Prevalence of Urinary Tract Infections among HIV Patients Attending a Non -Governmental Health Facility in Jos, Plateau State, Nigeria.

Abstract

Introduction: The advent of HIV/AIDS has resulted in many microbial agents becoming opportunistic infections among individuals whose immune status has been suppressed by the infection. Objective: This study is designed to determine the prevalence of Urinary tract infections (UTIs) in Jos and its environs among HIV cohort. This is aimed at providing improved patient care and management. Methods: 260 mid-stream urine samples were collected from HIV Sero-positive patients. Samples were cultured, isolates identified and antibiogram was carried out according to standard microbiological protocols. Results: Of the 260 samples screened, 61 (23.5%) had UTIs. The distributions of the isolates were as follows: Escherichia coli 25 (9.6%), Staphylococcus aureus 17 (6.5%), Proteus mirabilis 7 (2.7%), Pseudomonas aeruginosa 7 (2.7%) and Klebsiella species 5 (1.9%). The study showed the presence of UTIs in all the age groups and the age group 46 and above had the highest prevalence .The study showed that females had a higher prevalence than males. UTIs were recorded in all the occupational groups considered, of which civil servants and business people had the highest with 35.3% and 22.0% respectively. Marital status showed that the widowed had the highest rate with 41.7%, followed by the married with 22.7% and then the singles had the least with 22.2%. The antibiogram showed that the antibiotics of choice were Gentamicin, Nitrofurantoin and Augmentin. Conclusion: This study showed a higher prevalence of bacterial uropathogens among the HIV/AIDS patients as compared to other findings on HIV negative patients. The antibiogram showed that the antibiotics of choice were Gentamicin, Nitrofurantoin and Augmentin.