Socio-demographic factors associated with asymptomatic bacteriuria in primary school children in Enugu, Nigeria

Chime PU1*, Nduagubam O2.
1Department of Paediatrics, College of Medicine, University of Nigeria, Enugu, Nigeria.
2Department of Paediatrics. College of Medicine, Enugu State University of Technology, Enugu, Nigeria.
*Correspondence: Dr. Chime Paschal; paschal.uwadiegwu@unn.edu.ng

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Abstract

Background: Urinary tract infection (UTI) can be symptomatic or asymptomatic (asymptomatic bacteriuria) and is a common cause of chronic kidney disease in children. It is also a common cause of morbidity and mortality among children in developing countries like Nigeria. Asymptomatic bacteriuria is said to be more common in school-age girls and children of low socio-economic class. 
Objectives: To determine the relationship between asymptomatic bacteriuria and age, sex and socio-economic status of primary school children in Enugu, Nigeria.
Materials and Methods: This was a cross-sectional descriptive survey involving four hundred apparently healthy primary school children aged 6 to 12 years. A pre-tested, care-giver administered questionnaire was used to obtain information about the participants such as age, sex, socio-economic status, history of fever and antibiotic usage in the two weeks preceding the study. Following a clinical examination, a sample of spot mid-stream urine was collected from each participant for dipstick urinalysis and urine microscopy and culture.
Results: The age of the children ranged from 6 to12 years. Fifty seven of the 400 children were noted to have asymptomatic bacteriuria with a female preponderance of 14:1, although not statistically significant (P = 0.787). Forty-six (80.7%) of the fifty-seven children were aged nine years and above. There was a predominance of positive cases (54.4%) in the middle socioeconomic class but not statistically significant (P = 0.449).
Conclusion: Asymptomatic bacteriuria is commoner in adolescent school aged female and in children of middle socioeconomic class.

Keywords: Asymptomatic bacteriuria, Socio-demographic, Prevalence.
Yen Med J. 2020;2(3):15–22.

Cite this article: Chime PU, Nduagubam O. Socio-demographic factors associated with asymptomatic bacteriuria in primary school children in Enugu, Nigeria. Yen Med J. 2020;2(3):15–22.

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