Urinary tract infection in children

ABSTRACT

Urinary tract infection is predominant among school age girls. It may be complicated by renal scarring and other complications if not diagnosed early and properly treated. 108 children with proven U.T.I. based on colony count > 105 organisms/ml were included in the study. All cases were examined clinically and investigated by laboratory tests and radiologically [abdominal U.S., plain U.T. and I.V.U. and in some cases V.U.C. or DMSA scan]. E. coli was the most offending organism in the series [71%] followed by Klebsiella [15.3%], Pseudomonas [5%], Proteus [4.7%] and Staphylococci in 4% of patients. Renal scarring was detected in 17 cases [15.7%]. V.U.R. was encountered in 4 out of 14 children [28.6%] having renal scarring, which was not associated with renal and ureteral stones. No single radiological imaging technique is adequate for diagnosing various genitourinary abnormalities. I.V.U. is more accurate than U.S. in detecting renal scarring and some congenital anomalies like duplex collecting system. V.U.C. can detect different grades of reflux, while DMSA scan is the most accurate in diagnosing renal scarring