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Infantile urinary tract infection, presentations and outcomes in General Hospital, Tripoli, Libya: A Single-Center retrospective analytical cross-sectional study

Fathia F Ben Saleh, Z. Saad, Aisha Gammodi

Libyan journal of medical research, 2025

Abstract

Background: Urinary tract infection (UTI) is a common cause of fever and hospitalization in infants. Early diagnosis and management are vital to prevent short and long-term complications. We aimed to describe clinical features, laboratory and imaging findings, risk factors, and short-term outcomes among infants <1 year hospitalized with UTI. Materials and Methods: A Single-Center retrospective analytical cross-sectional study was conducted at the Pediatric Department of Al-Hadaba Al-Khadra General Hospital, Tripoli, Libya. Data including fifty (50) infants hospitalized with a confirmed diagnosis of UTI between January and October 2024. Data were extracted from medical records, including demographics, presentation, laboratory results, imaging, risk factors, and outcomes. All infants received broad-spectrum intravenous antibiotics adjusted according to culture sensitivity. Statistical analysis was performed using SPSS version 25. Descriptive statistics are used to summarize infants' characteristics. Associations were tested using Fisher’s exact/Chi-square, and logistic regression was planned for independent predictors. P < 0.05 was significant. Results: Fifty infants were included. Fever (96%) and vomiting (68%), were the most frequent symptoms. Abnormal renal ultrasound was detected in (44%), and positive urine culture in (14%). Eight infants (16%) had identifiable risk factors: Spina bifida (2), antenatal hydronephrosis (1), renal hypoplasia (1), maternal antenatal UTI (2),…

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Evidence Hub reads this as a cross-sectional, done in people. Its evidence level is 4 of 5 (Low · observational). Observational designs can show an association but not prove cause.

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