Urinary Schistosomiasis and Asymptomatic Bacteriuria among Individuals of Ipogun, Nigeria: Detection of Predominant Microorganisms and Antibiotic Susceptibility Profile

Abstract

The development of bacteriuria and subsequent antibiotic resistance may be facilitated by infection with the parasite Schistosoma hematobium. This situation has been described in some African countries like Nigeria, Sudan and Congo. The present study aimed to assess the association of bacteriuria with Schistosoma haematobium infection in Ipogun, located in Ifedore Local Government, South-west, Ondo State, Nigeria. One hundred and nine (109) terminal urine samples were collected from inhabitants of the village and analyzed for the presence of bacteriuria and ova of Schistosoma haematobium via culture and microscopy respectively. Our findings revealed that 81 (74.31%) samples had bacteriuria and 42 (38.53%) were infected with Schistosoma haematobium. Of the 42 samples that were positive for schistosomiasis, 32 (76.19%) were associated with bacteriuria. Gram negative bacteria associated with co-infection of urine samples with schistosomiasis demonstrated a higher level of resistance to conventional antibiotics compared to bacteria isolated from single bacteriuria infection. Findings from the study highlight the role of Schistosoma haematobium in the perpetuation of antibiotic resistance in cases of co-infection with bacteriuria.