Bacteriuria and urinary schistosomiasis in primary school children in rural communities in Enugu State, Nigeria, 2012.

Autor:	Ossai OP; Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), Abuja, Nigeria., Dankoli R; Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), Abuja, Nigeria., Nwodo C; Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), Abuja, Nigeria., Tukur D; Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria., Nsubuga P; Global Public Health Solutions, Atlanta, USA., Ogbuabor D; Department of Community Medicine, University of Nigeria, Nsukka, Nigeria., Ekwueme O; Department of Community Medicine, University of Nigeria, Nsukka, Nigeria., Abonyi G; Department of Community Medicine, University of Nigeria, Nsukka, Nigeria., Ezeanolue E; Department of Paediatrics, University of Nevada School of Medicine, USA., Nguku P; Nigeria Field Epidemiology and Laboratory Training Programme (NFELTP), Abuja, Nigeria., Nwagbo D; Department of Community Medicine, University of Nigeria, Nsukka, Nigeria., Idris S; Department of Community Medicine, Ahmadu Bello University, Zaria, Nigeria., Eze G; Ministry of Health, Enugu State, Southeast, Nigeria.
Jazyk:	angličtina
Zdroj:	The Pan African medical journal [Pan Afr Med J] 2014 Jul 21; Vol. 18 Suppl 1, pp. 15. Date of Electronic Publication: 2014 Jul 21 (Print Publication: 2014).
DOI:	10.11694/pamj.supp.2014.18.1.4169
Abstrakt:	Introduction: According to a study conducted in1989, Enugu State has an estimated urinary schistosomiasis prevalence of 79%. Recently, studies have implicated bacteriuria co-infection in bladder cancer. These bacteria accelerate the multi-stage process of bladder carcinogenesis. Knowledge about the prevalence of this co-infection is not available in Enugu and the information provided by the 1989 study is too old to be used for current decision making. Methods: We carried out a cross-sectional survey of primary school children aged 5-15 years, who were randomly selected through a multi stage sampling method using guidelines recommended by WHO for schistosomiasis surveys. An interviewer administered questionnaire was used to collect data on demography, socioeconomic variables and clinical presentations. Urine samples were collected between 10.00am and 2.00pm. Each sample was divided into two: (A) for prevalence and intensity using syringe filtration technique and (B) for culture. Intensity was categorized as heavy (>50ova/10mls urine) and light (<50ova/10mls urine). Significant bacteriuria was bacteria count ≥ 105 colony forming units/ml of urine. Results: Of the 842 pupils, 50.6% were females. The prevalence of urinary schistosomiasis was 34.1%. Infection rate was higher(52.8%) among 13-15 years(Prevalence Ratio = 2.45, 95% Confidence Interval 1.63-3.69). Heavy infections wad 62.7% and egg count/10mls urine ranged from 21-1138. Significant bacteriuria among pupils with urinary schistosomiasis was 53.7% compared to 3.6% in the uninfected(PR = 30.8,95% CI 18.91- 52.09). The commonest implicated organism was Escherchia coli. Conclusion: We found high prevalence of bacteriuria co-infection among children with urinary schistosomiasis in Enugu State. This underscores the need for concurrent antibiotics administration and follow-up to avert later complications.
Databáze:	MEDLINE
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