Assessment of Urinary Tract Infections among Children Visited in Medical Institute

ABSTRACT

Background: Urinary tract infection is one of the frequent and serious bacterial infection amongst children. Children that are diagnosed with urinary tract infection account for about 1 million of office visits annually and 500,000 visits to emergency department. The present study was done to assess the characteristics of children with urinary tract infection and determine the most commonly isolated organism in culture.Methods: The present prospective study was conducted in the OPD of Department of Pediatrics, Pacific Institute of Medical sciences, Udaipur, Rajasthan, India. The socio demographic information was obtained from the guardians and filled in pre designed questionnaires. Midstream urine sample was collected in a sterile container after cleaning the urethral meatus. The criteria for culture positive was more than 105 colony forming units per ml of urine and growth of a single organism. All the data was arranged in a tabulated form and analyzed using SPSS software. Results: The present study enrolled a total of150 subjects with urinary tract infections. The mean age of the subjects was 5.89 +/-2.87 years. There were 20% (n=30) subjects less than 1 year of age, 40% (n=60) subjects each were between 1-5 years and 6-14 years of age. Dysuria was seen in 14% children and pain in abdomen was observed amongst 12% children. There were 82% (n=123) subjects with culture positive for gram negative bacteria. Conclusion: In our study, circumcision amongst boys and undernutrition was significantly associated with UTI. The most commonly isolated microorganisms from urine culture were gram negative bacteria.