Urinary Tract Infections in Children - A Slick Entity
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Although urinary tract infections(UTI) are a common entity among all age groups, it warrants prompt attention in paediatric population. The infections are often fraught with underlying genitourinary abnormalities in children and hence systematic evaluation is necessary to decrease morbidity. Our study enrolled children with documented UTI . 93 children were taken up with ages from 15 days to 12 years and were further evaluated. Ultrasonogram detected abnormalities in twenty four .Voiding cystourethrogram revealed pathologies in 23 children. Intravenous pyelography was done in two occasions. Children with vesicoureteric reflux underwent DMSA to assess the extent of parenchymal damage. In children with Pelvic Ureteric Junction(PUJ) obstruction, DTPA had a major impact on the definitive treatment. The genitourinary abnormalities associated with urinary tract infection in the study included primary vesicoureteric reflux, posterior urethral valve, hydronephrosis due to PUJ obstruction, pyonephrosis due to PUJ calculus, vesical calculus, vulval synaechiae and patent urachus. Treatment was tailored according to the individual problem. Twenty nine percent of the UTIs are associated with genitourinary anomalies and hence it is worth evaluating children with UTI. Sonographic and nuclear studies play a major role in decreasing morbibity in the long run in children.
Authors and Affiliations
Muthulingam V, Dharmendra RP, Rajamani G, Raghul M
Keywords
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- EP ID EP599016
- DOI 10.9790/0853-1603085558.
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