Effectiveness of empirical diagnosis approach for urinary tract infection using etiological and antimicrobial tests among under-five children in Pemba

Khatib, Mussa Mbarouk

dc.creator	Khatib, Mussa Mbarouk
dc.date	2021-01-28T08:21:22Z
dc.date	2021-01-28T08:21:22Z
dc.date	2020
dc.date.accessioned	2022-10-20T14:03:20Z
dc.date.available	2022-10-20T14:03:20Z
dc.identifier	Khatib, M. M. (2020). Effectiveness of empirical diagnosis approach for urinary tract infection using etiological and antimicrobial tests among under-five children in Pemba (Master's Dissertation). The University of Dodoma, Dodoma.
dc.identifier	http://hdl.handle.net/20.500.12661/2695
dc.identifier.uri	http://hdl.handle.net/20.500.12661/2695
dc.description	Dissertation (MSc Paediatric Nursing)
dc.description	Background: Urinary Tract Infection is a common disease among Under-five Children in Pemba. Early detection and efficient management is important to minimize the possibility of morbidity and unnecessary complications. Objective: The objective of this study was to evaluate the Effectiveness of Empirical Diagnosis Approach for Urinary Tract Infection using Etiological and Antimicrobial Tests among Under-five Children in Pemba. Methods: A cross-sectional hospital-based design was used. Two district hospitals, namely Chake Chake and Wete, and two healthcare centres; Micheweni and Vitongoji were purposively sampled because of the high outpatient attendance. Participants were obtained by the means of the lottery method. The study included Children of 12-59 Months with an empirical diagnosis of Urinary Tract Infection from June-July 2020. Data were analysed through Statistical Package for Social Science. A Chi square test was used to find the relationship between categorical variables. Logistic regression was performed to determine the association between predictors and Positive Urine. Urine specimens was sent to a laboratory for Culture after being collected and was refrigerated when transportation delayed for more than two hours. A well-mixed sample of urine was inoculated on Cysteine Lactose Electrolyte Deficiency agar using a sterile standardized loop. The susceptibility tests were done using the recommended antimicrobial agents following the procedures for antibiotic susceptibility testing. Results: Out of 239 Children enrolled in the study, 22 (9%) had Urinary Tract Infection by positive Culture The commonest isolate was E-Coli which had shown resistant to Co-trimoxazole, Amoxacillin and Ampiclox. Temperature ≥37.5℃, Diarrhea and the Positive Leucocyte are the Predictors of Positive Urine Culture. Conclusion: The Prevalence of Urinary Tract Infection is 9% among Under-five Children attending at Paediatric Outpatient Clinics in Pemba. Gram negative bacteria were the most common isolated, E-coli being the majority of the isolate which had shown resistant to Co-trimoxazole, Amoxacillin and Ampiclox. Temperature ≥ 37.5℃, Diarrhea and Positive Leucocyte are the Predictors of Positive Urine Culture among Under-five Children.
dc.language	en
dc.publisher	The University of Dodoma
dc.subject	Urinary tract infection
dc.subject	Antimicrobial tests
dc.subject	Etiological tests
dc.subject	Paediatric clinics
dc.subject	Gram negative bacteria
dc.subject	Diarrhea
dc.subject	Empirical diagnosis
dc.subject	Urinary track
dc.subject	Pemba
dc.title	Effectiveness of empirical diagnosis approach for urinary tract infection using etiological and antimicrobial tests among under-five children in Pemba
dc.type	Dissertation