Citation Information :
Nasser R, Mohammed MT, Veettil RK, Payora R, Jacob AS. Clinical Characteristics and Microbiological Analysis of Urinary Tract Infection in Children of 2 Months to 12 Years: A Prospective Study. Pediatr Inf Dis 2019; 1 (3):79-81.
Objectives: To study the clinical characteristics and etiological agents of urinary tract infection (UTI) in children of 2 months to 12 years, and to find the prevalence of vesicoureteric reflux (VUR) in children with UTI. Materials and methods: This prospective study was conducted among 47 children with culture-positive UTI in children between 2 months to 12 years. All children attending the pediatric outpatient department (OPD) of Government Medical College Hospital, Kannur, Kerala, India, were enrolled. Clinical and bacteriological profile of all cases were evaluated and ultrasonogram (USG) abdomen/micturating cystourethrogram (MCU) were done for these patients to find the predisposing factors associated with recurrent infections like VUR and posterior urethral valve. Results: A total of 47 children were enrolled, of which 25 (53.19%) children were below 1 year of age. Male to female ratio was 2.1:1. The most common symptom was fever, and Escherichia coli (65.9%) was the most common organism isolated. Within the cohort, 23.40% of children had recurrent UTI and 19.14% showed VUR. Conclusion: Urinary tract infection is a very common infection in infants and children. It is equally important that we treat the child with antibiotics and investigate for any underlying causes such as VUR or obstructive uropathy.
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