PREVALENCE OF URINARY TRACT INFECTION AND DETERMINATION OF MICROBIOLOGICAL WATER QUALITY IN URBAN POOR COMMUNITIES IN BARANGAY LA HUERTA, PARANAQUE

CITY
Guillena, Carren Grace O. Guttang, Shela T. Martinez, Marvin Jay Santiago P. College of Medical Technology

Background of Study
Urinary Tract Infection (UTI), is one of the most common community-acquired infection. All individuals are susceptible to UTI; however, the prevalence of infection differs with age, sex, and certain predisposing factors. Contaminated water is said to be a contributor in the development of UTI.

Review of Related Literature

Bacteria are the primary organisms that cause UTI, less than 70 percent of which is caused by Escherichia coli (community-acquired UTI in all age groups). Usage or exposure to contaminated water while taking showers may permit the introduction of bacteria into the tract that can lead to UTI. Risk factors for having UTI may include age, gender, disease, hospitalization, obstruction and sexual activity.

Theoretical and Conceptual Framework

Statement of the Problem

The study was conducted in order to determine the prevalence of Urinary Tract Infection (UTI) and quality of water in urban poor communities of Barangay La Huerta, Paranaque City. Specifically, it aimed to: determine the prevalence of urinary tract infection in Barangay La Huerta, Paranaque City. determine how safe the source of water in the community is. determine the presence of recurrent urinary tract infection. determine the perceived factors of the respondents that may cause UTI.

Methodology
Cross sectional analysis Systematic random sampling
Respondents (age 7-65, male or female regardless of health status ) 573 households, 181 respondents, 3 house interval Selection of participant in each house is by fish bowl method

Field and laboratory research

Survey Sample collection Urinalysis and Gram staining Culture Water analysis

Findings and Conclusion

The prevalence rate of UTI is 6% in urban poor communities of Barangay La Huerta, Paranaque city. Ten (7%) of the one hundred thirty-four (74%) females had UTI. It is more common among females than in males. Four (6%) have recurrent UTI. Presence of UTI was also seen in respondents who were diabetic and have tuberculosis. The most common perceived cause of UTI is Madalang uminom ng tubig which is 30%. Water analysis further showed that five (38%) of the total sites collected and nine (90%) among the respondents with UTI were found to have unsafe water.

Recommendations
Cover all the different strata that will require stratified random sampling water sources of respondents must be clearly identified so that it can be statistically correlated with the prevalence of UTI. The use of Microscopy of WBC to confirm the positive result in the leukocyte esterase test (dipstick) and much better if first morning urine specimen is collected. Water quality in the community must be regularly monitored and treated especially from water coming from wells ( balon ) and artesian wells ( poso ). For water samples that were tested to be unsafe, immediate treatment of the water source is necessary and should be retested again to ensure that treatment is effective.