Clinical and laboratory aspects of urinary tract infections in hospitalized children

AUTHORS

Abolhassan Seyedzadeh 1 , * , Shams Vazirian 1 , Tahereh Yavari 2 , Liela Karimi 2 , Akram Soliemani 3

1 Dept of Urology and Nephrology Pediateric School of Medicine, Kermanshah University of Medical Science, Kermanshah, Iran

2 School of Medicine, Kermanshah University of Medical Science, Kermanshah, Iran

3 Dept. of Research, Kermanshah University of Medical Science, Kermanshah, Iran

How to Cite: Seyedzadeh A, Vazirian S, Yavari T, Karimi L, Soliemani A. Clinical and laboratory aspects of urinary tract infections in hospitalized children , J Kermanshah Univ Med Sci. 2009 ; 13(3):e79597.

ARTICLE INFORMATION

Journal of Kermanshah University of Medical Sciences: 13 (3); e79597
Published Online: December 19, 2009
Article Type: Research Article
Received: April 12, 2009
Accepted: August 04, 2009

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Abstract

Background: urinary tract infection (UTI) is the most common disease of urinary system and second common infection in children. Approximately, 5% of girls and 1% of boys have experienced a UTI by 11 years of age. The aim of this study was to determine clinical and laboratory aspects of urinary tract infection in hospitalized children in Razi Hospital of Kermanshah, Iran during 2001-2005.

Methods: This study is a descriptive one considered to evaluate profiles of 462 patients with UTI. UTI was defined as WBC>5  per high power microscopic field and positive culture or passive U/A , clinical symptoms and positive urine culture. Finding data were analyzed using SPSS (13) software.

Results: Among 462 patients, 306 cases (66%) were female and 156 cases (34%) were male (f/m=1.94). 69.4% of patients were under 2 year and 13.8% of them were  older than 5 years. The sonographic findings were normal in 216/392 (55%) of patients. The organisms isolated in urine culture were Ecoli in 240 (53%), Proteus in 34(7%) and klebsiella in 29 (6%) of subjects. The most common manifestation of UTI was fever (48%). In addition, in 81 cases there was an other infection associated with UTI that gastroenteritis was the most common associated infection.

Discussion:  Based on prevalence of fever in UTI, we recommend urinalysis as  one of the primary tests in evaluation of febrile children under 2 years (especially in girls). Pyuria with high sensitivity can confirm UTI. Presence of other infections cannot exclude the diagnosis of UTI.

Keywords

UTI Sonography cystitis pyelonephritis

© 2009, Journal of Kermanshah University of Medical Sciences. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License (http://creativecommons.org/licenses/by-nc/4.0/) which permits copy and redistribute the material just in noncommercial usages, provided the original work is properly cited.

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