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. 2018 Mar 27;18(1):53.
doi: 10.1186/s12905-018-0545-9.

Prevalence and antimicrobial susceptibility of asymptomatic bacteriuria among women with pelvic organ prolapse in Abakaliki, South-East Nigeria

K C Ekwedigwe  1 , I Sunday-Adeoye  1 , M O Eliboh  1 , M E Isikhuemen  2 , H Uro-Chukwu  1 , P Ezeonu  3 , A B C Daniyan  1 , E N Yakubu  1
Affiliations

Prevalence and antimicrobial susceptibility of asymptomatic bacteriuria among women with pelvic organ prolapse in Abakaliki, South-East Nigeria

K C Ekwedigwe et al. BMC Womens Health. .

Abstract

Background: Pelvic organ prolapse (POP) is the herniation of pelvic organs from its anatomical confines, and it is of considerable importance to the practicing gynaecologist in middle and low income countries. It is commonly associated with, urinary tract infection (UTI), both symptomatic and asymptomatic due to anatomical and physiological changes. The aim of this study was to determine the prevalence of asymptomatic bacteriuria among women with pelvic organ prolapse, to know the organisms commonly implicated and the sensitivity pattern.

Methods: This study was conducted among 96 women with POP at the National Obstetric Fistula Centre Abakaliki. A cross sectional descriptive study was done. Standard microbial technique was used to analyze the urine. Data was analysed using the Statistical Package for Social Sciences version 17.

Results: Out of the 96 patients, 76 were found to have asymptomatic bacteriuria giving a prevalence of 79.2%. Nine different bacteria species isolated include E. Coli (34.2%), Streptococcus pneumonia (23.7%), Staphylococcus aureus (7.9%), Proteus Spp (7.9%) others (5.3%). The highest level of microbial sensitivity to the antimicrobials was with Ciprofloxacin.

Conclusions: This study suggests that prevalence of asymptomatic bacteriuria is very high among women with POP. More than 50% of the bacterial isolates were mainly E.coli and Streptococcus pneumonia. The highest level of microbial sensitivity was with ciprofloxacin while the least was with cotrimoxazole.

Keywords: Abakaliki; Asymptomatic bacteriuria; Nigeria; Pelvic organ prolapse.

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Conflict of interest statement

Competing interest

The authors declare that they have no competing interests.

Ethics approval and consent to participate

Ethical approval was obtained from Ethics and Research committee of the National Obstetric Fistula Centre, Abakaliki. Patients that gave consent were those that participated in the study. Consent forms were signed by the study participants Refusal to give consent did not influence management of the patient involved.

Consent for publication

not applicable.

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