Intensity of Urinary Schistosomiasis and Prevalence of Urinary Tract Pathology Among Primary School Pupils in Delta State, South-south, Nigeria
Keywords:
Urinary schistosomiasis, Urinary tract pathology, Intensity of infection, NELGAAbstract
Abstract
Background: The urinary tract pathology (UTP) of urinary schistosomiasis is a common complication of the infection caused by inflammatory reactions mainly against the deposited egg antigens around the urinary tract and it is a disease of major public health importance.
Objective: The aim of this study was to determine the correlation between the intensity of urinary schistosomiasis and the prevalence of its UTP among primary school pupils in Ndokwa-East Local Government Area (NELGA) of Delta State, South-south Nigeria.
Method: This study was a cross sectional descriptive study of primary school children aged 5-15 years in Ndokwa-East Local Government Area (NELGA) of Delta State. Urine microscopy was used to identify infected primary school pupils. The intensity of infection was classified using egg count according to World Health Organization (WHO) standard, after which they participated in an ultrasound examination, using WHO guideline for schistosomiasis morbidity.
Result: Among the infected subjects, 87.5% of those with severe infection had bladder wall pathology, while 71.4% of those with mild infection had bladder wall pathology (FET, p-value = 0.613). Additionally, 12.5% of those with severe infection as against 7.1% of those with mild infection had hydroureter (FET, p-value = 1.000), while 37.5% of those with severe infection as against 42.9% of those with mild infection had hydronephrosis (FET, p-value = 1.000).
Conclusion: The prevalence and severity of UTP in this study had no significant relationship with the intensity of infection.
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