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Biomedical subjects

C Kanja

Publications and source records attributed to C Kanja.

9 recordsLinked to original sources

Prevalence of intestinal parasites in Kenyans with dyspepsia.

Dyspepsia and intestinal worm infestation are both common clinical conditions in a developing country like Kenya and thus this study was designed to look at the correlation between the two in a referral gastroenterology clinic at Kenyatta National Hospital. One hundred and twenty five patients with dyspepsia had their stool, duodenal aspirate and duodenal biopsy analysed for evidence of intestinal parasites. Seven (5.6%) were found to have various types of intestinal parasites with giardia lamblia comprising 42.8% of worms isolated. 71.4% of patients with dyspepsia and worm infestation had their symptoms improved after deworming, but the low prevalence of intestinal parasite in dyspeptic patients makes routine deworming not cost effective. Stool examination had the best yield for intestinal parasites.

Adolescent↗

Bacteriuria in patients with glomerular diseases.

In a comparative study of significant bacteriuria in an African population, 1.7% of 697 healthy subjects (10 females and 2 males) were found to have positive urine cultures. Of these, 5 subjects grew E. coli, 4 Klebsiella strains, 2 Staphylococcus aureus and 1 Serratia marcescens. Among 116 patients with glomerular disease, 15.5% (7 males and 11 females) yielded positive cultures. E. coli, Staph. aureus and Proteus species were commonly isolated organisms. There was a nine fold increase in prevalence of bacteriuria in patients with glomerular disease and in females, this correlated with the amount of protein lost per 24 hours. It is postulated that the presence of protein in urine per se favours bacterial growth and because of the high prevalence of bacteriuria in patients with glomerular disease, it is recommended that all such patients should be screened and treated appropriately.

Adult↗