Fooyin Journal of Health Sciences
Volume 2, Issue 3 , Pages 90-93, August 2010

Urinary Tract Infections Among the Elderly in Benin City, Nigeria

  • Richard Omoregie

      Affiliations

    • School of Medical Laboratory Sciences, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
    • Department of Medical Microbiology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
    • Corresponding Author InformationCorresponding author. School of Medical Laboratory Sciences, University of Benin Teaching Hospital, P.M.B. 1111, Benin City, Edo State, Nigeria
    • ,
  • Isaac Ohiorenuan Igbarumah

      Affiliations

    • Department of Medical Microbiology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
    • ,
  • Christopher Aye Egbe

      Affiliations

    • Department of Medical Microbiology, University of Benin Teaching Hospital, Benin City, Edo State, Nigeria
    • ,
  • Helen Ogefere

      Affiliations

    • Department of Medical Laboratory Science, School of Basic Medical Sciences, University of Benin, Benin City, Nigeria

Received 11 October 2010; received in revised form 29 October 2010; accepted 18 November 2010.

Article Outline

The elderly have an increased risk of developing urinary tract infection (UTI). This study aimed to determine the prevalence of UTI among elderly (≥ 60 years) patients in Benin City, Nigeria. Clean-catch midstream urine was collected from 943 (362 males and 581 females) elderly patients with signs and symptoms of UTI. Significant microbial isolates were identified in the urine specimens and an antimicrobial susceptibility test was performed on bacteria isolates using standard techniques. Male sex was a significant risk factor for acquiring UTI in the elderly (odds ratio = 6.584; 95% confidence interval = 4.081, 10.62; p < 0.0001). There was an inverse relationship between age and prevalence of UTI, as the prevalence of UTI significantly declined with increasing age (p = 0.023). Escherichia coli was the most common uropathogen (36.79%) in both sexes of elderly patients. Bacterial isolates were poorly susceptible to antibacterial agents used. An overall prevalence of 11.03% of UTI was observed among the elderly. Male sex showed an approximately 4-11-fold increased risk of acquiring UTI. The prevalence of UTI among the elderly decreases with increasing age. Rational use of antibiotics is advocated to stem the tide of high antibacterial resistance.

Key Words:  elderly , Nigeria , prevalence , urinary tract infection

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References 

  1. Aiyegoro OA , Igbinosa OO , Ogunwonyi IN , et al.   Incidence of urinary tract infections (UTI) among children and adolescents in Ile Ife, Nigeria . Afr J Microbiol Res . 2007;1:13–19
  2. Robichaud S , Blondeau JM . Urinary tract infection in older adult: current issues and new therapeutic options . Geriatr Ageing . 2008;11:582–588
  3. Foxman B . Epidemiology of UTI: Incidence morbidity and economic cost . Am J Med . 2002;113:5–135
  4. Orrett FA , Davies GK . A comparison of the antimicrobial susceptibility profile of urinary pathogens for the years, 1999 and 2003 . West Indian Med J . 2006;55:95–99
  5. Boyko EJ , Fihn SD , Scholes D , et al.   Risk of UTI and asymptomatic bacteria among diabetic and non-diabetic post-menopausal women . Am J Epidemiol . 2005;161:557–564
  6. Drews SJ , Poutanen SM , Mazzulli T , et al.   Decreased prevalence of virulence factors among ciprofloxacin resistant uropathogenic Escherichia coli isolates . J Clin Microbiol . 2005;43:4218–4220
  7. Omoregie R , Erebor JO , Ahonkhai I , et al.   Observed changes in the prevalence of uropathogens in Benin City Nigeria . N Z J Med Lab Sci . 2008;62:29–31
  8. Cowan ST , Steel KJ . Manual for the Identification of Medical Bacteria . 2nd edition. Cambridge: Cambridge University Press; 1974;
  9. British Society for Antimicrobial Chemotherapy (BSAC)  . BSAC methods for antimicrobial susceptibility testing. Version 8, 2009 . Available at: http://www.bsac.org.uk/Resources/BSAC/Version%208%20-%20January%202009.pdf [Last accessed: 2009]
  10. Omoregie R , Eghafona NO . Urinary tract infection among asymptomatic HIV patients in Benin City, Nigeria . Br J Biomed Sci . 2009;66:190–193
  11. Nicolle LE . Resistant pathogens in urinary tract infection . J Am Geriatr Soc . 2002;50:230–235
  12. Shortliffe LM , McCue JD . Urinary tract infections at the age extremes: pediatrics and geriatrics . Am J Med . 2002;113:S55–S66
  13. Ronald A . The etiology of urinary tract infection: traditional and emerging pathogens . Am J Med . 2002;113:S14–S19
  14. Mahmoudababi ZA , Keradmand AR , Enayatollahi N . Frequency of candiduria in in-patients and out-patients in department of urology Golestan Hospital Ahvaz, Iran . Iran J Kid Dis . 2009;3:114–115

PII: S1877-8607(11)60004-0

doi:10.1016/S1877-8607(11)60004-0

Fooyin Journal of Health Sciences
Volume 2, Issue 3 , Pages 90-93, August 2010

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