KNOWLEDGE AND CAUSES OF URINARY TRACT INFECTION AS PERCEIVED BY HEALTH WORKERS [A CASE STUDY OF KAURA LOCAL GOVERNMENT AREA, KADUNA STATE]

ABSTRACT

Table of Content


TABLE OF CONTENTS
Title page 
Certification   
Dedication 
Acknowledgement    
Table of contents  
List of tables  
List of Figures 
Abstract  
CHAPTER ONE: INTRODUCTION                                                                
1.1     Background of the Study   
1.2     Statement of the problem. 
1.3    Objectives of the study   
1.4    Significance of the study    
1.5     Scope of Study  
CHAPTER TWO: REVIEW OF RELATED LITERATURE      
2.1    Introduction 
2.2    Epidemiology 
2.3    Behavioral Factors 
2.4    Urinary Catheterization 
2.5    Pregnancy 
2.6    What are the symptoms of a chronic urinary     tract infection 
2.7    Effect of urinary tract infection   
2.8    What are the types of chronic urinary tract infection 
2.9    Who is at risk for a chronic urinary tract infection 
2.10    How is a chronic urinary tract infection diagnosis 
2.11    What are the complications associated with a chronic urinary tract infection
2.12    Prevention/control of urinary tract infection 
CHAPTER THREE: RESEARCH METHODOLOGY
3.1     Description of the study area 
3.2     Study design
3.3    Study population 
3.4     Sample size determination 
3.5     Sampling Technique
3.6     Instrument of data collection  
3.7    Validity of research Instrument  
3.8     Reliability of research Instrument 
3.9     Procedure for data collection 
3.10     Method of data analysis  
3.11     Ethical consideration 
CHAPTER FOUR
Presentation of result and data analysis 
CHAPTER FIVE                                                                                               
5.1     Discussion of finding   
5.2     Conclusion 
5.3     Recommendation  
    References                                
    Appendix
    Questionnaire
    Letter of Introduction
    Map
    Picture


ABSTRACT
    The incidence has been on the increase which gave rise to kidney damage urine retention and infertility.  This researcher to embark on a research study on Knowledge and causes of urinary tract infection as perceived by Health  workers in Kaura Local Government Area of Kaduna  State.
Some of the objectives are to To determine the knowledge of urinary tract infection as perceived by Health Worker among women child bearing age in Kaura Local Government Area and to Assess the Knowledge and Causes of Urinary Tract Infection as Perceived by Health Workers among women child bearing age in Kaura Local Government Area. Multistage sampling techniques was used to choose respondents for this study, a self-structured questionnaire used in obtaining data, and data analysis was carried out using statistical Package Social Sciences (SPSS) version 20.0 was used in analyses the data.
Based on the findings research questions, the findings showed that the 310(79.5%) of the respondents strongly agreed that urinary tract infection is a common medical complain among women in their reproductive age, 345(88.5) said that it could be caused by micro-organism, 128 (32.8%) agreed that frequent sexual activities may cause UTI, 245 (62.8) believed that it exposes pregnant women to premature delivery and 309(79) of the respondents agreed that women wiping themselves from front to back can stop bacteria from entering into the anus and vagina, 329 (84.4) supported practice of personal hygiene as UTI preventive measure.
In view of the research findings, it is recommended that Sexuality education should be included in secondary school curriculum so that teenage girls could be exposed to causes, effects and prevention of UTI, Mothers should be specially educated on the nature and prevention of UTI,  Advocacies, campaigns and other orientation programmes should be carried out by relevant government and non-government agencies on UTI.

CHAPTER 1


CHAPTER ONE
INTRODUCTION
1.1    Background of the Study
Urinary tract infection (UTI) is a pathogenic invasion of the ruthenium with resultant inflammation, encompassing a spectrum of upper and lower urinary tract disease. Infections are classified as complicated or uncomplicated, based on host anatomy and comorbidities, and range clinically from benign self-limited cystitis to urosepsis. UTI is the most common extra intestinal infectious disease entity in women worldwide, and perhaps one of the most formidable challenges in clinical practice given its high prevalence, frequent recurrence, myriad associated morbidities, and rapidly evolving antimicrobial resistance. Achieving timely symptoms relief and infection control is often preventing morbidity, growth of resistant organisms, and recurrent infections are often difficult. The management of community-acquired UTI is plagued by a dearth of dependable culture data, accessible and updated local antimicrobial resistance patterns, and clear guidelines for treatment and prevention of recurrent UTI, as well as identification patterns of infection that warrant additional evaluation.
Urinary tract infections (UTIs) are considered to be the most common bacterial infection according to National Ambulatory Medical Care Survey and National Hospital (2016). Usually, the infection affect otherwise healthy person of any age most of this people are treated as outpatient. Untreated urinary tract infection (UTI) can have a devastating consequence on health.
Nevertheless it is difficult to accurately access the incidence of (UTI’s) because the situation is further complicated by the fact that accurate diagnosis depends on both the presence of symptom and positive in a urine culture. Women are significantly more likely to experience urinary tract infection (UTI) than men. Because nearly 1 in 3 women will have at least 1 episode of urinary tract (UTI) requiring anti-microbial therapy by age of 24 years almost half of all women will experience urinary tract infection during their life time. The urinary tract is a body drainage system for removing wastes and extra water which include two kidneys, two ureters a bladder and a urethra.  Anderson, et al (2004).
According to Nicole et al (2001). The urinary tract infection can be define as the inflammation of the urinary tract due to infection by bacterial or virus that can extend from one urinary tract organ to the other. There is likelihood of more than one organ in the urinary organs to be affected at times and they are cause by micro organism which are too small to be seen with the necked eye which include fungi, virus, and bacteria. Bacteria are the most common cause of urinary tract infection under normal circumstance bacteria that enters the body or the urinary tract are rapidly removed by the body before they cause symptoms.
However, sometimes the bacteria overcome the body defenses and cause infection in the urethra called Urethritis, a bladder is called cystitis. Bacteria may travel up to the ureter to multiply and infects the kidney. The kidney infection is known as pyelonephritsi.
Another cause for urinary tract infection is E.Coli. it causes 80% of urinary tract infection with staphylococcus being the cause in 5-10% rarely to be due to viral or fungal infections. With the aforementioned urinary tract infection is the second most common types of infection in the body occurring for about 8.1million visit to the health care provider each year.  Schaeffer et al (1999).
Urinary tract infection is a specific term used to denote anatomic site of infection, commonly the site is indicated as lower urinary or upper urinary tract infection. The infection of the lower urinary tract is known as simple cystitis (bladder infection) this may include painful urination or urge to urinate due to prostrate or epididymis (prostrate or epididymilitis) in men. While in a women there may be vaginal discharge and significant pain. The symptoms vary from mild to severe.
The upper tract infection is known as pyelonephritis (kidney infection) the infection include perinephric assess and internal abscess which may come with fever or flank pain, the upper tract infection are serious and difficult to eradicate than lower tract infection. They can be categorize as uncomplicated urinary tract infections and cystitis in patients who have no congenital or acquire structural abnormalities or neurologic dysfunctions including any UTI in pregnant woman are complicated.