Year 2019, Volume 09 , Issue 02, Pages 68 - 77 2019-06-15

Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five

Dorgelesse Francine Kouemo MOTSE [1] , Guy Pascal NGABA [2] , Loick Pradel KOJOM [3] , Danielle Christiane Kedy KOUM [4] , Cecile Ebongue OKALLA [5] , Calixte İda PENDA [6] , Evelyn MAH [7] , Andreas CHİABİ [8] , Dieudonné Désiré ADİOGO [9]


ABSTRACT

Objective: Urinary tract infection (UTIs) in child is serious public health problem especially in developing countries. This aimed at identifying factors associated with urinary tract infection and determining their diagnosis performances as well as resulting algorithms among Cameroonian under-five.

Methods: A descriptive and analytical cross sectional study took place from May 2013 to March 2014 at Pediatrics Department of the Bonassama District hospital in the town of Douala. Urine samples were collected dependent on the age of children and its aptitude to micturate. Ten microliters (10 µL) of urine specimen were cultured at 37°C for 24-48 hours. In addition, sociodemographic, anthropometric, clinic and biological information of each child were documented.

Results: The prevalence of UTI was 32.2% (129/400) which was mainly caused by Escherichia coli (41.1%). A total of four risk factors for UTI were found after adjustment for all pertinent characteristics of children. These included female gender (ARR= 0.55; p= 0.0046), presence of fever (ARR = 1.83; p= 0.0426), trouble urine (ARR = 1.36; p= 0.0063) and presence of nitrites in urine (ARR = 1.09; p= 0.0001). Presence of nitrites was the most discriminant parameter based on specificity (98.1%), positive predictive value (95.4%) and negative predictive value (90.1%). The diagnosis performances have gradually improved with the increasing number of parameters. 

Conclusion: This study reported four factors associated with increased risk for UTI. This also outlined that the presence of nitrites in urine had best diagnosis performances and different predictors-based clinical algorithms could be helpful especially in the identification of UTI-negative children.  J Microbiol Infect Dis 2019; 9(2):68-77.

Under-five, urinary tract infection, predictors, predictive potential, Cameroon
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Primary Language en
Journal Section Research Article
Authors

Author: Dorgelesse Francine Kouemo MOTSE (Primary Author)
Institution: Faculty of Medicine and Pharmaceutical Science, the University of Douala, Douala
Country: Cameroon


Author: Guy Pascal NGABA

Author: Loick Pradel KOJOM

Author: Danielle Christiane Kedy KOUM

Author: Cecile Ebongue OKALLA

Author: Calixte İda PENDA

Author: Evelyn MAH

Author: Andreas CHİABİ

Author: Dieudonné Désiré ADİOGO

Dates

Publication Date : June 15, 2019

Bibtex @research article { jmid574542, journal = {Journal of Microbiology and Infectious Diseases}, issn = {2146-3158}, eissn = {2146-9369}, address = {}, publisher = {Sağlık Araştırmaları Derneği}, year = {2019}, volume = {09}, pages = {68 - 77}, doi = {10.5799/jmid.574542}, title = {Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five}, key = {cite}, author = {Motse, Dorgelesse Francine Kouemo and Ngaba, Guy Pascal and Kojom, Loick Pradel and Koum, Danielle Christiane Kedy and Okalla, Cecile Ebongue and Penda, Calixte İda and Mah, Evelyn and Chiabi, Andreas and Adiogo, Dieudonné Désiré} }
APA Motse, D , Ngaba, G , Kojom, L , Koum, D , Okalla, C , Penda, C , Mah, E , Chiabi, A , Adiogo, D . (2019). Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five . Journal of Microbiology and Infectious Diseases , 09 (02) , 68-77 . DOI: 10.5799/jmid.574542
MLA Motse, D , Ngaba, G , Kojom, L , Koum, D , Okalla, C , Penda, C , Mah, E , Chiabi, A , Adiogo, D . "Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five" . Journal of Microbiology and Infectious Diseases 09 (2019 ): 68-77 <https://dergipark.org.tr/en/pub/jmid/issue/45635/574542>
Chicago Motse, D , Ngaba, G , Kojom, L , Koum, D , Okalla, C , Penda, C , Mah, E , Chiabi, A , Adiogo, D . "Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five". Journal of Microbiology and Infectious Diseases 09 (2019 ): 68-77
RIS TY - JOUR T1 - Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five AU - Dorgelesse Francine Kouemo Motse , Guy Pascal Ngaba , Loick Pradel Kojom , Danielle Christiane Kedy Koum , Cecile Ebongue Okalla , Calixte İda Penda , Evelyn Mah , Andreas Chiabi , Dieudonné Désiré Adiogo Y1 - 2019 PY - 2019 N1 - doi: 10.5799/jmid.574542 DO - 10.5799/jmid.574542 T2 - Journal of Microbiology and Infectious Diseases JF - Journal JO - JOR SP - 68 EP - 77 VL - 09 IS - 02 SN - 2146-3158-2146-9369 M3 - doi: 10.5799/jmid.574542 UR - https://doi.org/10.5799/jmid.574542 Y2 - 2019 ER -
EndNote %0 Journal of Microbiology and Infectious Diseases Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five %A Dorgelesse Francine Kouemo Motse , Guy Pascal Ngaba , Loick Pradel Kojom , Danielle Christiane Kedy Koum , Cecile Ebongue Okalla , Calixte İda Penda , Evelyn Mah , Andreas Chiabi , Dieudonné Désiré Adiogo %T Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five %D 2019 %J Journal of Microbiology and Infectious Diseases %P 2146-3158-2146-9369 %V 09 %N 02 %R doi: 10.5799/jmid.574542 %U 10.5799/jmid.574542
ISNAD Motse, Dorgelesse Francine Kouemo , Ngaba, Guy Pascal , Kojom, Loick Pradel , Koum, Danielle Christiane Kedy , Okalla, Cecile Ebongue , Penda, Calixte İda , Mah, Evelyn , Chiabi, Andreas , Adiogo, Dieudonné Désiré . "Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five". Journal of Microbiology and Infectious Diseases 09 / 02 (June 2019): 68-77 . https://doi.org/10.5799/jmid.574542
AMA Motse D , Ngaba G , Kojom L , Koum D , Okalla C , Penda C , Mah E , Chiabi A , Adiogo D . Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five. J Microbil Infect Dis. 2019; 09(02): 68-77.
Vancouver Motse D , Ngaba G , Kojom L , Koum D , Okalla C , Penda C , Mah E , Chiabi A , Adiogo D . Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five. Journal of Microbiology and Infectious Diseases. 2019; 09(02): 68-77.
IEEE D. Motse , G. Ngaba , L. Kojom , D. Koum , C. Okalla , C. Penda , E. Mah , A. Chiabi and D. Adiogo , "Predictors of Urinary Tract Infection and Their Diagnostic Performances among Cameroonian Under-five", Journal of Microbiology and Infectious Diseases, vol. 09, no. 02, pp. 68-77, Jun. 2019, doi:10.5799/jmid.574542

Authors of the Article
Dorgelesse Francine Kouemo MOTSE [1]
Guy Pascal NGABA [2]
Loick Pradel KOJOM [3]
Danielle Christiane Kedy KOUM [4]
Cecile Ebongue OKALLA [5]
Calixte İda PENDA [6]
Evelyn MAH [7]
Andreas CHİABİ [8]
Dieudonné Désiré ADİOGO [9]