Analytical study of urinary tract infection in adolescent girls
DOI:
https://doi.org/10.18203/2320-1770.ijrcog20181024Keywords:
Adolescent girls, Menstrual hygiene, Urinary tract infectionAbstract
Background: Urinary tract infection is very common among females in all age groups. During adolescence, hormonal changes favour vaginal colonization by nephritogenic strains of bacteria, which can migrate to the periurethral area and cause urinary tract infection. It is associated with poor self esteem, impaired quality of life, social isolation, and depression. Many factors like low water intake, infrequent voiding and poor menstrual and sexual hygiene have been implicated in UTI during adolescence.
Methods: Girls between 10 and 19 years of age who attended the gynaecology OPD with any urinary complaint such as burning, frequency, pain, blood in urine etc. were included in the study. A questionnaire to obtain demographic profile, symptoms and treatment history was used. Investigations included urine routine examination and culture. Ultrasound was reserved for cases of recurrent UTI.
Results: A total of 25 adolescent girls participated in the study. The most common symptom was burning during micturition which was present in 60% girls. This was followed by frequency and pain during urination. Recurrent UTI was present in sexually active adolescents. Inadequate water intake, holding urine for long duration and poor menstrual and sexual hygiene were the important etiological factors.
Conclusions: Urinary tract infection is a common problem of adolescence causing much discomfort and loss of school. Inadequate hydration, lack of clean toilets and poor menstrual and sexual hygiene predisposes a young girl to UTI. The need is to educate our girls regarding good hydration and hygiene. Schools and all public places should have basic and clean sanitation facilities.
References
Hall GS. Adolescence: its psychology and its relations to physiology, anthropology, sociology, sex, crime, religion and education. New York: D. Appleton and Company;1904: 1844-1924.
Ye G. Health promotion of adolescents. Coll Anthropol. 1997;21(1):93-100.
Nicolle LE. Uncomplicated urinary tract infection in adults including uncomplicated pyelonephritis. Urol Clin North Am. 2008;35:1-12.
Salvatore S, Salvatore S, Cattoni E, Siesto G, Serati M, Sorice P, et al. Urinary tract infections in women. Eur J Obstet Gynecol Reprod Biol. 2011;156:131-6
Winberg J, Anderson HJ, Bergstrom T, Jacobsson B, Larson H, Lincoln K. Epidemiology of symptomatic urinary tract infection in childhood. Acta Paediatr Scand Suppl. 1974;252:1-20.
Fonda D. Promoting continence as a health issue. Eur Urol. 1997;32:28-32.
Ram S, Gupta R, Gaheer M. Emerging antibiotic resistance among the uropathogens. Indian J Med Sci. 2000 Sep;54(9):388-94.
Singh MM, Devi R, Garg S, Mehra M. Effectiveness of syndromic approach in management of reproductive tract infections in women. Indian J Med Sci. 2001 Apr;55(4):209-14.
Ahmed SM, Avasarala AK. Urinary tract infections (uti) among adolescent girls in rural Karimnagar district, AP – K.A.P. study. Indian J Prev Soc Med. 2009;40:6-9.
Vyas S, Varshney D, Sharma P, Juyal R, Nautiyal V, Shrotriya VP. An overview of the predictors of symptomatic urinary tract infection among nursing students. Ann Med Health Sci Res. 2015;5(1):54-8.
Nygaard I, Linder M. Thirst at work – An occupational hazard? Int Urogynecol J Pelvic Floor Dysfunct. 1997;8:340-3.
Badran YA, El-Kashef TA, Abdelaziz AS, Ali MM. Impact of genital hygiene and sexual activity on urinary tract infection during pregnancy. Urol Annals. 2015;7(4):478-81.
Srivastava S, Chandra M. Study on the knowledge of school girls regarding menstrual and reproductive health and their perceptions about family life education program. Int J Reprod Contracept Obstet Gynecol. 2017;6:688-93.
Delzell JE, Jr, Lefevre ML. Urinary tract infections during pregnancy. Am Fam Physician. 2000;61:713-21.
Scholes D, Hooton TM, Roberts PL, Gupta K, Stapleton AE, Stamm WE. Risk factors associated with acute pyelonephritis in healthy women. Ann Intern Med. 2005;142:20-7.