Prevalence and Risk Factors of Bacterial Urinary Tract Infection among Adults with HIV AIDS in a Tertiary Healthcare Facility at Awka
INTERNATIONAL JOURNAL OF TREND IN SCIENTIFIC RESEARCH AND DEVELOPMENT, 7 (3):
557-568 (June 2023)Abstract
Urinary tract infections UTI are one of the most prominent bacterial infections responsible for morbidity and hospitalization in HIV positive individuals. Therefore a hospital based cross sectional study was conducted among 150 adult HIV AIDS patients attending Chukwuemeka Odumegwu Ojukwu University Teaching Hospital COOUTH a tertiary health care facility in Awka, Southeast Nigeria to determine the prevalence and risk factors of Bacterial Urinary Tract infection among Adults with HIV AIDS. Mid stream clean catch urine samples were collected and examined using standard microbiological and biochemical procedures. A semi structured questionnaire was used to obtain their Socio demographic and clinical data. Data entry and analysis were done using statistical package for social science SPSS , version 21 software and statistical significance was placed at P 0.05. Of the 150 examined urine samples, a total of 48 32 showed significant bacterial growth. Six 6 bacterial species were isolated. They include Escherichia coli 16 33.3 , Staphylococcus aureus 16 33.3 , Proteus mirabilis 2 4.2 , Klebsiella pneumoniae 3 6.3 , Enterococcus fecalis 4 8.3 and Pseudomonas aeruginosa 4 8.3 . The most predominant isolate was S.aureus 19 39.6 . Female participants had a higher prevalence of UTI 30 62.5 compared to their male counterpart 18 37.5 . However, there was no statistically significant association between UTI and gender P 0.05 . Statistically significant association exist between place of residence P=0.005411 , marital status P=0.0054 , educational level P=0.030914 , current UTI symptoms P= 0.00001 , history of catheterization P=0.00001 and Diabetes mellitus P=0.00001 status with UTI. Thus, it is established that living in a rural setting, being married, lack of formal education, history of catheterization and Diabetes mellitus are risk factors for UTI. This is an indication that sensitization and screening for treatment of UTI in all HIV infected patient is very imperative and desirous. Anyebe, M. | Anyamene, C. | Ezebialu C. U "Prevalence and Risk Factors of Bacterial Urinary Tract Infection among Adults with HIV/AIDS in a Tertiary Healthcare Facility at Awka" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-7 | Issue-3 , June 2023, URL: https://www.ijtsrd.com.com/papers/ijtsrd57421.pdf Paper URL: https://www.ijtsrd.com.com/biological-science/microbiology/57421/prevalence-and-risk-factors-of-bacterial-urinary-tract-infection-among-adults-with-hivaids-in-a-tertiary-healthcare-facility-at-awka/anyebe-m