p value <0.05), the socio economic status (Odds ratio 6.36, p value <0.05) and UTI.Conclusions: UTI is a serious public health problem if untreated. Early diagnosis and prompt treatment will prevent the chances of developing further complication of UTI and will help to reduce the sufferings of the patient, hospital stay and economic loss. 

2021 ◽  
Vol 3 (1) ◽  
pp. 85-89
Author(s):  
Sadia Saber ◽  
Naz Yasmin ◽  
Mohammed Tarek Alam ◽  
Mohammad Monower Hossain ◽  
Rafa Faaria Alam

Introduction: Among all the bacterial infections encounter in primary care, urinary tract infection (UTI) has considered as one of the most frequent bacterial infection. UTI can be defined as the presence of an infection in any part of our urinary system-kidneys, ureters, urinary bladder and urethra. Majority of the infections involve the lower urinary tract – the urinary bladder and the urethra. Women of reproductive age group (15-44 years) are the most vulnerable of developing UTI than men. The objective of this study is to determine the prevalence rate of UTI among females of reproductive age group and to ascertain the association between socio demographic factors among study population. Material and Methods: This is a cross sectional observational study executed in a tertiary care teaching hospital, Dhanmondi, Dhaka. 250 women of reproductive age group were encountered as the study group here. Data collection was done by using a structured interview schedule followed by collection of urine sample for microscopic examination and culture. Analysis of data was done by using SPSS 15 software. Prevalence of UTI among study population was calculated by using percentage and the strength of association between socio demographic factors were evaluated in our study. Results: Prevalence of UTI among study population was found to be 41.20%. A strong association of statistical significance was observed among marital status (p values <0.05), the level of education of the study population (p value <0.05) and the urine culture reports among UTI patients (p value 0.001) Conclusion: Now a days UTI can be considered as one the most serious public health problem if it is remaining untreated. To prevent the possibilities of evolving further complexity of UTI early detection and prompt treatment is very much crucial. We should promote more educational programming about UTI prevention not only to reduce the sufferings of the patients and their hospital stay but also to compensate for the economical loss.


KYAMC Journal ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 156-159
Author(s):  
Rozina Aktar Zahan ◽  
Nahreen Rahman ◽  
Kh Faisal Alam ◽  
Md Shah Alam ◽  
Nilufar Yasmin ◽  
...  

Background: Urinary Tract Infection (UTI) is the second leading cause of bacterial infection worldwide. More female are affected compared to male, particularly in their reproductive age group. Untreated and repeated UTI cases lead to health complication and antimicrobial resistance. Objective: To know the proportion of UTI among women in child bearing age group in Rajshahi and also to know the influence of socio-demographic parameters on UTI incidence in this region. Methodology: A cross sectional descriptive study was conducted on women in their reproductive age group (15-45 years) in Institute of Biological Sciences (IBSc), Rajshahi University and Rajshahi Medical College (RMC) from July 2014 to June 2017 where mid-stream urine samples were collected and cultured following all standard procedure. Positive cultures were compared with sociodemographic parameters to know their association with UTI cases. Result: Out of Total 450 patients screened for UTI, 151 (33.55%) were culture positive. Married women showed the highest rate of UTI 95 (62.91%) compared to single and widowed/divorced women which was 49 (32.4%) and 7(4.6%) respectively. Pregnancy and diabetes showed greater incidence or association with UTI which was 116 (76.8%) and 93 (61.59%) respectively. In all cases combined, symptomatic UTI was much higher than asymptomatic bacteriuria 54 (35.7%). Good hygiene and cleanliness associated with use of sanitary napkins and latrines have greatly reduced UTI rates among women which were 31 (20.5%) and 27 (17.8%) respectively. Conclusion: UTI has a high rate among women in their childbearing age, particularly when associated with pregnancy and diabetes. Good personal hygiene and awareness can greatly reduce its incidence and prevent further complications and most importantly antimicrobial resistance. KYAMC Journal Vol. 10, No.-3, October 2019, Page 156-159


Author(s):  
Sonia Karen Liz Sequera ◽  
Leena Kunnath Chacko

Abstract Objectives Urinary tract infection (UTI) is the most common infection that affects half of all women in their lifetime and one-fourth have recurrent infections. Health behaviors could prevent the recurrence of UTIs and therefore motivation and increasing awareness are necessary for healthy behavior change. This study was done to evaluate the effectiveness of structured counseling and preventive strategies (SCAPS) in promoting awareness and expressed habitual practices among the women of the reproductive age group to prevent UTI. Materials and Methods Block randomization with multiple interventions and follow-up were conducted among 60 women (30 in each group, randomly assigned using the SNOSE technique) attending the OBG and urology OPDs of a selected medical college hospital. Purposive sampling was used to select the subjects. Women who were positive for urine culture and experiencing typical symptoms of UTI, as assessed using the symptom score checklist, were recruited for the study. Pre-test awareness was assessed using a structured awareness questionnaire and a rating scale for expressed habitual practice. After the pre-test, on the same day, the experimental group received SCAPS intervention followed by a second session during the third month. At the third (before the second session) and the sixth-month post-tests were conducted by delivering the same tool to determine the post-test level of awareness and expressed habitual practice after the administration of SCAPS. Results The study shows there is a significant difference in the awareness and expressed habitual practice values in the experimental group (p < 0.005). The effectiveness of SCAPS showed that the mean ± standard deviation (SD) pre-test score of women (awareness - x̄1 ± SD = 9.47 ± 2.57, hygienic habitual practice - x̄1 ± SD = 20.93 ± 1.91, fluid and dietary practice - x̄1 ± SD = 7.73 ± 2.18 and sexual habits - x̄1 ± SD= 8.00 ± 3.33) was significantly lower than the mean ± SD post-test scores (awareness - x̄2 ± SD =11.37 ± 1.65, awareness - x̄3 ± SD = 12.00 ± 1.05), (hygienic habitual practice - x̄2 ± SD = 22.57 ± 2.16, x̄3 ± SD = 23.90 ± 1.99), (fluid and dietary practice - x̄2 ± SD = 10.07 ± 2.21, x̄3 ± SD =11.97 ± 1.79) and (sexual habits - x̄2 ± SD = 8.81 ± 2.51, x̄3 ± SD =9.81 ± 2.26). Conclusion SCAPS was found to be effective on awareness and preventive habitual practices with regard to UTI. SCAPS can be recommended for vulnerable groups such as females so that UTI could be prevented. Trial Registration CTRI/2018/10/016064 (Registration on 17/10/2018).


2019 ◽  
Vol 58 (11-12) ◽  
pp. 1302-1308
Author(s):  
Brian M. Inouye ◽  
Zachary R. Dionise ◽  
Ruiyang Jiang ◽  
Steven Wolf ◽  
Leigh Nicholl ◽  
...  

Our objective was to use community-based, national databases to evaluate diagnostic imaging and antibiotic prophylaxis practice patterns before and after the release of the 2011 American Academy of Pediatrics guidelines for acute febrile urinary tract infection. Using the National Ambulatory and Hospital Ambulatory Medical Care Surveys, urinary tract infection encounters were identified for patients aged 2 months to 18 years. Primary outcomes were utilization of antibiotics (as proxy for prophylaxis) and diagnostic imaging during encounters. Weighted multivariate logistic regression models were used to examine the association between time period (before and after 2011) and each of the primary outcomes. Among 8 588 035 weighted encounters, adjusting for covariates, there was insufficient evidence to suggest a difference between time periods for antibiotic utilization (odds ratio = 0.66, P = .12) or diagnostic imaging (odds ratio = 1.16, P = .56). Thus, we did not find evidence of changes in antibiotic utilization or diagnostic imaging practice patterns after the release of the 2011 American Academy of Pediatrics guidelines.


2020 ◽  
Vol 9 (3) ◽  
pp. 135-138
Author(s):  
Faiz Rasul Awan ◽  
Muhammad Safdar Baig ◽  
Atiq ur Rehman Khan

Background: Pakistan and Egypt bear more than 80% of the burden of disease as more than 12 million people are suffering from hepatitis B or C infection and there is addition of about 150000 new cases each year.Methods: We have used secondary data PDHS - Pakistan Demographic and Health Survey, DHS has become the gold standard of survey data in developing countries, a project by ORC Macro with financial support from the USAID for the International Development carried out as multistage, cluster sampling for its data collection on multiple questions, most pertinent from our study point view the maternal and child health related to knowledge attitude and practices of hepatitis and its prevention. Results:The final multivariate model six variables came out to be statistically significant with their adjusted odd's ration p-value and 95% confidence interval i.e., use of new disposable syringe every time for therapeutic injection purpose, the respondent being rich as wealth index, reading newspapers and magazines, watching television as source of information, area of residence being urban and with higher educational level came out to be most important variable which are making statistically significant difference for prevention of hepatitis among females of reproductive age group as our study population from Pakistan Demographic and Health Survey 2012-13. Conclusion: It is quite evident from the results of our study that use of new disposal syringes, being rich , being educated, having access to information resources like watching television, listening radio, reading newspaper & magazine and being as an urban dwellers are significant factor among women of reproductive age groups for prevention of hepatitis.


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