Efficacy of Chemical Reagent Strip in the Diagnosis of Urinary Schistosomiasis in Ikota, Ifedore Local Government Area, Ondo State, Nigeria

Abstract

Urinary schistosomiasis is a parasitic disease caused by Schistosoma haematobium which affects the bladder and as such is a major source of morbidity and mortality in Africa and Sub-Sahara Africa. This study was conducted to determine the efficiency and efficacy of chemical reagent strip in the diagnosis of urinary schistosomiasis among pupils in Ikota, Ifedore Local Government Area of Ondo state. The pupils’ data were obtained using pretested, well-structured questionnaire while the samples were analyzed in the laboratory using sedimentation method and chemical reagent dipstick (Combi-9) was used to examine the microhaematuria and proteinuria. Of the one hundred and fifty (150) individuals that were sampled, 76 (50.66%) pupils were males and 74 (49.33%) were females. The prevalence of infection of S. haematobium in the area was 36 (24.0%). There was no significant difference (p >0.05) in prevalence relating to sex and age. Analysis on microhaematuria and proteinuria shows that 30 (20.0%) were positive for microhaematuria and 76 (50.67%) for proteinuria. The sensitivities of the urinary symptoms were 50.0% for proteinuria and 83.33% for microhaematuria and specificity was 62.3% for proteinuria and 100.00% for microhaematuria respectively. This chemical reagent strip combine with gold standard method of diagnosis will increase the accuracy and give good predictive value.