Study on urinary tract infection among females of reproductive age group in a rural area of Kancheepuram district, Tamil Nadu
DOI:
https://doi.org/10.18203/2394-6040.ijcmph20174274Keywords:
Bacteriuria, Women, Urinary pathogensAbstract
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.
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References
Pushpalatha KS. Urinary tract infection and management. J Nighting Nursing Times. 2008;4(5):28-32.
Hotchandani R, Aggarwal KK. Urinary Tract Infections in Women. Indian J Clin Practice. 2012;23(4):187-94.
Vasudevan R. Urinary tract infection: an overview of the infection and the associated risk factors. J Microbiology Exp. 2014;1(2):1-5.
Gonzalez CM, Schaeffer AJ. Treatment of urinary tract infection: what’s old, what’s new, and what works. World J Urol. 1999;17:372–82.
Stamm WE, Hooton TM. Management of urinary tract infections in adults. N Eng J Med. 1993;329:1328 –34.
Foxman B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. Disease-A-Month. 2003;49(2):53-70.
Anderson JE. Seasonality of symptomatic bacterial urinary infections in women. J Epidemiol Community Health. 1983;37(4):286-90.
Litza JA, Brill JR. Urinary tract infections. Primary Health Care. 2010;37(3):491-507.
Wilma JP. Shafers Medical Surgical Nursing. 7th edition. New Delhi: B.I. Publications; 2002: 637-640.
John AS, Mboto CI, Agbo B. A review on the prevalence and predisposing factors responsible for urinary tract infection among adults. Eur J Experiment Biol. 2016;6(4):7-11.
Chung A, Arianayagam M, Rashid, P. Australian Family Physician. 2010;39(5),295-8.
Smaill F, Vazquez JC. Antibiotics for asymptomatic bacteriuria in pregnancy. Cochrane Database Syst Rev. 2007;(2):CD000490.
Sheiner E, Mazor-Drey E, Levy A. Asymptomatic bacteriuria during pregnancy. J Maternal Fetal Neonatal Med. 2009;22:423-7.
Schieve LA, Handler A, Hershow R, Persky V, Davis F. Urinary tract infection during pregnancy: Its association with maternal morbidity and perinatal outcome. Am J Public Health. 1994;84:405-10.
Medina-Bambardo D, Segui-Diaz M, Roca-Fusalba C, Llobera J. The Dysuria Team. What is the predictive value of urinary symptoms for diagnosing urinary tract infection in women? J Family Pract. 2003;20:103–7.
Rubin RH, Shapiro ED, Andriole VT, Davis RJ, Stamm WE. Evaluation of new anti-infective drugs for the treatment of urinary tract infection. Clin Infect Dis. 1992;15(1):216–27.
Dwyer PL, O’Reilly M. Recurrent urinary tract infection in the female. Current Opinion Obstetr Gynaecol. 2002;14:537-43.
Hooton TM, Scholes D, Stapleton AE, Roberts PL, Winter C, Gupta K, et al. A prospective study of asymptomatic bacteriuria in sexually active young women. N Eng J Med. 2000;343:992-7.
Medina-Bombardo D, Jover-Palmer A. Does clinical examination aid in the diagnosis of urinary tract infections in women? A systematic review and meta-analysis. BMC Family Pract. 2011;12:111.
Naber KG, Schito G, Botto, H, Palou J. and Mazzei T. Surveillance study in Europe and Brazil on clinical aspects and Antimicrobial Resistance Epidemiology in Females with Cystitis (ARESC): implications for empiric therapy. Eur Urol. 2008;54(5):1164-75.
Nicolle LE. Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urologic Clin North Am. 2008;35(1):1-2.
Kant S, Lohiya A, Kapil A, Gupta SK. Urinary tract infection among pregnant women at a secondary level hospital in Northern India. Indian J Public Health. 2017;61(2):118.
Delzell JE, Lefevre ML. Urinary tract infections during pregnancy. Am Family Physician. 2000;61:713-21.
Rubin RH, Beam TR Jr, Stamm WE. An approach to evaluating antibacterial agents in the treatment of urinary tract infection. Clin Infect Dis. 1992;14 Suppl 2:S246-51.
Khattak AM, Khattak S, Khan H, Ashiq B, Mohammad D, Rafiq M. Prevalence of asymptomatic bacteriuria in pregnant women. Pakistan J Med Sci. 2006;22(2):162.
Shaifali I, Gupta U, Mahmood SE, Ahmed J. Antibiotic susceptibility patterns of urinary pathogens in female outpatients. North Am J Med Sci. 2012;4(4):163.
Subhashini N, Joby J, Latha A, Indira A. Assess the prevalence of urinary tract infection among patients admitted in tertiary care hospital at Nellore. Indian J Applied Res. 2016;2(6):865-6.
Hooton TM, Scholes D, Hughes JP, Winter C, Roberts PL, Stapleton AE, et al. A prospective study of risk factors for symptomatic urinary tract infection in young women. N Engl J Med. 1996;335(7):468-74.
Kolawole AS, Kolawole OM, Kandaki-Olukemi YT, Babatunde SK, Durowade KA, Kolawole CF. Prevalence of urinary tract infections (UTI) among patients attending Dalhatu Araf Specialist Hospital, Lafia, Nasarawa state, Nigeria. Int J Med Sci. 2010;1(5):163-7.
Nicolle LE. Asymptomatic bacteriuria: when to screen and when to treat. Infect Dis Clin North Am. 2003;17:367–94.