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Category: Volume 07 Issue 10 October 2019
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Title: Urinary Tract Infection in Pediatric Age Group: A Prospective Disease

Author: Dr Ajeet Gopchade

 DOI: https://dx.doi.org/10.18535/jmscr/v7i10.47

Abstract

  

Introduction: Urinary tract infection (UTI) is common in children particularly girls. It usually presents with fever, rigors, urgency and increased frequency of micturition. Its diagnosis depends upon demonstration of sufficient quantity of organisms on microscopic examination and by culture sensitivity. Culture and sensitivity report not only provide with the confirmation of diagnosis but also help in managing the patients. We conducted this study to analyze clinical features and organisms involved in causing UTI in pediatric age group.

Materials and Methods: This was a prospective study in which patients under the age of 12 years. Urine samples from the patients suspected to be having UTI were collected from the patients and was sent for routine microscopic examination as well as for culture sensitivity Pediatric patients with culture proven urinary tract infections were included in this study on the basis of a predefined inclusion and exclusion criteria. Presenting complaints and culture sensitivity reports were analyzed. P value less than 0.05 was taken as statistically significant.

Results: Out of the 30 patients who had been diagnosed with UTI there were 20 females (66.66%) and 10 males (33.33%) with a M:F ratio of 1.72. The incidence of UTI was found to be more in female as compared to males and the difference was found to be statistically significant (P<0.05). Most common presenting complaint was found to be fever which was present in all patients (100%). The other presenting complaints were burning micturition (70%), abdominal pain (40%), rigors (36.66%), increased frequency (36.33%), urgency (33.33%), Loin pain (33.33%) and altered urine color (30%). Most common offending organism was found to be E. coli (46.67%) followed by Klebsiella (23.33%).

Conclusion: Urinary tract infection is one of the common causes of fever in children and must be ruled out in any child presenting with features suggestive of UTI. It’s appropriate diagnosis and prompt treatment are crucial to prevent complications such as renal scarring, pyelonephritis and sepsis.

Keywords: Urinary tract infection, Culture and sensitivity, Escherichia coli, antibiotics.

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Corresponding Author

Dr Ajeet Gopchade [MBBS MD]

Consultant Pediatrician, Amrutpath Children Hospital Nanded (MS), India