Assessment of Urinary Tract Infections Among Female Patients Attending Ruhengeri Referral Hospital

  • Ishimwe Alain Prudence Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
  • Ntezirizaza Evariste Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
  • Yamukujije Clementine Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
  • Migabo Hiberte Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
  • Uwamahoro Consolée Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
  • Tuyishime Jean De Dieu Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Abstract

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.

Keywords: Urinary tract infections, Bacteria, Female patients

Downloads

Download data is not yet available.

Author Biographies

Ishimwe Alain Prudence, Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda
Ntezirizaza Evariste, Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

University Teaching Hospital of Kigali, Rwanda

Yamukujije Clementine, Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Migabo Hiberte, Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Uwamahoro Consolée, Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Tuyishime Jean De Dieu, Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

Ines-Ruhengeri, Faculty of Applied Fundamental Sciences, Department of Biomedical Laboratory Sciences, Rwanda

References

1. Ganzeboom, K. M., Uijen, A. A., Teunissen, D. T., Assendelft, W. J., Peters, H. J., Hautvast, J. L., & Van Jaarsveld, C. H. Urine cultures and antibiotics for urinary tract infections in Dutch general practice. Primary health care research & deve, 2019; 7(10), 23-34. https://doi.org/10.1017/S146342361800066X PMid:30168406 PMCid:PMC6536752
2. Smelov, V., Naber, K., & Johansen, T. E. B. Improved classification of urinary tract infection: future considerations. European Urology Supplements,2016; 15(4), 71-80. https://doi.org/10.1016/j.eursup.2016.04.002
3. Togan, T., Azap, O. K., Durukan, E., & Arslan, H. The prevalence, etiologic agents and risk factors for urinary tract infection among spinal cord injury patients. Jundishapur Journal of Microbiology,2014; 7(1), 15-23. https://doi.org/10.5812/jjm.8905 PMid:25147663 PMCid:PMC4138667
4. Nowicki, B. Urinary tract infection in pregnant women: old dogmas and current concepts regarding pathogenesis. Current Infectious Disease Reports,2014; 4(6), 529-535. https://doi.org/10.1007/s11908-002-0041-z PMid:12433330
5. Hart, A., Pham, T., Nowicki, S., Whorton Jr, E. B., Martens, M. G., Anderson, G. D., & Nowicki, B. J. Gestational pyelonephritis-associated Escherichia coli isolates represent a nonrandom, closely related population. American Journal of Obstetrics,2005; 14(22), 34-46.
6. Ntirenganya, C., Manzi, O., Muvunyi, C. M., & Ogbuagu, O. High prevalence of antimicrobial resistance among common bacterial isolates in a tertiary healthcare facility in Rwanda. The American Journal of Tropical Medicine and Hygiene, 2015; 92(4), 865-872. https://doi.org/10.4269/ajtmh.14-0607 PMid:25646259 PMCid:PMC4385787
7. Bennet, C. J., Young, M. N., & Darrington, H. Differences in urinary tract infection in male and female spinal cord injury patients on intermittent catheterisation. Paraplegia Journal, 2010; 33(2), 69-72. https://doi.org/10.1038/sc.1995.17 PMid:7753570
8. Hillebrand, L., Harmanli, O. H., Whiteman, V., & Khandelwal, M. Urinary tract infections in pregnant women with bacterial vaginosis. American Journal of Obstetrics and Gynecology,2002; 186(5), 916-917. https://doi.org/10.1067/mob.2002.123987 PMid:12015512
9. Ramzan, M., Bakhsh, S., Salam, A., Khan, G. M., & Mustafa, GRisk factors in urinary tract infection. American Jouranal of Medicine,2004;4(7), 34-45.
10. Mansour, A., Mahdinezhad, M., & Pourdangchi, Z. Study of bacteria isolated from urinary tract infections and determination of their susceptibility to antibiotics. Health Sceiences, 2008; 5(8), 11-16.
11. Chhetri, P. K., Rai, S. K., Pathak, U. N., Thapa, J. B., Devkota, K. C., Shrestha, B. O., & Shrestha, R. R. Retrospective study on urinary tract infection at Nepal Medical College Teaching Hospital, Kathmandu. Nepal Medical College Journal,2011 3(7), 83-85.
12. Jellheden, B., Norrby, R. S., & Sandberg, T. Symptomatic urinary tract infection in women in primary health care: bacteriological, clinical and diagnostic aspects in relation to host response to infection. Scandinavian Journal of Primary Health care,2005; 79(45), 11-34.
13. Harrington, R. D., & Hooton, T. M. Urinary tract infection risk factors and gender. The journal of gender-specific medicine: JGSM: the official journal of the Partnership for Women's Health at Columbia. Medical Journal,2000; 3(8), 27-34
Crossmark
Statistics
30 Views | 9 Downloads
How to Cite
1.
Alain Prudence I, Evariste N, Clementine Y, Hiberte M, Consolée U, Jean De Dieu T. Assessment of Urinary Tract Infections Among Female Patients Attending Ruhengeri Referral Hospital. JDDT [Internet]. 15May2024 [cited 17May2024];14(5):19-2. Available from: https://jddtonline.info/index.php/jddt/article/view/6247