A study on prevalence of urinary tract infections in hypertensive patients attending an urban hospital in lagos, Nigeria
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Date
1998
Authors
Odutola, T.A.
Ogunsola, F.T.
Odugbemi, T.
Mabadeje, A.F.B.
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Abstract
Three hundred und filly four hvportr.nsivo patients In the age range 20 ยท 80 years were studied. They included
both old and new patients who were attending the clinic for the first time or had been patients for up to 27 years. The
298 age-matched non-hypertensive controls were also studied. The booking mean arterial pressure (mean arterial
pressure at first attendance or at booking for lhe clinic) and the study mean arterial pressure (mean arterial pressure
taken during the period of study) were recorded and patients were classified as normotensive MAP <110mmHg, mildly hypertensive 110 - 122mmHg, moderate!y hypertensive MAP 123 - 136mmHg and severely hypertensive MAP> 137mmHg. At bookinq there were significantly more male moderate and severe hypertensives than females. Symptoms of UTI were elicited by indirect questioning and midstream urine specimens collected. There was no statistically significant difference in UTI botweon malo and female patients versus controls. A total of 13 out of 116 male patients and 47 out of 178 female patients had their urine samples positive for urinary pathoqons, It was significant that most cases had asymplomatic bacteriuria. Escherichia coli was the mosl frequent organism isolated in both patients and controls hut its distribution in patients on gender basis was not siqnitlcantly different. However, in controls, the frequency in female controls was significantly higher than in male controls, but the frequency was not significantly different in all patients versus nil controls. It is concluded that the prevalence of UTI in our hypertensive population is not significantly different from that in the general population. That E. coli was the most frequent organism isolated, and that UTI occurred irrespective of the degree of hypertension nor did it affect significantly the course of lhe disease in the population studied.
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Staff publications
Keywords
Hypertensive patients , Arterial pressure , Urine samples , Patients , Research Subject Categories::MEDICINE::Microbiology, immunology, infectious diseases
Citation
Odutola, T.A, Ogunsola, F.T, Odugbemi, T, Mabadeje, A.F.B. (1998). A study on prevalence of urinary tract infections in hypertensive patients attending an urban hospital in Lagos Nigeria. Nigerian Quarterly Journal of Hospital Medicine 8 : 190-192.