PREVALENCE OF URINARY TRACT PARASITES IN PATIENTS

PREVALENCE OF URINARY TRACT PARASITES IN PATIENTS

Statement of the Problem

UTI in pregnancy leads to poor pregnancy  outcome. According to Haider, Zehr, Munir, and Haider (2010), the prevalence of UTIs in pregnancy globally ranges from 13%-33% with asymptomatic bacteriuria occurring in  2-10%  during  pregnancies while symptomatic has been found to account for 1-18% during pregnancies. UTI in pregnancy is a serious problem with complications such as prematurity and low birth weight. Prematurity and low birth weights are associated with poor infant survival.

Currently in Enugu State, in line with the  sustainable  development  goals (SDGs no 3) which is to ensure healthy lives and promote well-being for all ages, urinalysis is one of the basic laboratory tests done in the first antenatal visit. This is to detect and treat UTI early in pregnancy or reduce it to the barest minimum  and  to reduce the chances of prematurity and low birth weight which are linked with infant mortality. In spite of this effort the incidence of UTI is still common among pregnant women who attend ante-natal clinic at University of Nigeria Teaching  Hospital (UNTH) ituku ozalla. From records available in University of Nigeria Teaching Hospital, Enugu, between June and September 2013, out of 300 pregnant women who were treated of different ailments, 25  were diagnosed of UTI, representing 8  percent  of the population that had problem in pregnancy (UNTH  records).  The  questions  being raised are, Is the problem due to maternal age, gestational age, parity, economic status and level of education or due to combination of these factors? There is need to identify the demographic factors which increase the occurrence of UTI in pregnancy.

1.3 Purpose of the Study

The purpose of this study was to determine the prevalence of urinary tract parasites in patients and demographic differentials (parity, gestational age, maternal age, economic status and level of education) among pregnant women in UNTH Enugu.

1.3.1 Objectives of the Study

Objectives of the study are to:

1. determine the proportion  of  women  who  has  UTI among pregnant women attending antenatal care in UNTH

2. identify the common causal organisms of UTI among pregnant women attending antenatal care in UNTH

3. determine the differences in UTI occurrence among pregnant women attending antenatal care in UNTH based on parity

4. ascertain the differences in UTI occurrence among pregnant women attending antenatal care in UNTH based on gestational age

5. assess the differences in UTI occurrence among pregnant women attending antenatal care in UNTH based on maternal age.

6. examine the differences in UTI  occurrence among  pregnant women attending antenatal care in UNTH based on educational level.

7. determine   the  differences in  UTI occurrence  among pregnant women attending antenatal care in UNTH based on economic level.

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