FREQUENCY OF BACTERIURIA AND CANDIDURIA IN CHILDREN ATTENDING PRIMARY SCHOOLS IN AMASSOMA, NIGER DELTA REGION, NIGERIAOLUWAYEMISI A. OLORODE OFONIME M. OGBA AND EGEIN B. BEINMOIPREAbstract Candida co-infections with bacteria have become a public health interest. Can this occur in Children? This study was conducted between March and November, 2017 to determine the frequency of bacteriuria and candiduria of apparently healthy children of different age group and sex attending primary schools in Amasoma, Bayelsa State, Nigeria.A total of 142 primary school children Mid Stream Urine (MSU) were collected in sterile bottles and immediately taken to the laboratory in ice packed for culture using selective media, Sabouraud Dextrose Agar (SDA), Mannitol Salt Agar (MSA) and the pure isolate characterized and identified on the basis of their cultural and biochemical properties was standardized using 0.5 Mc Farland standard of Turbidity. Antibiotics susceptibility of pure standardized culture was evaluated by Kirby Buer method. The findings showed asymptomatic Bacteriuria and Candiduria in 91 (64.1%) and 97 (68.3%) samples respectively; the subjects who had Staphylococcal co-infection with Candidiasis were 75 cases (52.8%), with female (ages 5 to 12) preponderance over males. The total number microorganisms isolated were two hundred and seventy-eight (278) these include Staphylococcus aureus (58, 20.8%), Candida glabrata (39, 14%), Staphylococcus epidermidis (37, 13.3%), Candida albicans (19, 6.8%); Candida tropicalis (14, 5%); Bacillus species (12, 4.3%); Candida parapsilosis (9, 3.2%); Klebsiella species (4, 1.4%), other Staphylococcus species was (27, 9.7%) and unidentified Candida sp. (53, 18.9%). All the Staphylococcus species isolated were highly susceptible to Levofloxacin (97.4%); Gentamycin (93.2%); Ciprofloxacin (93.1%); Streptomycin (92.6%); moderately susceptible to Rifampicin (71.2%); least susceptible to Erytromycin (58.9%), but resistant to Chloramphenicol (14.6%). Bacillus sp. and Enterococcus sp. were susceptible to Levofloxacin (100%); Streptomycin (100%); Ciprofloxacin (97%); Gentamycin (93%); Rifampicin (91.7%), but resistant to Chloramphenicol (16.7%). All Candida isolates were most susceptible to Fluconazole (87.9%) followed by Nystatin (71%) and moderately susceptible to Ketoconazole (68%), but resistant to Itraconazole (8.1%). There is no significance difference between the male and female infected at p =0.05. This study has shown that co-infection of Staphylococcal and Candida is prevalent in Amassoma Community primary schools Bayelsa State. |