scholarly journals The Prevalence of Bacterial Pathogens associated with Urinary Tract Infection (UTI) among Patients attending Kam Medical Consult Clinic, Uganda.

Author(s):  
◽  
Gerald Turyatunga

Background: A urinary tract infection (UTIs) is a common type of infection caused by bacteria that travel up the urethra to the bladder. Globally, it is reported that 150 million people are diagnosed with a UTI annually, costing the world economy over 6 million US dollars in treatment and work loss. Studies conducted in the in-patients pediatric ward of Muhimbili Hospital in Tanzania and Mulago National Referral Hospital in Uganda between five to ten years reported the prevalence of UTI to be 16.8% and 14.6% respectively. On average at Kam Medical Consult Clinic, patients who turn up in the laboratory are about 20%, and 50% of patients present with recurring UTIs clinically. Therefore,  there is a need to establish and investigate the prevalence of bacterial pathogens associated with UTI and multiple pathogens that are not known. Methodology: The cross-sectional study was carried out at Kam medical consult clinic (KMCC) located in Kafeero zone Mulago II Kawempe division. The study population was adults and children presenting with symptoms of urinary tract infection. 120 Midstream urine Samples were collected from patients presenting clinical signs of UTI. The diagnosis was done through macroscopy dry chemistry, microscopy, and culture. Results Among the sampled population, 33% of males had urinary tract infections while 67% of females had urinary tract infections.  88.5% were outpatients while 11.5 % were in-patients The overall prevalence of UTI among patients was 63.3% with children aged (1-10) having a prevalence of 5.8 %. Conclusion and recommendation: E.coli is an etiological agent causing UTIs in male and female patients presenting UTI at Kam Medical Consult Clinic. Other etiological agents included Klebsiella, Coliform, Enterococcus species, staphylococcus aureus, pseudomonas species, and candida species. There is a need to monitor the profile of etiological bacteria of UTI through culture and sensitivity regularly. 

2020 ◽  
Vol 58 (221) ◽  
Author(s):  
Arun Giri ◽  
Raju Kafle ◽  
Ganesh Kumar` Singh ◽  
Niraj Niraula

Introduction: Urinary tract infection is one of the commonest causes of childhood morbidity. Earlydiagnosis and appropriate choice of antimicrobials is essential. Hence, this study aims to identify theprevalence of Escherichia coli in childhood urinary tract infections. Methods: This was a hospital based descriptive cross-sectional study conducted in Nobel MedicalCollege, Biratnagar over a period of one year. A total of 163 cases aged 1-15 years were included andclinical profile, laboratory reports including bacterial isolates in urine cultures and their sensitivitypatterns were documented. Results: The prevalence of Escherichia coli is 45 (53.57%) C.I. Escherichia coli was the most commonorganism isolated in bacterial cultures followed by Klebsiella 12 (14.29%), Enterococcus 10 (11.90%).Urinary tract infection was common among females with male: female ratio of 1:2.3. Fever 152(93.2%) and abdominal pain 113 (69.3%) were the most common presenting symptoms. Escherichiacoli was found most sensitive to Nitrofurantoin 43 (95.5%) followed by Ciprofloxacin 41 (91.1%) andAmikacin 40 (88.8%). Conclusions: Urinary tract infections in childhood require prompt attention and treatment to preventsignificant morbidity and mortality. From this study it can be concluded that Escherichia coli is oneof the most common isolates in urine culture and Aminoglycosides and Fluoroquinolones can beaccepted as empirical treatment regimens for childhood Urinary tract infections.


2021 ◽  
Vol 8 (10) ◽  
pp. 522-526
Author(s):  
Bhavani Shankar Rokkam ◽  
Chowdary Babu Menni ◽  
Ramu Pedada ◽  
Deepak Kumar Alikana

BACKGROUND Urinary tract infections (UTI) constitute a common cause of morbidity in infants and children. When associated with abnormalities of urinary tract, they may lead to long-term complications including renal scarring, loss of function and hypertension. Most urinary tract infections remain undiagnosed if investigations are not routinely performed to detect them. Prompt detection and treatment of urinary tract infections and any complicating factors are important. The objective of the study is to know the clinical, epidemiological and bacteriological profile (i.e. clinical signs and symptoms, age, sex, family history, associated urinary tract abnormalities, & causative organisms) of urinary tract infections in febrile children with culture positive urinary tract infection. METHODS This descriptive, cross sectional observational study was conducted at outpatient clinics of our “child health clinics” between May 2016 and April 2017 (one year). All children aged 0 to 12 years with culture positive urinary tract infections were included in this study to evaluate the clinical, epidemiological and bacteriological profile. RESULTS A total of 69 children with culture positive urinary tract infections were included in this study. Out of 69 children included in this study, 36 (52.2 %) were females and 33 (47.8 %) were males. Overall female preponderance was seen and the M: F ratio was 0.9:1. But during first year of life in our study group we had more boys (10, 14.49 %) affected with urinary tract infection than girls. 49.3 % of urinary tract infections in the present study belonged to lower socio-economic status. Most common organism causing urinary tract infection in our group was E. coli (56.5 %). Fever (100 %), anorexia or refusal of feeds (52.2 %), dysuria (46.4 %), vomiting (46.4 %) and abdominal pain (39.1 %) were the predominant clinical manifestations observed in our study. CONCLUSIONS Urinary tract infection is a common medical problem in children and it should be considered as a potential cause of fever in children. As febrile children with urinary tract infection usually present with non-specific signs and symptoms, urine culture should be considered as a part of diagnostic evaluation. KEYWORDS Urinary Tract Infections (UTI), Febrile Children, Bacteriological Profile, Urine Culture


2013 ◽  
Vol 53 (2) ◽  
pp. 70
Author(s):  
Meirina Daulay ◽  
Rosmayanti Siregar ◽  
Oke Rina Ramayani ◽  
Supriatmo Supriatmo ◽  
Rafita Ramayati ◽  
...  

Background Urinary tract infection (UTI) is the most commoncause of fever in children. Less frequent disposable diaper changingis thought to be a cause ofUTI in children. While wearing a diapei;the perinea! area becomes damp with urine allowing bacteria tomigrate from the anus to the external urethral orifice.Objective To assess for an association between the frequencyof disposable diaper changing and urinary tract infections inchildren.Methods This cross-sectional study was conducted in thechildren's outpatient clinic of Haji Adam Malik Hospital fromApril to June 2010. Urine culture was performed in children withsuspected UTI who wore disposable diapers every day. Subjects'ages ranged from 2 months to 2 years 6 months, with samplesmatched and collected by consecutive sampling. Diagnosis ofUTIwas based on urine cultures with bacterial count 2:: 105/mL. Eightychildren were followed in this study and divided into two groups:positive (n=40) and negative (n=40) urine cultures. Chi squaretest was use d to analyze the association between the frequency ofdaily disposable diapers changing during a one week period andthe urine culture results.Results The frequency of daily disposable diapers changing in80 subjects was as follows: < 4 times (22.5%), 4-5 times (40%),and 2::6 times (37.5%) . The frequency of daily disposable diaperchanging in children with positive urine culture was as fo llows:< 4 times (1 8 out of 40), 4-5 times (22 out of 40), and 2::6 times(O out of 40); (P < 0.0001). The most common bacterial speciesfound in urine cultures was Escherichia coli.Conclusion Lower frequency of daily disposable diaper changingis significantly associated with higher UTI incidence in children.


2021 ◽  
Vol 9 (2) ◽  
pp. 131-137
Author(s):  
Putra Rahmadea Utami

 Urinary tract infection (UTI) is the second largest infection after respiratory infection and can cause sepsis. Urinary tract infections occur due to the entry of microorganisms in the urinary tract. The urinary tract that is usually infected is the urethra (urethritis), bladder (cystisis), ureter (ureteristis), kidney tissue (pyelonephritis). This study aims to determine the sensitivity and specificity of the diagnostic test of nitrite examination with urine culture in suspected urinary tract infections. The method of this study is a descriptive-analytical study with a cross-sectional retrospective approach, conducted in the STIKes field laboratory with the population studied in this study were all patients diagnosed with urinary tract infection with a sample size of 50 samples. The results of this study showed positive nitrite results as many as 17 people, 34% percentage, and negative nitrite results as many as 33 people with a percentage of 66% and on urine culture examination obtained positive results as many as 17 people with a percentage of 34%, which results in growth of bacterial colonies on cultures> 100,000 CFU / mL and negative results of 33 people with a percentage of 66%. Sensitivity Results 82%, Specificity 90.9%. The conclusion of this study is the value of sensitivity, high specificity so that the nitrite test with urine culture can be applied to help diagnose UTI.


2019 ◽  
Vol 68 (5) ◽  
pp. 115-122
Author(s):  
Alexandra M. Khudovekova ◽  
Elena V. Mozgovaya

A urinary tract infection (UTI) during pregnancy remains one of the most important problems of obstetrics, urology, and nephrology. Pregnancy as physiological process contributes to UTI. This is caused by urinary clinical signs changing during pregnancy, approaches to diagnosis and treatment, as well as to the risk of developing urological, obstetric and neonatal complications. This article analyzes contemporary literature over the past 10 years.


Author(s):  
Kumari Sadhvi ◽  
Varsha Kose

Background: Urinary tract infections (UTI) are one of the most frequent human bacterial infections, causing substantial morbidity and mortality, with nearly 150 million cases globally per year. The prevalence of UTI (including both asymptomatic bacteriuria and symptomatic infection) in pregnant women in India is reported to range from 3% to 24%. This infection must be adequately diagnosed and efficient treatment must be initiated to prevent maternal and perinatal morbidity.Methods: This was a hospital based cross sectional study. 625 ante natal women recruited during first visit attending antenatal care outpatient department (ANC OPD). We tested their clean catch mid-stream urine sample for routine, microscopic and culture sensitivity test.Results: Out of 625 antenatal women frequency of urinary tract infection was 16.2%. 17% women were symptomatic having one or more symptoms indicative of urinary tract infection and 83% women were asymptomatic. Among symptomatic women, 92.5% women showed culture positivity for one or more bacteria whereas in asymptomatic women, culture was positive in 10.8%. E. coli followed by Klebsiella were the most common isolate identified in both symptomatic and asymptomatic women. On antibiotic sensitivity testing, we found good overall sensitivity of bacteria to commonly used antibiotics such as nitrofurantoin, and norfloxacin but resistant to ampicillin was observed in all women. UTI adversely affects the mother like pyelonephritis, preterm labour and preterm baby and its complications.Conclusions: It is important to identify presence of UTI during pregnancy by doing urine routine and culture sensitivity test in all antenatal women and administration of appropriate antibiotic to affected women so as to reduce the morbidity both in mother and baby.


2012 ◽  
Vol 3 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Shahla Afsharpaiman ◽  
Fatemeh Bairaghdar ◽  
Mohammad Torkaman ◽  
Zohreh Kavehmanesh ◽  
Suzan Amirsalari ◽  
...  

2012 ◽  
Vol 3 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Shahla Afsharpaiman ◽  
Fatemeh Bairaghdar ◽  
Mohammad Torkaman ◽  
Zohreh Kavehmanesh ◽  
Suzan Amirsalari ◽  
...  

2018 ◽  
Vol 2 (3) ◽  
pp. 152
Author(s):  
Yosi Suryarinilsih ◽  
Defiroza ◽  
Melsy Aulia

ABSTRAKLatar Belakang: Infeksi Saluran Kemih (ISK) merupakan salah satu infeksi nasokomial yang dapat dialami pasien rawat di rumah sakit. Salah satu faktor penyebabnya bisa dari penggunaan kateter. Tujuan Penelitian: mengetahui lamanya penggunaan kateter dengan kejadian infeksi saluran kemih. Metode: Jenis penelitiannya adalah deskriptif analitik dengan pendekatan cross sectional study. Jumlah sampel 44 orang yang ditentukan dengan cara purposive sampling dengan kriteria responden adalah pasien rawat yang dipasang kateter saat baru masuk RS dengan diagnosis utama bukan infeksi saluran kemih. Izin etik panelitian diperoleh sebelum pengambilan data dilakukan. Pengumpulan data dilakukan dari 22 Juni-22 Juli 2015 dengan menggunakan lembar observasi dan pemeriksaan spesimen urin responden ke laboratorium. Data dianalisis secara univariat dan bivariate dengan uji chi square. Hasil: ditemukan 43,2% responden mengalami ISK, dari lamanya penggunaan kateter responden, 40,9% tidak sesuai aturan (lebih 7 hari) dan terdapat hubungan bermakna antara lamanya penggunaan kateter dengan kejadian infeksi saluran kemih (p<0,001). Kesimpulan: Pengunaan kateter yang lama memiliki hubungan yang bermakna dengan terjadinya infeksi saluran kemih pada pasien. Hasil penelitian ini dapat dijadikan dasar bagi perawat ruangan dalam merencanakan intervensi pengawasan dan penggantian kateter secara periodik bagi pasien.Kata kunci: Kateter, infeksi saluran kemih, rumah sakit, urinalisisDURATION OF CATETER USE AND INCIDENCE OF URINARY TRACT INFECTION IN PATIENTS WITH INDWELLING CATHETERABSTRACTBackground: Urinary Tract Infection (UTI) is one of the nosocomial infections that can be experienced by hospitalized patients. One of the causes is the use of catheters. Objective: To identify the duration of catheter use and the incidence of urinary tract infections. Methods: The research is descriptive analytic with cross sectional study approach. The number of samples was 44 people whom were taken using purposive sampling. The criterion of respondent was patient with an indwelling catheter when they were newly admitted to the hospital with a primary diagnosis of not having urinary tract infection. Ethical approval for the research was obtained before data were collected. The data were collected from 22 June 2015 to 22 July 2015 by using observation sheets and examining respondents ’urine specimens in the laboratory. They were analyzed through univariate and bivariate using chi square test. Results: 43.2% of respondents had UTI, 40.9% did not comply with the rules (more than 7 days) in terms of the duration of catheter use, and there was a significant correlation between the duration of catheter use and incidence of urinary tract infection (p<0.001). Conclusion: Prolonged catheter use has a significant correlation with the incidence of urinary tract infection in patients. The results of this research can be used as a basis for ward nurses in planning periodic supervision and catheter replacement interventions for patients.Keywords: catheter, urinary tract infection, hospital, urinalysis


2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Taqi Mohammed Jwad Taher ◽  
Firas Turki Rashed Sarray ◽  
Ammar Shimal Shwekh ◽  
Tariq Kuraidi Mareedh ◽  
Hasanain Faisal Ghazi

  Introduction: Urinary tract infection is a very prevalent disease among humans and it is highly presented among patients with diabetes mellitus. The main aim of the current study was to find out the commonest bacterial organisms causing urinary tract infection among a sample of diabetic and non-diabetic patients in Al-Kut city, Iraq. Methods: A cross-sectional study was conducted among 100 conveniently sampled patients suffering from urinary tract infections and attending Al-Karama Teaching hospital laboratory for urine culture between October and December 2019 were included in the study. The patients were consented to answer a special questionnaire containing data like patients' age, gender, and disease status (diabetic or non-diabetic). Results: From the 100 participated patients there were 29 (29%) with diabetes and the remaining 71(71%) from the sample were non-diabetics. The females represent the majority of the sample (67%) while males represented only (33%). The most common identified bacteria from this sample were Staphylococcus aureus (48%), Escherichia coli (24%), Klebsiella pneumoniae (17%), Enterococcus species (5%), and Pseudomonas aeruginosa (2%). The study result shows a significant association of being diabetic or not >0.001, 0.038with age and gender of the patients (p-value) respectively. While this association was non-significant when considering the type of bacteria between the two . While this association was non-significant when considering the groups (P-value=0.056).type of bacteria between the two groups (P-value=0.056). Conclusion: The urinary tract infection is frequently presented among young non-diabetic females and near half of the urine cultures showed the Staphylococcus aureus bacteria as the commonest cause of infection among them.


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