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Please use this identifier to cite or link to this item: http://hdl.handle.net/123456789/12548

Title: Bacterial urinary tract infections among males with lower urinary tract obstruction at Komfo Anokye Teaching Hospital, Kumasi, Ghana
Authors: Gyasi-Sarpong, Christian Kofi
Yenli, Edwin Mwintiereh Ta-ang
Idriss, Ali
Arhin, Addae Appiah
Sylverken, Augustina Angelina
et. al
Keywords: Hyperplasia
Prostatic
Dysuria
Micturition
Nocturia
Suprapubic
Haematuria
Nephelometer
Asymptomatic
Bacteriuria
Acute
Cystitis
Prostatitis
Pyelonephritis
Osteomyelitis
Urosepsis
Cystoscopy
Catheter
Benign
Stricture
Issue Date: Aug-2012
Publisher: Scientific Research Publishing
Citation: C. K. GYASI-SARPONG ET AL. Bacterial urinary tract infections among males with lower urinary tract obstruction at Komfo Anokye Teaching Hospital, Kumasi, Ghana. http://dx.doi.org/10.4236/oju.2012.23023
Abstract: Purpose: We describe the commonest pathology responsible for lower urinary tract obstruction (LUTO) and associated symptoms such as UTI, etc. among males at the Komfo Anokye Teaching Hospital (KATH) in Kumasi. Materials and Methods: Between January and December 2009, prospective cross sectional hospital based study was conducted in-volving 103 subjects. Patients with symptoms of LUTO and who were on short admission (up to 48 hours) at the acci-dent and emergency unit of KATH were identified as potential study subjects. All the patients presented with acute re-tention of urine at the emergency unit of KATH and urethral catheterization was attempted to relieve them of the reten-tion under sterile conditions. Those patients whose initial catheterization failed went through suprapubic cystostomy (suprapubic catheterization). Urine specimens for culture and sensitivity tests were then collected into sterile urine con-tainers immediately after the catheterization (irrespective of type). Ultrasound Scan was requested for all the patients to assist in diagnosing enlargement of the prostate and other associated urological pathologies. Retrograde urethrogram was however, requested for those patients with suprapubic catheterization and which helped in the diagnosis of the ure-thral stricture. For a particular child, urethral catheter was passed under sterile condition and Micturicting Cysto-Ure- throgram (MCUG) was done to assist in diagnosing posterior urethral valve and other conditions. Those subjects whose urinalysis revealed pyuria and positive urine culture and who had voluntarily agreed to enter the study were enrolled. Subjects whose urine culture had multiple bacteria growth that was deemed to be contaminants were excluded from the study. Results: The mean age for males with LUTO was 62 years. The youngest male with LUTO was aged 2 years whilst the maximum age was 93 years. LUTO due to prostatic hyperplasia was found in 79 (76.7%) men; 23 (22.3%) had LUTO due to urethral stricture and 1 (1.0%) (youngest male). The mean age of patients that had LUTO due to ure-thral stricture was approximately 39 years. The youngest patient with LUTO due to urethral stricture aged 22 years whilst the maximum age was 72 years. Microbiological results indicated that Escherichia coli caused 53 (51.5%) of urinary tract infection (UTI) due to LUTO; Klebsiella = 23 (22.3%); Staphylococcus aureus = 14 (14.6%); Pseudomo-nas spp. = 8 (7.8%) Proteus = 2 (2.0%); Citrobacter = 1 (1.0%) and Salmonella spp. = 1 (1.0%). Conclusion: The most common cause of lower urinary tract obstruction (LUTO) in Kumasi, Ghana is prostatic hyperplasia and the commonest causative organism of the associated UTI symptom is Escherichia coli.
Description: An article published by Scientific Research Publishing and also available at http://dx.doi.org/10.4236/oju.2012.23023
URI: http://hdl.handle.net/123456789/12548
Appears in Collections:College of Science

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