Prevalence of urinary tract infection among school going adolescent female

Ashmita Sapkota; Maheshwar Timilsina; Manisha Timsina; Pushpa Sharma; Suresh Jaiswal

Ashmita Sapkota School of Health and Allied Sciences, Pokhara University, Kaski, Nepal
Maheshwar Timilsina School of Health and Allied Sciences, Pokhara University, Kaski, Nepal
Manisha Timsina School of Health and Allied Sciences, Pokhara University, Kaski, Nepal
Pushpa Sharma School of Health and Allied Sciences, Pokhara University, Kaski, Nepal
Suresh Jaiswal School of Health and Allied Sciences, Pokhara University, Kaski, Nepal

Keywords: Urinary tract infection, Adolescence, Female, Antibiotic sensitivity test

Abstract

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.

DOI: http://dx.doi.org/10.5281/zenodo.3967884

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