Prevalence and Intensity of Urinary Schistosoma Haematobium Eggs Among the School Aged Children in Kona Ward, Ardo Kola Lga, Taraba State, Nigeria

Elkana D.S., Elkana O.S, Adle A.A
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Abstract

The study was conducted to examine the prevalence and intensity of urinary Schistosomiasis haematobium in two Kona ward settlement of Ardo kola local government, area of Taraba State, Nigeria. The study employed urine filtration technique using polycarbonate membrane filters to detect Schistosoma haematobium eggs in urine. Standard culture techniques to isolate urinary tract pathogens with their susceptibility patterns were carried out. Questionnaires were administered to collect information on socio-demographic data on the children. A total of 1153 urine samples were collected and analysed for the eggs of Schistosoma haematobium, Out of 675 children infected with urinary schistosomiasis, the highest occurrence of bacteriuria (61.3%) was recorded in the heavy intensity (>50 eggs/10ml urine) while low intensity (1 – 50 eggs/10ml urine) recorded the lowest occurrence of bacteriuria (59.2%). Chi square analysis showed significant association between intensity and bacteriuria (χ2 = 309.5, p = 0.000). Spearman’s correlation coefficient for bacteriuria also showed significant relationship between urinary schistosomiasis and bacteriuria (r = 0.518, p<0.001). The percentage occurrence of E. coli in heavy ova intensity (>50 eggs/10ml urine) is slightly higher (56.9%) than in light intensity (55.0%). Occurrence of Klebsiella spp in heavy intensity is slightly above (24.9%) that of light intensity (24.4%). P aeroginosa and Proteus spp occur more in light intensity (24.9%) and (28.9%) respectively than in heavy intensity (14.2%) and (14.6%) respectively. Occurrence of S. aureus is significantly higher in heavy intensity (4.2%) than in light intensity (1.7%). In subjects negative for urinary schistosomiasis, occurrence of bacteria isolates follows similar pattern with Klebsiella spp occurring more (3.3%) than the other isolates. These findings indicate that the areas is endemic to urinary schistosomiasis and therefore prompt intervention in the study areas is needed. Keywords: prevalence, intensity, Schistosoma haematobium, school aged children, kona ward, Ardo kola, Taraba State, Nigeria
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尼日利亚塔拉巴州 Ardo Kola Lga 的 Kona 病区学龄儿童尿液中血吸虫卵的流行率和强度
这项研究旨在检测尼日利亚塔拉巴州阿尔多科拉地方政府两个科纳区居民点的血吸虫病流行率和强度。研究采用聚碳酸酯膜过滤器的尿液过滤技术检测尿液中的血吸虫虫卵。采用标准培养技术分离出尿路病原体及其敏感性模式。调查问卷用于收集儿童的社会人口学数据。在 675 名感染尿路血吸虫病的儿童中,重度感染(大于 50 个血吸虫卵/10 毫升尿液)的儿童菌尿发生率最高(61.3%),而低度感染(1 - 50 个血吸虫卵/10 毫升尿液)的儿童菌尿发生率最低(59.2%)。卡方分析表明,强度与菌尿之间存在明显关联(χ2 = 309.5,P = 0.000)。细菌尿量的斯皮尔曼相关系数也显示尿血吸虫病与细菌尿量之间存在显著关系(r = 0.518,p50 虫卵/10 毫升尿液),轻度细菌尿量的细菌尿量(56.9%)略高于轻度细菌尿量(55.0%)。克雷伯氏菌属在重度感染中的出现率(24.9%)略高于轻度感染(24.4%)。铜绿假单胞菌和变形杆菌在轻度污染中的出现率(24.9%)和(28.9%)分别高于重度污染中的出现率(14.2%)和(14.6%)。金黄色葡萄球菌在重度感染中的出现率(4.2%)明显高于轻度感染(1.7%)。在尿血吸虫病阴性的受试者中,细菌分离物的出现也遵循类似的模式,克雷伯氏菌属的出现率(3.3%)高于其他分离物。这些发现表明,该地区是尿路血吸虫病的流行区,因此需要在研究地区及时采取干预措施。关键词:患病率、强度、血吸虫、学龄儿童、科纳病房、阿尔多科拉、塔拉巴州、尼日利亚
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