Community Acquired Urinary Tract Infection Prevalence in a Tertiary Institution Based in Evbuobanosa, Edo State, Nigeria

Authors

  • Festus Otajevwo

  • Amedu, S. S

Keywords:

Abstract

The prevalence rate of asymptomatic UTI among students of a community tertiary institution based in Evbuobanosa near Benin City, Nigeria was the focus of this work. A total of 390 freshly voided midstream urine samples collected into sterile plastic screw capped universal containers containing boric acid as preservative from students aged between 15 - 30 years were used for the study. Samples were screened for significant bacteriuria and puscells (neutrophil) counts. All positive samples with pyuria were aseptically cultured by standard methods on sterile Cystine Lactose Electrolyte Deficient (CLED) agar, MacConkey agar and Sabouraud Dextrose agar plates and incubated appropriately. Antibiotic susceptibility testing was done on isolated and identified uropathogens by Kirby - Bauer agar diffusion disc method. While 231(59.2%) samples yielded bacterial growth, 159(40.8%) yielded no growth. The uropathogens isolated included Staphylococcus aureus (33.1%), Escherichia coli (20.8%), coagulase negative Staphylococci (15.6%), Klebsiella aerogenes (7.9%), Coliform organisms (7.9%), Candida albicans (7.9%) and Proteus spp (6.8%) of which gram negative bacilli and gram positive bacteria accounted for 43.4% and 48.7% respectively. Candida albicans, a fungal uropathogen accounted for 7.9%. Occurrence of UTI in male and female students was 57.1% and 42.9% respectively of which UTI occurred highest in the 21 - 25 age group. More than 50% of isolated bacterial strains were sensitive to gentamicin only with more than 90% resistant to augmentin and nalidixic acid. Staph aureus, Kleb aerogenes, Coliform organisms and Proteus spp were multidrug resistant as they resisted 4, 7, 5 and 7 drugs respectively. Findings emphasize the need for regular and routine isolation of uropathogens in health institutions and subjection of same to invitro antibiotic sensitivity testing in order to obtain updated antibiograms of UTI pathogens. This will address the emergence of resistance genes and reduce healthcare cost and long stay in hospitals.

How to Cite

Community Acquired Urinary Tract Infection Prevalence in a Tertiary Institution Based in Evbuobanosa, Edo State, Nigeria. (2015). Global Journal of Medical Research, 15(11), 53-64. https://medicalresearchjournal.org/index.php/GJMR/article/view/

Author Biographies

Festus Otajevwo

Position: Professor of Medical Microbiology Affiliation: Department of Medical Laboratory Science, Western Delta University, Oghara, Delta State. Years of Service: 2009 - 2026 Prof Festus D. Otajevwo is an accomplished academic and a respected professional in the field of Medical Microbiology, with over 15 years of experience in both teaching and research. As a Professor at Western Delta University, Oghara, Prof Otajevwo has made significant contributions to advancing the understanding of infectious diseases, their prevention, and their treatment. Combining a robust academic foundation with a practical background as a Medical Laboratory scientist, Prof Otajevwo bridges the gap between theoretical microbiological research and its clinical applications. Academic Background & Expertise Festus Dafinone OTAJEVWO, is a Professor of Medical Microbiology, Western Delta University, Oghara. He is an Associate (AIMLS) and Fellow (FMLSCN) of the Medical in Laboratory Science Council of Nigeria. He was Dean, College of Natural and Applied Sciences and holds a Ph.D from the University of Benin, Nigeria. He was made a full Professor June, 2O21. Over the years, Prof Otajevwo has biases in specialized areas of Medical Microbiology such as serodiagnosis, chemotherapy, clinical bacteriology and microbial genetics with keen interests in specific research topics such as infectious disease diagnostics, antibiotic resistance, molecular techniques, etc. Prof Otajevwo has published numerous peer-reviewed articles, often focused on these research areas. Teaching & Mentorship Since joining the faculty in 2009, Prof Otajevwo has taught a wide range of undergraduate and graduate courses, providing students with both foundational knowledge and cutting-edge developments in Medical Microbiology. In addition to lecturing, Prof Otajevwo plays an active role in mentoring students and supervising research projects and fostering the next generation of medical laboratory scientists. Prof Otajevwo is known for a teaching style that integrates both theoretical insights and practical laboratory experience, preparing students to excel in clinical microbiology careers or pursue further academic research. Research & Contributions Prof Otajevwo is deeply involved in research that addresses key challenges in Medical Microbiology, particularly in the areas of antimicrobial resistance, emerging infectious diseases, diagnostic microbiology, serodiagnosis and chemotherapy. His specific research interest is continuous search and use of subclinical doses of plant extracts concentrations and non-toxic chemical agents for plasmid removal from multidrug resistant (MDR), extensively resistant (XDR) and extremely resistant (PDR) bacterial pathogens responsible for localized and systemic diseases. The researches are sometimes conducted in collaboration with healthcare institutions, and its findings contribute to better diagnostic tools, treatment protocols, and disease prevention strategies. Prof Otajevwo’s personal diagnostic laboratory has been instrumental in carrying out most of his researches. Professional Recognition Prof Otajevwo is widely regarded as an expert in the field of Medical Microbiology, having been invited to serve on various editorial boards and peer-review panels for international journals such as International Blood & Reviews, International Research Journal, African Journal of Microbiology, British Microbiology Journal, British Journal of Medicine and Medical Research, International Journal of Tropical Medicine etc. In addition to academic contributions, Prof Otajevwo is an active member of several professional organizations, including Association of Medical Laboratory Scientists of Nigeria (AMLSN) and Nigeria Society of Microbiology (NSM). He has attended many scientific conferences and workshops. Clinical Expertise Alongside academic duties, Prof Otajevwo is an active Medical Laboratory Scientist and practitioner, providing invaluable clinical insights into laboratory procedures and diagnostics. This dual expertise in both the laboratory and classroom enables Prof Otajevwo to translate cutting-edge research into real-world medical applications. Future Directions Looking ahead, Prof Otajevwo aims to further explore the interface between clinical microbiology and emerging technologies, particularly in the development of more accurate and efficient diagnostic methods. Prof Otajevwo is committed to continuing research that improves public health outcomes globally, particularly in low-resource settings, and remains dedicated to inspiring future generations of microbiologists. CONTACT His email address and mobile number are: [email protected]; [email protected]; [email protected] +2347047677107

Amedu, S. S

S. S Amedu is a researcher affiliated with Western Delta University in Nigeria. Their work spans microbiology and educational administration, with notable studies on community-acquired urinary tract infections and the potential of thioridazine to enhance antibiotic sensitivity in multidrug-resistant Escherichia coli. They have also investigated the role of digital communication in higher education institutions. With a publication record that has accumulated citations, Amedu contributes to the understanding of infectious diseases and administrative innovation in academia.

References

E. Abubakar (2009) Antimicrobial agents in urinary tract infections at the specialist hospital, Yola, Adamawa state, Nigeria. 1(1), 001-008.

E. Akobi, H. Inyinbor, O. Akobi, Emumwen E.G, Uzoigwe Ogedengbe S.O, Abayomi E.O, R.O, I. Okorie (2014) Incidence of urinary tract infection among pregnant women attending antenatal clinic at federal Medical Centre, Bida, Niger State, north central Nigeria. 2, 34-38.

K. Akinyemi, S. Alabi, M. Taiwo, E. Omonigbehin (2000) Antimicrobial sensitivity Pattern and plasmid profiles of pathogenicbacterial isolated from urinary tract subjects In Lagos. Quarterly Journ Hosp. 1, 7-11.

O. Alabi, N. Onyenwe, K. Satoye, O. Adeleke (2014) Prevalence of extended betalactamase producing isolates from asymptomatic bacteriuria among students in a tertiary institution in Ibadan, Nigeria. 12(4), 111-114.

C. Alexopolous, C. Mims, M. Blackwell (1996) Introductory Mycology.

O. Aiyegoro, O. Igbinosa, I. Ogowonyi, E. Odadjare, O. Igbinosa, A. (2007) Incidence of urinary tract infections among children and adolescents in Ile Ife, Nigeria. Afr. Journal Microbiol. 1(2), 13-019.

V. Andriole (1985) The role of tamm-horsfall protein in the pathogenesis of reflux nephoropathy and chronic pyelonephritis. Yale Journ. Biol. 58, 91-100.

E. Anigilaye, T. Bitto (2013) Prevalence and predictors of urinary tract infections among children with cerebral palsy in Makurdi, Nigeria. 03(04), 350-357. https://doi.org/10.4236/ojped.2013.34063

I. Anochie, Keo Nkanginieme, F. Eke (2001) The Influence of Instruction about the Method of Urine Collection and Storage on the Incidence or Prevalence of Urinary Tract Infection. 28(2), 39-42. https://doi.org/10.4314/njp.v28i2.12054

A. Bauer, W. Kirby, J. Sherries, M. Juck (1996) Antibiotic Susceptibility Testing by a Standardized Single Disk Method. 45(4_ts), 493-496. https://doi.org/10.1093/ajcp/45.4_ts.493

Monica Cheesbrough (2000) District Laboratory Practice in Tropical Countries. 434. https://doi.org/10.1017/cbo9780511581304

S. Cowan, K. Steel (1993) Manual for the identification of medical bacteria. 3rd edn. 150.

R. Dash, Samara, G. Dinari (2008) Uropathogens of various populations and their antibiotic susceptibilities. 10(10), 724-726.

T. Dimitrov, E. Udo, A. Emara (2004) Etiology and Antibiotic Susceptibility Patterns of Community-Acquired Urinary Tract Infections in a Kuwait Hospital. 13(6), 334-339. https://doi.org/10.1159/000080470

M. Ebie, Ayanbadeyo, K. Tanyiana (2001) Urinary tract infection in a Nigeria military hospital. 3, 25-29.

A. Habibu (2014) Prevalence of Proteus mirabills and Pseudomonas aeruginosa among female patients with suspected urinary tract infections attending Muhammad Abdullahi Wase Specialist Hospital, Kano, Nigeria. Intern. 3, 28-31.

Maimuna Haruna, Joshua Magu, Joy Idume, M. Garba (2014) Antibiotics Susceptibility of Some Uropathogenic Bacterial Isolates from Ahmadu Bello University Teaching Hospital Zaria, Nigeria. 9(2), 20-23. https://doi.org/10.9790/3008-09222023

R. Ibeawuchi, T. Mbata (2002) Partional and Irrational use of Antibiotics. Afri. 24(2), 16-18.

H. Inabo, H. Obani (2006) Antimicrobial susceptibility of some urinary tract clinical isolate to commonly used antibiotics Afr. Journ. 5(5), 487-489.

Thesis Jamieson DJ, Rasmussen S.A (2006) Emerging Infections and Pregnancy. 12(7), 491-43.

B. Jellheden, R. Norrby (1996) Symptomatic urinary tract infection in women in primary health care: Bacteriological, clinical and diagnostic aspects in relation to host response to infection. 14(2), 122-128. https://doi.org/10.3109/02813439608997082

A. Kolawole, O. Kolawole, Y. Kandaki-Olukemi, S. Babatunde, K. Durowade, C. Kolawole (2009) Prevalence of urinary tract infections (UTI) among patients attending Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria. 1, 163-167.

C. Kunin (1985) Use of antimicrobial agents in urinary tract infections. Adv. Nepir. 14, 39-45.

T. Mbata (2007) Prevalence And Antibiogram Of Urinary Tract Infections Among Prison Inmates In Nigeria. 3(2), 34-39. https://doi.org/10.5580/557

F. Nakhjavani, A. Mirsalehian, M. Hamilan, B. Kazeem, Mirafshar, I. Jaba (2007) Antimicrobial susceptibility testing for Escherichia coli strains to fluoroquinolones in urinary tract infections. Iran Journal Publ. 36(1), 89-92.

S. Nwadiona, E. Nwokedi, G. Jombo, Kasnibu, O. Alao (2010) Antibiotics Susceptibility Pattern of Uropathogenic Bacterial Isolates from Community- and Hospital- Acquired Urinary Tract Infections in a Nigerian Tertiary Hospital. 8(1), 1-008.

C. Obiogbolu, Okonkwo, C. Anyammere (2009) Inciden ceurinary tract infections among pregnant women in Awka metropolis, southeastern Nigeria. Sci.Res. 4, 820-824.

J. Ochei, A. Kolhatkar (2008) A medical Laboratory Science Theory and Practice. 255.

B. Oladeinde, R. Omoregie, M. Olley, J. Anunibe (2011) Urinary tract infection in a rural community of Nigeria. North Aer: Journ. Med. 3(2), 75-77.

J. Olaita (2006) Asymptomatic Bacteriuria In Female Students Population Of A Nigerian University. 2(2), 2-2. https://doi.org/10.5580/b0f

I. Ogomaka, J. Dike, T. Ogbulie, O. Dike, M. Nwokeji, R. Egbuobi (2014) Urinary tract infection among teenagers in Umudioka in Orlu local government of Imo State, Nigeria. 2, 43-48.

O. Omigie, L. Okoror, Umolu, G. Ikuuh (2009) Increasing resistance to quinolones. A four year prospective study of urinary infection pathogens. 2, 171-175.

F. Otajevwo (2013) Urinary Tract Infection among Symptomatic Outpatients Visiting a Tertiary Hospital Based in Midwestern Nigeria. 5(2). https://doi.org/10.5539/gjhs.v5n2p187

F. Otajevwo, C. Eriagbor (2014) Asymptomatic urinary tract infection occurrence among students of a private university in western Delta, Nigeria. 4, 455-463.

B. Sobozak (2010) Urinary tract infection in females. 4, 45-50.

Community Acquired Urinary Tract Infection Prevalence in a Tertiary Institution Based in Evbuobanosa, Edo State, Nigeria

Published

2015-04-02

How to Cite

Community Acquired Urinary Tract Infection Prevalence in a Tertiary Institution Based in Evbuobanosa, Edo State, Nigeria. (2015). Global Journal of Medical Research, 15(11), 53-64. https://medicalresearchjournal.org/index.php/GJMR/article/view/