鲁亨盖里转诊医院女性患者尿路感染评估

Ishimwe Alain Prudence, Ntezirizaza Evariste, Yamukujije Clementine, Migabo Hiberte, Uwamahoro Consolée, Tuyishime Jean De Dieu
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摘要

背景: 尿路感染(UTI)是由病原体异常生长引起的尿路炎症性疾病。众所周知,尿路感染会在短期内引起发烧、排尿困难和下腹痛(LAP),并可能导致肾脏永久性瘢痕。尿液中存在细菌,即细菌尿,可能表明尿路感染或定植,但也可能是由于收集标本时发生细菌污染所致。目的:本研究旨在确定导致女性患者尿道炎的细菌。研究方法:在 2021 年 10 月至 11 月的两个月期间,对鲁亨盖里转诊医院的女性患者进行了横断面研究。研究人员按照标准程序收集了要求进行尿检的患者的尿液样本。样本在 INES-Ruhengeri 微生物实验室进行处理和分析,并通过革兰氏染色、培养和生化测试进行微生物鉴定。根据发现的尿毒症患者的结果,对其进行结构化问卷调查,以确定相关的风险因素。 研究结果研究结果表明,从患者尿液样本中分离出了大肠杆菌、肺炎双球菌、铜绿假单胞菌、肠杆菌属和溶血性链球菌。在患者样本中分离到的细菌最少的是肠杆菌属和溶血性棒状杆菌,每种细菌的分离频率为 2(6.7)次。研究期间,在鲁亨盖里转诊医院就诊的女性患者尿路感染的相关风险因素,结果表明,每天两次冲洗秘密部位与尿路感染有关,P 值相当于 0.001。结论本研究旨在评估女性患者的尿道炎情况。研究结果表明,大肠杆菌、肺炎双球菌、铜绿假单胞菌、肠杆菌属和溶血性链球菌更容易在女性尿路中发现。研究结果还表明,不良的卫生生活方式会增加感染尿道炎的风险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of Urinary Tract Infections Among Female Patients Attending Ruhengeri Referral Hospital
Background:  Urinary tract infections (UTIs) are the inflammatory disorders of the urinary tract caused by the abnormal growth of pathogens. UTI is known to cause short-term morbidity in terms of fever, dysuria, and lower abdominal pain (LAP) and may result in permanent scarring of the kidney. The presence of bacteria in the urine, known as bacteriuria, may be indicative of infection or colonization of the urinary tract, but it may also be due to bacterial contamination occurring during collection of a specimen. Aim: The present study was done in order to identify the bacteria causing UTI from female patients. Methodology: A cross sectional study was conducted on female patients who were attending Ruhengeri Referral Hospital in a period of two months from October to November 2021. Urine samples were collected from patients who were requested to urinary test with respect to standard procedures. Samples were processed and analyzed at INES-Ruhengeri microbiology laboratory where gram stain and culture as well as biochemical test were performed in order to make microbial identification. From the results patients who were found with UTI, their structured questionnaire was taken into consideration in order to determine the associated risk factors.  Results: The outcomes of the study indicated that E.coli, K. pneumonia, P. aeruginosa, Enterobacter ssp and S. saprophyticus were isolated from patients urine sample where E. coli is more present in patients sample where it has been found at 60%(18) samples. The least isolated bacteria in patient’s samples are Enterrobacter spp and S. saprophyticus at frequency of 2(6.7) per each bacterium. The risk factor associated with urinary tract infection in female patients attended Ruhengeri-referral-hospital in a period of study, the results indicated that douching in secret parts twice a day is associated with UTI with P-value equivalent to 0.001. Conclusion: This study was intended to assess the UTI among female patients. The study findings indicated that E.coli, K. pneumonia, P. aeruginosa, Enterobacter ssp and S. saprophyticus are more likely to be found in urinary tract of female. The study finding has indicated also that poor hygienic life style increases the risk of being infected by UTIs.
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