Browsing by Author "Idris, Haruna"

Now showing 1 - 2 of 2
  • Item
    Bacteria vaginosis: prevalence and associated risk factors among non-pregnant women of reproductive age attending a Nigerian tertiary hospital
    (University of Malawi and Malawi Medical Association, 2017-12) Abdulateef, Rasheedat; Ijaiya, Munirdeen; Fadeyi, Abayomi; Adeniran, Abiodun; Idris, Haruna
    Aim To determine the prevalence and risk factors associated with bacterial vaginosis (BV) among non-pregnant women of reproductive age group. Methods A cross-sectional study among non-pregnant asymptomatic women aged 19 to 45 years, attending the gynaecological clinic at University of Ilorin Teaching Hospital, Ilorin, Nigeria. Participants were counselled and an informed consent was obtained. This was followed by vaginal swabs for microscopy, culture and sensitivity. Diagnosis of BV was by Nugent’s criteria. Data analysis was by Statistical Package for Social Sciences (SPSS) version 20.0. Chi-square and Yates corrected chi-square were calculated, and p value <0.05 was significant. Results Among the 212 participants, prevalence of BV was 40.1%; it was common among women aged 25-34 years (50; 58.8%), the married (77; 90.6%) and those with tertiary education (39; 45.9%). The risk factors for BV were common among women with laboratory evidence of the infection, however statistically significant risk factors were the use of intrauterine device (OR 1.61, 95%CI 0.543-4.759; p0.020) and previous voluntary termination of pregnancy (OR 1.04, 95%CI 0.600-1.808; p0.047). Conclusion There was high prevalence of bacterial vaginosis in the study population. Universal screening and treatment of cases may assist in lowering the associated morbidity.
  • Item
    Spectrum of Uropathogens and its antibiotic susceptibility in pregnant women with symptomatic urinary tract infection in a Nigerian Teaching Hospital
    (Society of Obstetrics and Gynaecology of Nigeria, 2014-04) Idris, Haruna; Ijaiya, Munirdeen; Adeniran, Abiodun; Akanbi II, Aibola
    Background: Urinary tract infections (UTI) are the most common bacterial infections in pregnancy and associated with maternal and perinatal morbidity and mortality. Objectives: To determine the current uropathogens and their antibiotic susceptibility pattern and to compare the pregnancy outcome among clinical UTI and non clinical UTI cohorts. Patients and methods: This was a prospective matched cohort study carried out between 1st January, 2012 and 30th June, 2012 at the department of Obstetrics and Gynaecology of the University of Ilorin Teaching Hospital, Ilorin, Nigeria. The study population was made up of 200 pregnant women with clinical signs and symptoms of urinary tract infections and 200 pregnant women without clinical signs and symptoms of urinary tract infection as control matched with maternal age group, parity and gestational age. Results: Of 3442 obstetric patients seen 200 had clinically diagnosed UTI in pregnancy giving a rate of 5.8%. Age bracket 21- 30years and multipara had highest frequency of significant bacteriuria. Low social status and third trimester of pregnancy were identified risk factors for UTI in pregnancy. Frequency of maternal anaemia (p=0.02) and hypertension (p=0.03) were significantly higher among subjects than control. The common bacterial uropathogen isolated were Escherichia coli (46.7%), Staphylococcus aureus (17.9%), Proteus spp.(13.3%) and Klebsiella spp. (11.1%). The antibiotics with highest coverage included Co-amoxyclave (81%), Gentamicin (68.8%) and Cefuroxime (54.4%). Conclusion: Maternal anaemia and hypertension were significantly higher among subjects than control. Gram negative isolates were predominant and E. coli was the most common isolated bacteria. Co-amoxyclave had highest coverage against the bacteria. Therefore, co-amoxyclave is recommended for empirical use for urinary tract infection in pregnancy in this locality.