Bacterial Pattern and Risk Factors Associated with Urinary Tract Infection in Secondary School Going Girls in Dhaka City
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 4
Abstract
Background: Urinary tract infection is one of the most common bacterial infection in children. During adolescence, the incidence of UTI increases significantly in young women while remain constant in young men. Asymptomatic bacteriuria is also more common in female. Antibiotic resistance has become an important factor to be considered in the treatment of UTI. There are several risk factors of UTI in both symptomatic and asymptomatic bacteriuria in school going girls in these age group. Materials & Methods: Midstream urine samples were collected from 200 school going girls of four secondary school spreading in four Thana of Dhaka city by random sampling. Each specimen was cultured on Mac Conkeys and Chromogenic media including microscopic examination. The inoculated plates were incubated at 37OC aerobically for 24 hours. Antibiotic susceptibility testing of the isolates was also assessed. Risk factors like toilet training (wiping back to front), voiding during school time, incomplete evacuation, constipation, using unhygienic menstrual cloth during menstruation and tight jeans were evaluated. Results: Prevalence of UTI was 9% of culture positive 18 cases with significant colony count > 105 /ml. Among them 4% were symptomatic UTI and 5% were asymptomatic bacteruria. Esch. coli was found to be the most predominant pathogen 44% followed by Klebsiella spp. (17%), Enterobacter spp. (17%), Enterococci spp. (17%) and Proteus spp.(5%). Amoxycillin, cotrimoxazole and cephradine were the common resistant antibacterial agent among isolates. There was significant association of UTI with risk factors like toilet training (wiping back to front), constipation, using unhygienic cloth during menstruation and wearing tight pants (Jeans). Conclusion: Frequency of UTI was 9% in secondary school going girls. Among them 4% were symptomatic UTI and 5% were asymptomatic bacteriuria. Risk factors like toilet training (wiping from back to front), constipation, unhygienic sanitary cloth during menstruation and using tight jeans pant were associated with UTI. Gram negative bacteria were more common and there were high level of resistance to Amoxycillin, cotrimoxazole and cephradine of the isolated organism.
Authors and Affiliations
Dr. Md. Asaduzzaman
Keywords
Related Articles
- EP ID EP512912
- DOI -
- Views 28
- Downloads 0
Risk Factors Associated w ith Suicide Attempters Admitted t o Tertiary Care Hospital
Background: The present study is conducted based on the case record analysis for the risk factors associated with suicide attempts in patients who were admitted to a hospital for attempting suicide which...
RMNCH+A – An Update
India is the second populous country of the world after China. India’s population has already reached 1.26 billion and with a high decadal growth rate of 17.64, the country’s population may surpass that of China by 2028....
Screening for Depression among Adolescents using Child Adolescent Psychiatric Screening (CAPS) Tool
Depression is one of the most important mental health problems among adolescents. A cross sectional study was conducted in a government school of Pathanamthitta district. The study population was adolescent students stud...
To Study the Outcome of Bowman’s Probing for Congenital Nasolacrimal Duct Obstruction in Children under two years of Age
Aim- To determine the success rate of probing for congenital nasolacrimal duct obstruction in children under 2 years of age and to compare success rate of early and late probing in such children. Material and Methods- Th...
Knowledge Regarding STI RTI Services among Interns in Government Vellore Medical College March to June 2017
Introduction: Sexually Transmitted Infection and Reproductive Tract Infection (STIs/RTIs) is one of the important public health problems in India. NFHS 3 survey found 11% of women and 5% of men in 15-49 years had STI/RTI...