COMPARATIVE ANALYSIS OF URINARY TRACT INFECTIONS AMONG UNIVERSITY STUDENTS, BOYS AND GIRLS

ANI, P. N., C. J. Iroebgule, C. C. Ezejiofor
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Abstract

Urinary tract infection (UTI) represents a serious health problem. The severity of urinary tract infection depends both on the virulence of the bacteria and the susceptibility of the host. The aim of this study was to determine the prevalence of urinary tract infection and demographic differentials among students, and also to treat effectively the infection, prevent urosepsis and reduce the likelihood of renal damage and provide symptomatic relief to patients. The objectives were to determine the proportion of students who have UTI, identify the common causative organism and to determine difference in UTI occurrence among students based on demographic variables. Ten students within the period of study were investigated. Personal data were collected using a structured questionnaire. Early morning midstream clean urine samples were collected from all participants who were willing to participate for analysis of UTI. Urine samples were cultured using standard loop technique on blood agar, cystein lactose electrolyte deficient medium agar and macconkey agar. Gram staining and biochemical test. After subculture the isolates were both Gram negative and positive, catalase test positive, oxidase test negative, citrate test negative, coagulase test positive, indole test negative. Total colony counts in the samples from the girls 68 105, 99 105, 21 103, 0 1 , 34 5. Then from the boys were 14 2 21 104, 18 103, 14 102, 0 101. Sensitivity test were carried out using Kirby-bauer method (disck diffusion method). The organisms were tested with antibiotics disc. . The tests were carried out on Mueller-Hinton agar, and incubated for 37degree celcius for 24hrs. All the bacteria were screened against Nitrofurantoin ceftriaxone, ciprofloxacin, gentamicin, ofloxacin, augmentin, pefloxacin, clarithromycin, chloramphenicol, ampicillin,. three ( 3 ) out of all the antibiotics bacteria that was isolated were sensitive to Nitrofurantoin, ampicillin, ciprofloxacin, While 5 were resistant to the other five (5) antibiotics , ceftriaxone, gentamicin, ofloxacin, augumentin, pefloxacin, clarithromycin, chloramphenicol. Nitrofuration, ciprofloxacinand Ampicilin showed the highest zone of inhibition in the urine sample analysis .by calculating the mean of inhibition zone diameters in replicate plates. Conclusion the general results show that Screening for UTI is important in every students. Based on the results Nitrofurantoin and ciprofloxacin, and ampicillin are the drug of the choice due to high resistant rate to the commonly used antibiotic we highly recommend it since is the most sensitive antibiotic and should be used.
大学生、男生和女生尿路感染的比较分析
尿路感染是一种严重的健康问题。尿路感染的严重程度取决于细菌的毒力和宿主的易感性。本研究的目的是了解学生尿路感染的患病率和人口统计学差异,并有效治疗感染,预防尿脓毒症,减少肾损害的可能性,并为患者提供症状缓解。目的是确定患有尿路感染的学生比例,确定常见的致病微生物,并根据人口统计学变量确定学生中尿路感染发生率的差异。研究期间对10名学生进行了调查。使用结构化问卷收集个人资料。收集所有愿意参加尿路感染分析的参与者清晨中游干净尿液样本。采用标准环法在血琼脂、半胱氨酸乳糖电解质缺乏培养基琼脂和麦康基琼脂上培养尿样。革兰氏染色及生化试验。继代培养后革兰氏阴性和阳性,过氧化氢酶试验阳性,氧化酶试验阴性,柠檬酸试验阴性,凝固酶试验阳性,吲哚试验阴性。女孩样本菌落总数分别为68 105、99 105、21 103、0 1、34 5。男生分别为14 2 21 104、18 103、14 102、0 101。采用Kirby-bauer法(圆盘扩散法)进行敏感性试验。用抗生素盘对这些微生物进行了检测。实验在muller - hinton琼脂上进行,37℃孵育24h。所有细菌对呋喃妥因、头孢曲松、环丙沙星、庆大霉素、氧氟沙星、augmentin、培氟沙星、克拉霉素、氯霉素、氨苄西林、。其中对呋喃妥因、氨苄西林、环丙沙星3株敏感,对头孢曲松、庆大霉素、氧氟沙星、奥古汀、培氟沙星、克拉霉素、氯霉素5株耐药。硝基化、环丙沙星和氨苄西林在尿样分析中显示出最高的抑制区。通过计算重复板中抑制区直径的平均值。结论总体结果表明,UTI筛查对每个学生都很重要。结果硝基呋喃妥因、环丙沙星、氨苄西林对常用抗生素耐药率高,推荐使用,是最敏感的抗生素,应使用。
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