Clinical, Bacteriological Profile and Management Practices in Culture Positive Urinary Tract Infection in Children
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 12
Abstract
Introduction: Urinary tract infection (UTI) is seen in approximately 3-5% of girls and 1 % of boys. UTI can be the first presentation in 30% of children with urinary tract anomalies. Failure to identify these patients can result in damage to upper urinary tract and long term sequelae like renal scaring and hypertension. Materials and Methods: Retrospective, time-bound case notes review over a period of one year of children with culture positive UTI admitted in Father Muller medical college hospital. Patient information was collected in a pre-structured and pre-validated proforma from case records. Mean, frequency, percentage, standard deviation were calculated for all descriptive data while continuous data was analysed using student’s t-test. P-value <0.05 was considered significant. Results: A total of 40 children were included in the study. Majority of study subjects were females in the age group of 1-5 years (60%). Most common symptoms reported in children <5 years was fever (58%) and excessive cry while passing urine (58%) whereas 50% of children >5 years had complaints of pain abdomen. Previous history of UTI was present in 22% of subjects. Urine analysis had a sensitivity of 75% and specificity of 67%.The organism predominantly causing UTI continues to be E. coli (67%). Multidrug resistance was noted in 52.5% of isolates. In children less than 5 years, 88% of USGs were abnormal. All abnormal MCUs were in children below 5 years of age. Dimercaptosuccinic acid (DMSA) scan was abnormal in 50% of children in whom it was performed. Conclusion: UTI in children presents with a wide variety of non-specific symptoms. UTI can be the first presentation of a child with genitourinary abnormalities. Urine microscopy can be used as a screening test in UTI. Abnormal USG and MCU studies are commonly seen in children less than 5 years with culture positive UTI hence imaging studies are warranted. There is increasing incidence of multidrug resistant strains causing UTI.
Authors and Affiliations
Sharon Victoria Mendez
Keywords
Related Articles
- EP ID EP504326
- DOI -
- Views 56
- Downloads 0
Effects of Music Therapy on Anxiety, Pain & Clinical Parameters among Primigravida in a Selected Hospital, West Bengal
Background: Labour is accompanied by intense and prolonged pain. For many years researchers are trying to find a safe, effective way of reducing the pain perception without hampering the fetal outcome. Aim: To find out t...
Rapid Maxillary Expansion and Conductive Hearing loss- Review
In recent years, great emphasis has been given to the Stomatognathic system. Constricted maxillary arch is not only a dental issue, but it has other systemic concerns. This maxillary constriction is one of the causes of...
A Prospective Clinical Study of Congenital Heart Disease in Children with Consanguineous Marriages
Objectives: 1. To study the incidence of Congenital Heart Disease in children born to consanguineously married parents. 2. To study the spectrum of Congenital Heart Disease in children born to consanguineously married pa...
Inter-Proximal Space Management Using Indirect Ceramic Veneers
Teeth spacing defined as a dental anomaly characterized by interdental spaces and lack of contact points between the teeth, the etiology of spacing in dentition may be hereditary, acquired or functional. Using the approp...
Comparison Study on Frequency, Severity and Risk Factors of Acne among Male and Female Medical Students
Acne vulgaris is one of the most common skin diseases worldwide. It is characterized by areas of blackheads, whiteheads, pimples, and greasy skin, and may result in scarring. Three skin conditions were in the top 10 most...