frequency of urinary tract infection among children with febrile convulsion

ABSTRACT

This study was conducted to determine the frequency of urinary tract infection [UTI] among children with febrile convulsion [FC]. We analyzed the hospital records of 137 children who had been admitted to the pediatric ward from March 2004 to February 2007 because of FC. Information such as age, sex, developmental status, type of FC, family history of seizure, urine sampling method, and the results of antibiograms were recorded. The age distribution of 137 patients [82 boys, 55 girls] was as follows 1-6 months of age, 1 infant [0.7%]; 6-12 months, 21 infants [15.3%]; 1-3 years, 75 [54.8%]; 3-5 years, 30 [21.9%]; and more than 5 years, 10 [7.3%]. Three out of the 82boys and 6 out of the 55 girls had UTI [3.7% vs. 10.9%, total, 6.6%]. The age distribution of these 9 patients was as follows 1-6 months, 1 patient [11.1%]; 7-12 months, 5 [55.6%]; and 1-3 years, 3 [33.3%]. The relative incidence of UTI was 6.6%. The most common organisms causing infections were Escherichia coli in 8 and Proteus spp., in 1 patient [88.8% vs. 11.1%]. Simple FC was seen in all 9 patients with UTI. In this study, the relative frequency of UTI among children with FC was 6.6% and this frequency was higher that the incidence of UTI in girls and boys [3-5% and 1%, respectively]. Therefore, we recommend that UTI should be considered as an important cause of FC in children