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Clinical and Bacteriological Profile of Urinary Tract Infection in Children; A Tertiary Care Hospital Experience

Dr.Md Sharafat Hossain, Dr.Mahbubur Rahman, Dr. ABM Habib Ullah

ARC Journal of Pediatrics, 2024

190 participants

Abstract

Background: Urinary tract infections (UTIs) are common bacterial infections in children, impacting health and development.Girls have a 3-10% risk of UTIs before age 14, and boys have a 1-3% risk.UTIs are more common in boys during the first year and in girls after that.They often ascend from the urethra and are diagnosed by over 100,000 CFU/ml in urine.Early diagnosis is crucial to prevent renal scarring and future morbidities.Common pathogens include E. coli, with increasing antimicrobial resistance complicating treatment. Aim of the Study:The study aim to provide insights into the current trends of UTI in children and guide effective treatment strategies in our clinical setting.Methods: This prospective observational study was conducted over one year at the Department of Pediatric, 250 Bedded General Hospital, Khulna, Bangladesh, to evaluate the clinical and bacteriological profile of pediatric UTIs.It included children aged one month to 14 years with symptomatic UTIs and positive urine cultures.Recurrent UTIs, other pyuria causes, chronic illnesses, recent antibiotic use, and mixed microbial growth were excluded.Data on demographics, symptoms, and risk factors were collected and analyzed using SPSS software.Result: The study analyzed 190 children with UTIs, with the highest prevalence in the 2-12 months age group (51.58%).The sample included 44.74% males and 55.26% females.Fever (70%) was the most common symptom, followed by abdominal pain (46.84%).Escherichia coli was…

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