02483nas a2200301 4500000000100000008004100001260006800042653001700110653002000127653001500147653002100162653001300183653003100196653002800227653002800255653001200283100001300295700001400308700001400322700001400336700001900350245015800369856007600527300001100603490000700614520154600621022001402167 2026 d c06/2026bUniversity of Dar es Salaam - DIGITAL COMMONS JOURNALS10aEpidemiology10aUltrasonography10aUrogenital10aSchistosomiasis 10aTanzania10aUrogenital schistosomiasis10aSchistosoma haematobium10aurinary tract morbidity10aItilima1 aYohana C1 aNyundo BA1 aBakuza JS1 aRambau PF1 aKinung’hi SM00aEpidemiology and ultrasonographic observations of urogenital schistosomiasis related urinary tract morbidity in Itilima district, Simiyu region, Tanzania uhttps://commons.udsm.ac.tz/cgi/viewcontent.cgi?article=2261&context=tjs a1 - 100 v523 a

Chronic infection of urogenital schistosomiasis in humans is a major cause of urinary tract morbidity in endemic areas. However, information on the prevalence of schistosomiasisrelated urinary tract morbidity is lacking in most endemic countries including Tanzania. This study was conducted to determine the prevalence of schistosomiasis-related urinary tract morbidity in schoolchildren and adults in Itilima District. Urine samples from 682 residents were examined for Schistosoma haematobium infection using urine filtration technique. Urinary tract morbidity was examined by ultrasound. The prevalence of S. haematobium infection was 16.4% (112/682) and varied significantly between villages (range 3.2% to 29.5%, χ2 = 48.467, p < 0.001). There was no significant variation of S. haematobium infection between male and female (8.3 % vs 8.1%, χ2 = 0.679, p = 0.410). Majority (93.8%) had light infections (<50 eggs/10 mL). The prevalence of urinary tract morbidity was significantly higher in adults compared to school children (78.3% vs 42.9%; χ2 = 13.451, p = 0.001). Furthermore, the prevalence of urinary tract morbidity was significantly higher in male (60%) compared to female participants (60% vs 40%, χ2 = 17.819, p < 0.001). The prevalence of schistosomiasis-related urinary tract morbidity is still high in Itilima district. Therefore, examination for urogenital schistosomiasis accompanied with ultrasound among infected individuals is necessary for early detection of lesions in the urinary tract system.

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