microorganism and underlying urological anomalies causing the urinary tract infection in the children attended the pediatric surgery clinic at the maternity and child teaching hospital Al Qadisiya, Iraq

Urinary tract infections [UTI] are among the most common infections in children. UTI related morbidity remains high despite the use of numerous effective antibacterial agents. The aim of this study was to determine how many patients had underlying urological abnormalities, the specific type of abnormality, and the microorganism causing the UTI in the patients with or without urological anomalies. The sample of this study was conducted in the pediatric surgery unit at The maternity and Children Teaching Hospital, Al-Qadisiya, Iraq and from the 1[st] of august 2005 to the end of July 2008, all the patients presenting with UTI to the outpatient clinic or to the surgical ward were investigated prospectively. There were 78 [70.9%] girls and 32 [29%] boys, 19 [17.2%] were between 0-1 year, 68 [61.8%] were at an age between 1-5 years, and 23 [20.9%] were more than 5 years of age. Forty seven [42.7%] of these patients had abnormal urological findings. Of 78 girls, 31 [39.7%] had urological abnormalities. Sixteen children had VUR as an only abnormality. The distribution of abnormalities showed some changes by age and sex. Bacteriuria [>10[5] bacteria per milliliter of urine] was found in 44 [40%] of patients. The most common bacterial agent of urinary infections was E. coli [61.3%] of total isolates in both sexes; it was the most common pathogen among all patients [those with urological abnormalities and those without]. There was no difference in the distribution of microorganisms in patients with and without urological anomalies. The diagnosis of UTI in young children is important as it is a marker for urinary tract abnormalities. A child with a suspected UTI should have a urine culture and colony count performed in order to identify organisms for confirmation of diagnosis and recommend prompt treatment to reduce UTI related morbidity and mortality in children

Pediatric surgery in Al-Qadisiya: report of rare cases

The aim of this paper is to report 3 rare pediatric surgery cases observed in Al-Qadisiyia: 1. A rare atypical parasitic rachiopagus parasitic twin, 2. Urethral diverticula and anterior urethral valves 3. Inguinal hernia with a persistent Mullerian duct syndrome and transverse testicular ectopia

Review for urolithiasis in patients attending the pediatric surgery unit at Al Qadisiya governorate -Iraq

Pediatric urolithiasis is an uncommon occurrence in developed countries, with a prevalence of l%-5% accounting for about 1 in 1000 pediatric hospital admissions in North America. Though a rare pathology, there is a high degree of morbidity associated with pediatric urolithiasis. To report the pattern and the outcome of to treatment modality [open surgery] in children with urinary stone disease. This study was conducted in the pediatric surgery unit at the maternity and Qicld Teaching hospital in Al-Qadisiya governorate-lraq during the period from the 1st of January 2005 to the end of December 2008, a total of 46 patients, admitted through this single unit, were included in this study and prospectively reviewed. 46 children with urolithiasis were observed 34 [73.9%] were males and 12 [26%] were females male to female ratio was 2.8:1. Their ages ranged from 6 months to 14 years with a mean age of 5.5 years. Pediatric patients with stones present in a manner similar to adults. Primary care physicians need to be highly suspicious of stone disease in a patient presenting with flank or abdominal pain and gastrointestinal symptoms. Pyelolithotomy was done in 22 patients [47.8%] and ureterolithotomy in 7 patients [15.2%]. Pyelonephrolithotomy, extended pyelolithotomy with pyeloplasty were performed in 3 cases [6.2%] each being in one case. Traditional open surgery may be preferred treatment for pediatric urolithiasis in expert hands with excellent stone clearance and minimal complications