Case Report

Spectrum of Urinary Tract Infection and Antibiogram among College Students

Authors: Moses Nnaemeka Alo, Uchenna I Ugah, Favour Ugochi Anosike, Charles Chinyere Dike.

DOI: 10.33425/3065-565X.1008

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Abstract

Urinary Tract Infection (UTI) is one of the most common infections in humans both in the community and hospital settings and is the cause of morbidity and mortality among the populace. The study was conducted to assess the prevalence of Urinary Tract Infection among undergraduate students. The study was carried out at Federal University Ndufu Alike Ikwo, within the period of April, 2016 to June, 2016. Twenty milliliter of clean catch mid stream urine was collected from 390 students (219 females and 171 males) within the age range of 17-40. 0.02ml of each urine sample was inoculated onto different bacteriological media and incubated at 370C for 24 hours. The results indicated that the overall prevalence of urinary tract infection in the area was 62.8%. However, the prevalence rate was significantly higher in females than in males (females: 52.4%; males: 41.8%; P = 0.009), hence the χ2test for trend results showed significant variations (P<0.05) between the female to male ratio variables. The most frequently isolated species was E. coli (49.0%) followed by Klebsiella species (17.1%), Proteus species (13.5%), Staphylococcus aureus (8.2%), and Pseudomonas aeruginosa (7.3%), Enterococcus faecalis (4.9%). Students within ages 21-24 (62.4%) had the highest prevalence while students in 200 level (28.2%) had the highest prevalence rate of Urinary Tract Infections. The isolates were subjected to susceptibility test using the commonly used antibiotics in the University Clinic and the results revealed that Gentamycin was the most effective antibiotic against most isolates followed by Augmentin and Peflacin. In contrast, Septrin, Ampicillin, Ceporex, Streptomycin, Ciprofloxacin, Tarivid and Nalidixic acid were the antibiotics to which most of the isolates developed resistance. There is therefore need to monitor the profile of etiological agents of Urinary Tract Infection and the antimicrobial resistance regularly to keep track of effectiveness of therapeutic agents.

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