Abstract
This study was to determine the bacteria that are prevalent in Urinary tract infections and the sensitivity of organisms isolated from the urine of adolescent and adult women of 8- 52 years old in Ogbete Coal camp in Enugu metropolis, south east Nigeria. A total of 218 individuals, both in and out patients were investigated, 197 (90.3%) women were diagnosed for Urinary tract infections. Therefore, incidence of UTI were prevalent in the age groups of 13-17 and 18-22, with P value (p=0.047 and S.D of ± 5.6). The microorganisms implicated in infection were bacteria, fungi, yeast and protozoa. Among the bacteria, two were identified as Gram positive cocci i.e. Staphylococcus aureus and Staphylococcus saprophyticus, while Gram negative bacilli were Escherichia coli, Klebsiella, Proteus, Pseudomonas aeruginosa. Yeast like fungus Candida albican, protozoan (Trichomonas vaginalis) was also identified. The isolated organism which was prevalent was Staphylococcus aureus (48.2%); followed by Escherichia coli (34.5%). Also, Pseudomonas aeruginosa, Proteus and Klebsiella were isolated. Factors responsible for frequent cases of Urinary tract infections among diagnosed women include shortness of urethra among the females, lack of personal hygiene, sexual intercourse, socio economic challenges in various homes and others. Sensitivity profiles revealed that Augumentin was highly susceptible to Staphylococcus aureus (65%) while Escherichia coli were highly resistant to commonly used drugs such as Ampicillin, and Cloxacillin while Gentamycin was the most active against bacteria isolates.
Highlights
Urinary tract infection (UTI) is an infection in any part of the urinary system – kidneys, ureters, bladder and urethra [1]
Out of the nine age groups represented in the table, positive bacterial isolates was prevalent in individuals between 18 -22, and 13-17 years
The bacterial species implicated in the urinary tract infections are Escherichia coli, Klebsiella sp, Staphylococcus saprophyticus, Staphylococcus aureus, Proteus mirabilis and Pseudomonas aeruginosa
Summary
Urinary tract infection (UTI) is an infection in any part of the urinary system – kidneys, ureters, bladder and urethra [1]. About 152 million people are diagnosed with urinary tract infections each year with morbidity of about 196,500 (WHO; 2017 [2]). Bacteria are the main causes of urinary tract infections among individual worldwide [7]. Urinary tract infections are commonly caused by bacteria such as Escherichia coli, Klebsiella sp, Proteus, Enterococcus faecalis, and Enterobacter, Pseudomonas aeruginosa, Staphylococcus aureus. Poor hygiene, low economic status, are some risk factors that predispose adolescent and adult women with urinary tract infections [9]. Knowledge about the type of pathogens responsible for Urinary tract infections and their susceptibility patterns may help clinicians to choose the right empirical treatment [11]. This study aims to determine the bacteria that are prevalent in urinary tract
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