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INTRODUCTION: Urinary Tract Infection (UTI) is a common bacterial infection in children with variable symptomatology. Urinary tract infection is the third most common bacterial infection in children in developing countries after those of gastrointestinal and respiratory tract MATERIALAND METHODS: This hospital based observational study was conducted prospectively for one and half years between March 2017and Sep 2018 at government general hospital, pediatric ward, srikakulam. RESULT:Atotal number of 312 febrile children fulfilling the inclusion criteria (n=312). In the study group, 65 children were diagnosed to have UTI, on basis of a positive culture test. There were 121 male children and 191 female children in the study group. There were 65 cases of UTI accounting for an overall prevalence of 20.83%. Out of 121 male children 23 had culture positivity (19%) whereas out of 191 female children 42 had culture positivity (21.98%). In the age group of 1-5 years 27 [19.85%] cases were culture positive. Among 6-12years 38 cases were positive [21.59%]. This difference is not statistically significant with p value 0.86. CONCLUSIONS :The prevalence of culture positive UTI in febrile children presenting with a clinical features other than urinary tract symptoms is 16.28%, which represents a high yield .Most of the organisms isolated are sensitive to cefotaxime {75.38%}, amikacin{73.84%}, gentamycin{64.61%},ciprofloxacin{63.07%}.
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The importance of onychomycosis is often underestimated. Far more than being a simple cosmetic problem, infected nails serve as a chronic reservoir of infection which can give rise to repeated mycotic infections of the skin. 448 patients with nail abnormalities attending Skin O. P. D of King George Hospital, Visakhapatnam during a 1 (one) year period between November'98-October'99, were subjected to detailed clinical, epidemiological study. Diagnosis was confirmed in 204 cases by direct microscopy or culture or by both. Females (51.96%) were slightly more than the males (48.04%). Majority of the cases were between 21-40 years age group. Housewives (33.33%) were most frequently affected. Trauma was a predisposing factor in 11.27% of the cases. The duration of lesions varied from 3 months to 15 years. In the majority (38.23%) it was less than one year. Candidal onychomycosis was the most prevalent clinical type (58.82%) followed by distal subungual onychomycosis (38.72%). Disease was limited only to finger nails in 57.35% and toe nails in 32.35%. Predominant isolates obtained were candida spp. (56.7%), followed by dermatophytes (38.2%) and non-dermatophyte molds (3.37%). 26.96% of the patients had experienced physical, psychosocial and occupational problems.