Prevalence of urinary tract infection in children attending the paediatric outpatient department at Konaseema Institute of Medical Sciences & Research Foundation: A retrospective analytical cross-sectional study
Abstract
Introduction:
Urinary tract infection (UTI) is a frequent bacterial infection in children and contributes substantially to short- and long-term morbidity. Early diagnosis and appropriate antimicrobial therapy are essential to prevent renal complications. This study aimed to determine the prevalence, clinical profile, and antimicrobial sensitivity pattern of UTI in children attending a tertiary care centre.
Methods:
This retrospective analytical cross-sectional study was conducted in the Department of Paediatrics, KIMS & RF, Amalapuram, over a six-month period. A total of 100 children aged 1–14 years who underwent urine examination were included. Urine samples were analysed by microscopy and culture, and antimicrobial susceptibility testing was performed using standard methods.
Results:
Among 100 children evaluated, 38% were culture-positive for UTI. The highest prevalence was observed in children aged 1–5 years (47.4%). Females constituted 60.5% of culture-positive cases (male: female ratio 1:1.5). Escherichia coli was the predominant isolate (63.2%), followed by Klebsiella species (18.4%). E. coli demonstrated the highest sensitivity to nitrofurantoin (89.5%) and ceftriaxone (84.2%), while resistance was highest to ampicillin (68.4%). Fever (71.1%) and dysuria (52.6%) were the most common presenting symptoms.
Conclusion:
UTI prevalence was 38% among children attending the paediatric OPD, with female predominance and E. coli as the principal pathogen. High resistance to…
How strong is the evidence?
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. Reported size: 100 participants or records.
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