CLINICAL PRESENTATION OF URINARY TRACT INFECTION AMONG CHILDREN AT AYUB TEACHING HOSPITAL, ABBOTTABAD
AbstractBackground: Urinary tract infection (UTI) is still common among children all over the world and a cause for significant number of out patient visits. Keeping in view the high incidence of UTI in children with associated morbidity and mortality, it is imperative to diagnose the urinary tract infection early and to treat the infection. We carried out this study to look into the clinical profile of UTI in children presenting at Ayub Teaching Hospital. Methods: One hundred patients of diagnosed UTI, from 0 to 15 years of age admitted in the Pediatric units of Ayub Teaching Hospital Abbottabad were included in the study. A proforma was used to record the clinical and laboratory presentation of these patients. Results: Fever was the commonest clinical presentation (92%) followed by dysuria (68%) and failure to thrive (31%). Conclusion: Clinical profile of urinary tract infection in children in this study was not significantly different from that of other developing and developed countries, however it will help us a lot in speedy diagnosis of our Paediatrics patients.Keywords: urinary tract infection, dysuria, failure to thrive, fever.
Langley JM, Hanakowski M, Leblanc JC. Unique epidemiology of nasocomial urinary tract infection in children. Am J Infect Control 2001; 29: 94–8.
Falcao MC, Leone CR, D’Andrea RA, Berardi R, Ono NA, Vaz FA. Urinary tract infections in full-term newborn infants: value of urine culture by bag specimen collection. Rev Hosp Clin Fac Med Sao Paulo1999;54: 91–6.
Barnett BJ, Stephens DS. Urinary tract infection: an over view. Am J Med Sci 1997; 314:245-49
Kaushal RK, Sumeet B, Sharma VK, Sood A, Goyal A. Urinary tract infection among children presenting with fever. Ind Pediatr 2003;40:269-70
Shaw KN, Shortliffe LMD. Urinary tract infection in the pediatric patient. Pediatr Clin North Am 1999;46(6):1111-24
Bagga A. consensus statement on management of urinary tract infections. Ind Pediatr 2001;38:1106-15
Struthers S, Scanlon J, Parker K. Parental reporting of smelly urine and urinary tract infection. Arch Dis Child 2003;88:250-52
Garcia FJ, Negar AL. jaundice as an early sign of urinary tract infection in infancy. Pediatrics 2002;109:846-51
Bartkowski DP. Recognizing UTIs in infants and children. Postgrad Med. 2001;109(1):171-81
American Academy of Pediatrics. Practice parameter: the diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics 1999;103:843-52
Wammanda R.D., Ewa B.O. Urinary tract pathogens and their sensitivity pattern in children. Annals of Tropical Pediatrics 2002; 22:197-198.
Arslan S, Caksen H, Rastgeldi L. use of urinary gram stain for the detection of urinary tract infection in childhood. Yale Journal of Biology and Medicine 2002;75:73-8.
Mehr SS, Powell CV, Curtis N. cephalosporin resistant urinary tract infections in young children. J Paediatr Child Health 2004;40(1-2):48-52
Gallager SA, Hemphill RR. Urinary Tract Infections: Epidemiology, Detection, and Evaluation. [Cited on 2003]. Available from: www.ahcpub.com
Saleh SI, Tuhmaz MM, Sarkhouh MY. urinary tract infection in children in Al-jahra area, Kuwait: An overview. Kuw Med J 2003;35(1):31-35
Gorelick MH, Shaw KN. Screening test for UTI in children: A Meta analysis. Pediatrics 1999;104(5):e54
Pitetti RD, Choi S. Utility of blood cultures in febrile children with UTI. Am J Emerg Med 2002 Jul;20(4):271-4
Elder JS. Urinary tract infection. Behrman RE, Kliegman RM, Jenson HB, editors. Nelson Textbook of Pediatrics. 17th ed. Philadelphia: WB Saunders Company; 2004.p.1621-5.
Crain EF, Gershel JC. Urinary tract infections in febrile infants younger than 8 weeks of age. Pediatrics 1990;86:363-67
Newman TB, Bernzweig JA, Takayama JI, Finch SA, Wasserman RC, Pantell RH. Urine testing and urinary tract infectoin in febrile infants sen in office settings: The Pediatric Research In Office Settings’ Febrile Infants Study. Arch Pediatr Adolesc Med. 2002;156:44-54
Biyikli NK, Alpay H, Ozek E, Akman I, Bilgen H. Neonatal urinary tract infections: Analysis of the patients and recurrences. Pedtr Int 2004; 46:21-25.