Studies on the Prevalence and Etiology of Pelvic Inflammatory Disease Among Women Attending Primary Health Centers in Sokoto Metropolis

A. Kasarawa, S. S. Mainasara, I. Salau
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Abstract

Pelvic Inflammatory Disease (PID) is an inflammation of the uterus, fallopian tube, and ovaries as it progresses to scar leading to infertility and other reproductive problems. This research work was conducted to determine the etiology, antibiogram and prevalence of pelvic inflammatory disease among women attending Public Health Centres in Sokoto metropolis. The main objective of the study is to isolate the pathogens and determine the antibiotics sensitivity pattern and prevalence age of the Disease among the patients diagnosed with PID. 155 PID patients that were sorted by age and month were diagnosed within the year 2020. Laboratory assay on the etiology and antibiogram were carried out. From the total (155) patients diagnosed with PID in this study, thirty-three (33) were within the age of 15-20, forty-one (41) were between the ages of 21-25 and fifty-five (55) were between the age ranges of 26-30. The least (26) were between ages of 36 and 40. The highest prevalence age (35.5%) in this study were observed to fall between the ages of 26-30 then followed by forty-one patients (26.5%) prevalence that were between the ages of 21-25. The least in occurrence were 26 patients (8.4%) that were between the age range of 36 and 40. Similarly, the results obtained from this study revealed that there were 77 (49.67%) recorded in the first quarter of the year 2020. This was then followed by 48 (30.97%) patients in the last quarter. The least occurrence of PID patients 30 (19.35%) were diagnosed in the second quarter of the same year. The pathogens consistently identified to be associated with the disease were Neisseria gonorrhea and ciprofloxacin was the most sensitive on antibiogram. The factors responsible were poor personal hygiene, environmental pollution and unsanitary conditions of the toilets. It is recommended that patients should regularly visit health facilities for routine diagnosis of PID and ciprofloxacin and Broad spectrum antibiotics were the most efficacious for use in this study in the treatment of Pelvic inflammatory Disease.
索科托市初级保健中心妇女盆腔炎患病率及病因学研究
盆腔炎(PID)是一种子宫、输卵管和卵巢的炎症,当它发展成疤痕时,会导致不孕和其他生殖问题。进行这项研究工作是为了确定在索科托大都会公共卫生中心就诊的妇女盆腔炎的病因、抗生素谱和患病率。本研究的主要目的是分离病原菌,确定诊断为PID的患者的抗生素敏感性模式和患病率年龄。在2020年内诊断出155例按年龄和月份分类的PID患者。对病原菌进行病原学分析和抗生素谱分析。在本研究中诊断为PID的155例患者中,33例(33)年龄在15-20岁之间,41例(41)年龄在21-25岁之间,55例(55)年龄在26-30岁之间。年龄在36 - 40岁之间的人数最少(26人)。本组病例中,发病率最高的年龄为26 ~ 30岁(35.5%),其次为21 ~ 25岁的41例(26.5%)。年龄36 ~ 40岁的26例(8.4%)发生率最低。同样,本研究的结果显示,2020年第一季度记录了77起(49.67%)。随后在最后一个季度有48例(30.97%)患者。盆腔炎发生率最低的患者30例(19.35%)于同年第二季度确诊。一致确定与该病相关的病原体为淋病奈瑟菌,环丙沙星对抗生素谱最敏感。个人卫生差、环境污染和厕所不卫生是造成这种情况的原因。建议患者应定期到卫生机构进行盆腔炎常规诊断,本研究中使用环丙沙星和广谱抗生素治疗盆腔炎最有效。
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