Malaria and Urinary Tract Co-Infection Among Under Five’s Years Old Children Presenting With Fever at Ilemela District, Mwanza Region, Tanzania
Material type:
TextPublisher number: Wurzburg Road 35, BMC Premises, Post Code: 33102 : P. O. Box 1464, Mwanza – Tanzania :Phone: +255 28 298 3384 :Fax: +255 28 298 3386 :Email: vc@bugando.ac.tz :www.bugando.ac.tzLanguage: English Language: Kiswahili Publication details: Mwanza, Tanzania: Catholic University of Health and Allied Sciences [CUHAS – Bugando] : ©2023Description: 53 Pages; Includes References and AppendiciesSubject(s): Summary: Abstract:
Introduction: The clinical features of urinary tract infection (UTI) in young children may not localize to the urinary tract and closely resemble other febrile illnesses. In malaria endemic areas, a child presenting with fever is often treated presumptively for malaria without investigation for UTI. Delayed or inadequate treatment of UTI increases the risk of bacteremia and renal scarring in young children and subsequently complications as hypertension and end stage renal disease in adult hood.
Methodology: A cross sectional study was carried out in a selected health facility at Ilemela district. A total of 215 in patients and outpatients children five years of age and below with axillary temperature of ≥ 37.5o C with no antibiotic use in the previous week were enrolled between June and August 2022. MRDT was used to diagnose malaria, both urine culture and susceptibility patterns were done with regards to common prescribed antibiotics and were established.
Results: Among 216 participants majority was female 116/216(53.7%) and the mean [±SD] age was 26±18.08, this study observed that the prevalence of malaria, UTI and co-infection was 23.6%, 13.0% and 11.3% respectively. And the common agent causing UTI was E.coli which most of the isolates were susceptible to amoxicillin clavulanic acid and most were resistance to contrimoxazole.
Conclusion: This study observed that the prevalence of malaria UTI co-infection to be small and majority of fever is caused by malaria followed by UTI among under-five children attending Sangabuye Health Centre.
| Item type | Current library | Collection | Status | Barcode | |
|---|---|---|---|---|---|
| UNDERGRADUATE DISSERTATIONS | MWALIMU NYERERE LEARNING RESOURCES CENTRE-CUHAS BUGANDO | NFIC | 1 | CUHAS /BM/1000885/T/ |
Abstract:
Introduction: The clinical features of urinary tract infection (UTI) in young children may not localize to the urinary tract and closely resemble other febrile illnesses. In malaria endemic areas, a child presenting with fever is often treated presumptively for malaria without investigation for UTI. Delayed or inadequate treatment of UTI increases the risk of bacteremia and renal scarring in young children and subsequently complications as hypertension and end stage renal disease in adult hood.
Methodology: A cross sectional study was carried out in a selected health facility at Ilemela district. A total of 215 in patients and outpatients children five years of age and below with axillary temperature of ≥ 37.5o C with no antibiotic use in the previous week were enrolled between June and August 2022. MRDT was used to diagnose malaria, both urine culture and susceptibility patterns were done with regards to common prescribed antibiotics and were established.
Results: Among 216 participants majority was female 116/216(53.7%) and the mean [±SD] age was 26±18.08, this study observed that the prevalence of malaria, UTI and co-infection was 23.6%, 13.0% and 11.3% respectively. And the common agent causing UTI was E.coli which most of the isolates were susceptible to amoxicillin clavulanic acid and most were resistance to contrimoxazole.
Conclusion: This study observed that the prevalence of malaria UTI co-infection to be small and majority of fever is caused by malaria followed by UTI among under-five children attending Sangabuye Health Centre.
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