Study of the prevalence of urinary tract infection in febrile children

Authors

  • Mathivanan M. 1Department of Paediatrics, Sri Venkateshwaraa Medical College Hospital and Research Centre, Ariyur, Pondicherry, India
  • Visalakshi K. 2Department of Paediatrics, Government Villupuram Medical College Hospital, Villupuram, Tamil Nadu, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20184286

Keywords:

E. coli, Febrile children, UTI

Abstract

Background: Children with fever comprise a major proportion of our practice in outpatient department of Paediatric. The emphasis on identification of urinary tract infections in febrile children is minimal. Very often, children receive antibiotics empirically, without any adequate evaluation for urinary tract infection. The objective of our study is to determine the prevalence of urinary tract infection in all febrile children from 2 months to 5 years of age.

Methods: Prospective cross sectional, descriptive study done at Dept of Paediatrics, in a tertiary care centre of South India over a period of 1 year. Children who fulfilled the inclusion criteria were included and demographic details, physical examination and laboratory investigations were done. Statistical analysis was done using SPSS version 18.

Results: The study included 200 children. The mean age group of the total population was 2 years 6 months. Females were 105 (53%) and males were 95 (47%). The total prevalence of UTI cases were 9%. The incidence in < 1 year was 11.5%, 1-2 years was 10.6 % and >2 years was 7.14 %. The prevalence of UTI was higher among females (5.5%) than males (4%). Among the 19 UTI cases only 2 cases were without any underlying foci of infection the remaining 17 cases had a definite source of infection. E. coli followed by Klebsiella were found to contribute the maximum number of cases.

Conclusions: Possibility of Urinary Tract Infection must be considered in all febrile children and urine culture specimen must be collected as a part of diagnostic evaluation.

References

Shaw KN, Gorelick MH. Urinary tract infection in the pediatric patient. Pediatric Clin. 1999;46(6):1111-24.

Benador D, Benador N, Slosman DO, Nusslé D, Mermillod B, Girardin E. Cortical scintigraphy in the evaluation of renal parenchymal changes in children with pyelonephritis. J Pediatr. 1994;124(1):17-20.

Majd M, Rushton HG, Jantausch B, Wiedermann BL. Relationship among Vesicoureteral reflux, P-firnbriated Escherichia coli and, acute pyelonephritis in children with febrile urinary tract infection. J Pediatr. 1991;119:578-85.

Rushton HG, Majd M, Jantausch B, Wiedermann BL, Belman AB. Renal scarring following reflux and non-reflux pyelonephritis in children: evaluation with 99mtechnetium-dimercaptosuccinic acid scintigraphy. J Urol. 1992;147(5):1327-32.

Berg UB. Long term follow-up of renal morphology and function in children with recurrent pyelonephritis. J Urol. 1720;148:1715-20.

Conway JJ, Cohn RA. Evolving role of nuclear medicine for the diagnosis and management of urinary tract infection. J Pediatr. 1994;124:87-90.

Dharnidharka VR. Prevalence of bacteriuria in febrile infants. Indian Pediatr. 1993;30:981-6.

Hoberman A, Chao HP, Keller DM, Hickey R, Davis HW, Ellis D. Prevalence of uninary tract infection in febrile infants. J Pediatr. 1993;123:17-23.

Bryan CS, Reynolds KL. Community-acquired bacteremic urinary tract infection: epidemiology and outcome. J Urol. 1984;132(3):490-3.

Bagga A, Sharma J. Urinary tract infections clinical features, evaluation and treatment. Pediatr Today. 2000;3:395-401.

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Published

2018-10-22

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Original Research Articles