The Prevalence of Risk Factors Economic Impact and Treatment Factors of Uncomplicated Urinary Tract Infection among Reproductive Age in Gezira Al-feel Health Centre Greater Wad Medani Locality Sudan 2017
Hisham Mustafa Eltayeb , Ibrahim Nabil Ibrahim Radi, Mohamed E. Salih
كلية الطب-جامعة الجزيرة · السودان
Uncomplicated UTI and it economic cost have become a very widespread problem, all around the world , it has immediate effects women health . In Sudan the studies in uncomplicated UTI were limited .This is across sectional study to determine the proportion and economic cost of (UTI) among women of reproductive age in Gezira Al-feel Health Centre catchment locality during the period 1-2017 to 3-2017. The aim of study is to determine the proportion of UTI and economic cost among reproductive age women and to determine economic cost of management .Multi-stage random sample technique was used. Sample size was 246,women were between 18–50 years of age were 133(91%). Among these women, 91 (37%) were diagnosed clinically with UTI criteria and treated and 42 were not met the study criteria for UTI, 10 women had DM, 5 women had urinary stones, 17 women were pregnant and 10 refused the participation. On analysis, .66 (72.5%) were found to have cystitis and 25 (27.5%) were pyelonephritis .Out of the 91 patients studied 61 (46%) had a complaint of 3 symptoms , 20 (15%) women in this group had LE and nitrites on dipstick with dysuria. 5 (3.76%) had dysuria with nitrites and no evidence of LE on dip stick while 5(3.76%) women were for positive LE with dysuria. 76(83.5%) of women had physician visit during 3 months had recurrent UTI, 67(88%) had recurrent UTI on urine analysis and received the treatment . 9(11%) had physician visit and received empirical antibiotics88(96.7%) live with their family but 3(3.3%) only live alone 10 (11%) were employed, 5 (5.5%) were student, 3(3.3%) were unemployed and 73(80.2.%) were fulltime housewife . 81(89%) were low socioeconomic status, 10 (11%) intermediate but no high socioeconomic status .76 (83.5%) were at secondary school level but only 15 (16.5%) went to higher education 81 (89%) had standard health insurance but only 10 (11%) had no health coverage . 81(89%) had mutual or private insurance but 10 (11%) had no health insurance.76 had recurrent UTI, all of them were in low socioeconomic status, 72(94.7%) were in secondary school , 70(92%) had health coverage and 70(92%) had mutual or private insuranceThe total cost was9785 SDG.We conclude the proportion of uncomplicated UTI in reproductive age women (18-50 years) was 37%. It is fewer than 42.8% in Nigeria 2011 and more than 11% in England 2014 .The most common types of uncomplicated UTI were uncomplicated cystitis (72.5%) and uncomplicated pyelonephritis(27%), almost similar to the one in USA 2013, the recurrent UTI in last 3 months was 83.5% . It is higher than 70% in USA 2001 .Therefore, there are associations between socio-economic status, live alone, educational level, occupation and health insurance and proportion of uncomplicated UTI, recurrent UTI and its cost .We recommended that health education programs to raise awareness of community and we need to implement a national multidisciplinary program to deal with this problem, with cooperation of health workers, nongovernmental organizations, government departments of health and social care, universities and other concerned bodies . Fund research to better investigate modifiable risk factors and disseminate the results and connect researchers with relevant government agencies, nongovernmental organizations and activists .Determination of economic cost of consultation, investigation and treatment and ways to reduce it .Fund research investigate the recurrent UTI and reduction of its prevalence .