Urinary schistosomiasis and concomitant urinary tract pathogens among school children in metropoitan Ibadan, Nigeria

Abstract

This study on the prevalence of urinary schistosomiasis and concomitant urinary tract pathogens was carried out between August and December, 1998, among school children in Ibadan North Local Government Area. Terminal urine sample collected from only pupils in classes 3 to 6 for the study were analyzed accordingly using the methods as described. Of the 1600 pupils examined, 920 (57.5%) who
had the ova of Schistosoma haematobium also had pyuria; 75.4% of which had concomitant bacteriuria. There was no significant difference in the distribution of schistosomasis among sexes as against age influence. Symptoms of haematuria are not pathognomonic of the infection. Result shows that there is a linear relationship between scream water contact/ usage and infection rate. The bacteriuria isolated included Klebsiella sp.; Escherichia coli, Staphylococcus
aureus with Esch. Coli occurring more frequently than the rest. The antibiogram of the isolates revealed that Tarivid and perfloxacin were the most effective drugs in case management of concomitant bacteriuria among the school children. The components of control of urinary schistosomisasis are highlighter. The integration
of complementary strategies would lead to a great success in control effort.