Prevalence, Antimicrobial Susceptibility Pattern, and Associated Factors of Urinary Tract Infections among Pregnant and Nonpregnant Women at Public Health Facilities, Harar, Eastern Ethiopia: A Comparative Cross-Sectional Study
Joint Authors
Abate, Degu
Marami, Dadi
Letta, Shiferaw
Source
Canadian Journal of Infectious Diseases and Medical Microbiology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-08-07
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background.
Urinary tract infection is one of the most common health problems worldwide, afflicting many women in reproductive age, especially in developing countries.
Increased risk of infection has been attributed to pregnancy and antimicrobial resistance.
Objective.
To compare the prevalence, antimicrobial susceptibility pattern of the bacteria and associated factors of urinary tract infections among pregnant and nonpregnant women attending public health facilities, Harar, Eastern Ethiopia.
Methods.
A health facility-based comparative cross-sectional study was conducted among 651 randomly selected women from public health facilities, Harar, Eastern Ethiopia, between February 2017 and December 2017.
Pertinent data were collected through a face-to-face interview using a structured questionnaire.
The midstream urine specimen was collected and cultured on cysteine-lactose-electrolyte-deficient agar and blood agar.
Pure isolates were tested against the ten most prescribed antimicrobials using the Kirby-Bauer disk diffusion method.
Data were entered and analysed using Statistical Program for Social Sciences version 21.
A p value <0.05 was considered statistically significant.
Results.
The overall prevalence of significant bacteriuria was 23% (95% CI: 13.6, 26.8).
The higher proportion of bacteria were isolated from pregnant women (14.1%) compared to nonpregnant women (8.9%).
Escherichia coli (28.8%) and Streptococcus aureus (14.3%) were the most common isolates.
E.
coli was resistant to amoxicillin (83.3%), trimethoprim-sulfamethoxazole (78.6%), and ciprofloxacin (81%), whereas S.
aureus was resistant to chloramphenicol (81%), erythromycin (81%), and amoxicillin (76.2%).
Current symptoms, and history of catheterization increase the likelihood of urinary tract infections.
Conclusion.
Pregnant women were more likely infected with bacterial pathogens than nonpregnant women.
Current symptoms, and catheterization increase the odds of urinary tract infections.
More than half of the isolates were resistant to the commonly prescribed antimicrobials.
Regular assessment of urinary tract infections and antimicrobial resistance are recommended to provide effective therapy and thereby prevent urinary tract complications.
American Psychological Association (APA)
Abate, Degu& Marami, Dadi& Letta, Shiferaw. 2020. Prevalence, Antimicrobial Susceptibility Pattern, and Associated Factors of Urinary Tract Infections among Pregnant and Nonpregnant Women at Public Health Facilities, Harar, Eastern Ethiopia: A Comparative Cross-Sectional Study. Canadian Journal of Infectious Diseases and Medical Microbiology،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1139212
Modern Language Association (MLA)
Abate, Degu…[et al.]. Prevalence, Antimicrobial Susceptibility Pattern, and Associated Factors of Urinary Tract Infections among Pregnant and Nonpregnant Women at Public Health Facilities, Harar, Eastern Ethiopia: A Comparative Cross-Sectional Study. Canadian Journal of Infectious Diseases and Medical Microbiology No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1139212
American Medical Association (AMA)
Abate, Degu& Marami, Dadi& Letta, Shiferaw. Prevalence, Antimicrobial Susceptibility Pattern, and Associated Factors of Urinary Tract Infections among Pregnant and Nonpregnant Women at Public Health Facilities, Harar, Eastern Ethiopia: A Comparative Cross-Sectional Study. Canadian Journal of Infectious Diseases and Medical Microbiology. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1139212
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139212