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乌干达布申伊区医院就诊患者中细菌性尿路感染的患病率及相关因素

Prevalence of Bacterial Urinary Tract Infections and Associated Factors among Patients Attending Hospitals in Bushenyi District, Uganda.

作者信息

Odoki Martin, Almustapha Aliero Adamu, Tibyangye Julius, Nyabayo Maniga Josephat, Wampande Eddie, Drago Kato Charles, Agwu Ezera, Bazira Joel

机构信息

Department of Microbiology and Immunology, Faculty of Biomedical Sciences, Kampala International University Western Campus, P.O. Box 71, Bushenyi, Kampala, Uganda.

Department of Microbiology and Immunology, College of Health, Medicine and Life Sciences, St. Augustine International University, P.O. Box 88, Kampala, Uganda.

出版信息

Int J Microbiol. 2019 Feb 17;2019:4246780. doi: 10.1155/2019/4246780. eCollection 2019.

DOI:10.1155/2019/4246780
PMID:30906323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6397969/
Abstract

Urinary tract infections (UTIs) are one of the major causes of morbidity and comorbidities in patients with underlying conditions, and it accounts for the majority of the reasons for hospital visit globally. Sound knowledge of factors associated with UTI may allow timely intervention that can easily bring the disease under control. This study was designed to determine the prevalence of UTI by isolating and characterizing the different bacterial etiological agents and to evaluate the factors associated with UTI. In this cross-sectional study, a total of 267, clean catch midstream urine (MSU) samples were collected aseptically and analyzed using standard microbiology methods. Data for the factors associated with UTI were obtained by use of questionnaires and standard laboratory tests for selected underlying conditions. The study revealed 86/267 (32.2%) UTI prevalence among patients attending hospitals in Bushenyi District, Uganda. was the most prevalent bacterial uropathogen with 36/86 (41.9%) followed by 27/86 (31.4%), 10/86 (11.6%), 6/86 (7.0%), 3/86 (3.5%), 3/86 (3.5%), and 1/86 (1.2%). This study has demonstrated that age ≤19 years, female gender, married individuals, genitourinary tract abnormalities, diabetes, hospitalization, indwelling catheter <6 days, and indwelling catheter >6 days had statistically significant relationships ( < 0.05) with UTI. Screening for UTI in hospitalized patients, female gender, married individuals, genitourinary tract abnormalities, indwelling catheter, and diabetics should be adopted.

摘要

尿路感染(UTIs)是有基础疾病患者发病和合并症的主要原因之一,也是全球患者就诊的主要原因。深入了解与尿路感染相关的因素有助于及时进行干预,从而轻松控制病情。本研究旨在通过分离和鉴定不同的细菌病原体来确定尿路感染的患病率,并评估与尿路感染相关的因素。在这项横断面研究中,共无菌采集了267份清洁中段尿(MSU)样本,并采用标准微生物学方法进行分析。通过问卷调查和针对选定基础疾病的标准实验室检测,获取与尿路感染相关因素的数据。该研究显示,乌干达布申伊区就诊患者中尿路感染患病率为86/267(32.2%)。 是最常见的细菌病原体,占36/86(41.9%),其次是 占27/86(31.4%), 占10/86(11.6%), 占6/86(7.0%), 占3/86(3.5%), 占3/86(3.5%), 占1/86(1.2%)。本研究表明,年龄≤19岁、女性、已婚者、泌尿生殖道异常、糖尿病、住院、留置导尿管<6天和留置导尿管>6天与尿路感染存在统计学显著关系(<0.05)。应针对住院患者、女性、已婚者、泌尿生殖道异常者、留置导尿管者和糖尿病患者进行尿路感染筛查。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cce/6397969/f440ba28831f/IJMICRO2019-4246780.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cce/6397969/f440ba28831f/IJMICRO2019-4246780.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4cce/6397969/f440ba28831f/IJMICRO2019-4246780.001.jpg

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