跳至主要内容

Prevalence of Asymptomatic Bacteriuria in HIV Infected Patients in a Tertiary Hospital in Lagos, Nigeria

People living with Human Immunodeficiency Virus (HIV) are more predisposed to urinary tract infections due to suppression of their immunity by the virus. Asymptomatic bacteriuria is associated with an increased risk of symptomatic urinary tract infection and the latter being an important contributor to development of chronic renal failure, hypertension and toxaemia of pregnancy. In this study, the authors aimed to determine the prevalence of asymptomatic bacteriuria in HIV-infected patients and proffer a recommendation on the need or otherwise to screen. 

The authors conducted a cross-sectional study of treatment-naive HIV-infected patients attending the HIV clinics of Lagos State University Teaching Hospital (LASUTH), Ikeja. A total of 156 consenting participants were recruited into the study. The mean age was 36.45 ± 8.65 years old. And there were 60 of 156 (38.4%) males and 96 of 156 (61.56%) females. A single voided aseptically collected mid-stream urine (MSU) was obtained from each patient and all samples processed immediately were sent for urinalysis and culture. Isolates were considered significant if there were ≥105 colony forming unit/mL (CFU/mL) with 2 or less isolates, doubtful significance if <105 CFU/mL. Significant isolates were selected for identification. Data were analyzed by using SPSS version 16.0 (Statistical Package for Social Sciences, Inc., Chicago, Ill). 

The results showed that only 33 of 156 (21.2%) had significant bacteriuria, out of the 33 participants, 19 (57.8%) were asymptomatic, while 14 of 33 (42.4%) had significant growth but were symptomatic or on antibiotics. E. coli was isolated in 9 of 19 (47.3%), followed by Staph aureus 4 of 19 (21.05%). In addition, 18 of 19 patients (94.73%) who had asymptomatic bacteriuria in this study were females, this was keeping with previous studies which reported a much higher prevalence in females.

In conclusion, more than half of participants who had significant growth had asymptomatic bacteriuria, while one-fifth of all patients had significant growth. Considering this statistics, screening for or treatment of asymptomatic bacteriuria may be recommended in all HIV-infected patients.

Article by Akinsegun Akinbami, et al, from Nigeria.

Full access: http://mrw.so/1i0UBA
Image by Carmen Arismendy, from Flickr-cc.



评论

发表评论

此博客中的热门博文

Electron Spin and Proton Spin in the Hydrogen and Hydrogen-Like Atomic Systems

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=52202#.VIj7tMnQrzE Author(s) Stanisław Olszewski * Affiliation(s) Institute of Physical Chemistry, Polish Academy of Sciences, Warsaw, Poland . ABSTRACT The mechanical angular momentum and magnetic moment of the electron and proton spin have been calculated semiclassically with the aid of the uncertainty principle for energy and time. The spin effects of both kinds of the elementary particles can be expressed in terms of similar formulae. The quantization of the spin motion has been done on the basis of the old quantum theory. It gives a quantum number n = 1/2 as the index of the spin state acceptable for both the electron and proton ...
发表评论
阅读全文

Incorporation of High-Altitude Balloon Experiment in High School Science Classrooms

High-altitude balloon is a balloon, filled usually with helium or hydrogen that ascends into an area called “near space” or stratosphere. The most common type of high-altitude balloons are weather balloons. Other purposes include use as a platform for experiments in the upper atmosphere. Modern balloons generally contain electronic equipment such as radio transmitters, cameras, or satellite navigation systems, such as GPS receivers. The mission of the High-Altitude Balloon Experiment (HABE) is to acquire supporting data, validate enabling technologies, and resolve critical acquisition, tracking, and pointing (ATP) and fire control issues in support of future space-based precision pointing experiments. The use of high-altitude balloons offers a relatively low-cost, low-vibration test platform, a recoverable and reusable payload, worldwide launch capability, and a 'near- space' emulation of the future space systems operational scenarios. More recently, several university...
1 条评论
阅读全文

An Empirical Study on Microbial Load and Acidity in Raw Milk Produced in Malayer and Nahavand Cities, Iran 2012

Read full paper at: http://www.scirp.org/journal/PaperInformation.aspx?PaperID=49618#.VBk-qVfHRK0 An Empirical Study on Microbial Load and Acidity in Raw Milk Produced in Malayer and Nahavand Cities, Iran 2012 Author(s) Mohammad Rezaei , Ali Asghar Behzadi , Ali Akbar Malekirad , Ahmad Fattahi , Mohamad Hadi Farahzadi , Mohammad Sarmadi , Hasan Mohammadi Aghamirlou , Reza Ali Fallahzadeh Affiliation(s) Department of Food Safety and Hygiene, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran . Department of Food Safety and Hygiene, School of Health, Yazd University of Medical Sciences, Yazd, Iran . Department of Biology, Payame Noor University, Tehran, Iran . Department of Occupational Health Engineering, School of Health, Shahid Sadoughi University of Medical Sci-ences, Yazd, Iran . Department...
发表评论
阅读全文