Prevalence of urinary tract infection among school going adolescent female
Background: Urinary Tract Infection (UTI) is a serious health problem affecting millions of people especially females in developing countries like Nepal. The prevalence of UTI is higher during adolescence, a period in which hormonal changes favor vaginal colonization by nephrogenic strains of bacteria, which can migrate to the periurethral area and cause urinary tract infection. Aim: To determine the prevalence of UTI and to find out their antimicrobial susceptibility profile among adolescent female students of Lekhnath community. Methods: A cross-sectional study was conducted at two schools i.e. Brahma Rupa and Universe English Boarding School of Lekhnath community. A total 170 clean catch mid-stream urine samples were collected for routine examination, culture and sensitivity test were done from August 2018 to December 2018. A structured questionnaire was used to obtain the demographic profile, symptoms, treatment history, and hygiene practices. Results: Out of 170 urine samples 7 (4.12%) were positive for pathogenic organisms. Various uropathogens, Escherichia coli was predominant, constituted for 42.86% followed by Enterococcus (28.56%), Staphylococcus saprophyticus (14.29%) and Staphylococcus aureus (14.29%). Most of the organisms isolated were sensitive to Ciprofloxacin (100%) and Gentamicin (85.71%). Poor menstrual hygiene practices were found to be one of the contributing factors for UTI. Conclusions: UTI is a common problem of adolescence causing much discomfort, therefore it needs careful investigations. Frequent education about hygiene and sanitation practices during menstruation in this regard will prevent asymptomatic UTI.
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