Voiding dysfunction in children with culture positive urinary tract infection
Keywords:Urinary tract infections, Voiding dysfunction
Background: Urinary tract infections (UTI) are one of the most common reasons for referral to a hospital. Early identification and prompt treatment will prevent complications associated with UTI. Voiding dysfunction is one of the leading causes of UTI in children. This study aims to assess children affected with UTI using dysfunctional voiding symptom scores (DVSS) and find the relationship between voiding dysfunction and UTI.
Methods: This study was conducted in the Department of Paediatrics, Sri Ramachandra Medical College, Chennai, Southern India. All the children who presented with culture positive UTI between April 2008 and Jan 2011 was prospectively analyzed. USG abdomen and X-ray spine were performed to detect any occult spinal or genitourinary tract anomalies and only those with normal findings were included for the study. Presence of voiding dysfunction was evaluated with modified DVSS score.
Results: Study population consisted of 184 children (age group 6–18 years) with female preponderance (M:F = 1:1.9). The most common isolated organism was E. Coli. Voiding dysfunction was identified in 38% using DVSS score. Voiding dysfunction was higher in girls (47.9%) compared to boys. In those with first episode of UTI voiding dysfunction was found in 43% (56/130). Those with recurrent UTI voiding dysfunction were found in 25.9% (14/54).
Conclusions: Voiding dysfunction was significantly higher in girls compared to boys with UTI. Voiding dysfunction was high even among those with first episode of UTI. It is essential to identify and treat voiding dysfunction in children with UTI.
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