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[Variables influencing duration of hospitalization for urinary tract infection]
L Ramiro Ayán1, A Lassaletta Atienza, P González Santiago
1Servicio de Pediatría, Hospital Universitario Príncipe de Asturias, Madrid, Spain.
Insights
Young children under 2 years with urinary tract infections (UTI) and prolonged fever require longer hospital stays. Ambulatory care for pediatric UTI is recommended to optimize resources.
Area of Science:
- Pediatric Nephrology
- Infectious Diseases
- Clinical Pediatrics
Context:
- Urinary tract infections (UTI) are common in children.
- Hospitalization duration for pediatric UTI is debated.
- Identifying factors influencing length of stay is crucial for resource management.
Purpose:
- To determine clinical factors affecting hospitalization duration in children with UTI.
- To identify predictors of prolonged hospital stay in pediatric UTI cases.
Summary:
- A retrospective study analyzed 93 pediatric UTI cases.
- Younger age (under 24 months) and prolonged fever (over 2 days) significantly increased length of stay.
- Age was the most influential factor on hospitalization duration.
Impact:
- Findings suggest that age and fever duration are key determinants of hospitalization length in pediatric UTI.
- Recommends considering ambulatory treatment for pediatric UTI, even in infants under 2 years.
- Aims to improve resource allocation and patient management strategies for pediatric UTI.
Background:
The need for hospitalization and its duration in children with urinary tract infections (UTI) are controversial.
Objective:
To analyze the effect of certain clinical factors from the medical records of children hospitalized with UTI to determine which factors have the greatest influence on length of hospital stay.
Material And Methods:
A retrospective study of the medical records of 93 patients admitted to our department with a diagnosis of UTI between May 1998 and June 2000 was carried out. All cases were confirmed by bacteriological analysis. The variables analyzed included age, sex, duration of fever before and during admission, temperature, length of intravenous antibiotic therapy, administration of aminoglycosides, presence of urinary tract malformations, previous episodes of UTI, and length of hospital stay.
Results:
The variables with the greatest influence on a length of hospital stay of more than 7 days were age, especially an age of less than 24 months (OR 3.42; 95 % CI 1.2-9) and the number of days with fever during hospitalization (more than 2 days: OR 2.73; 95 % CI 1.07-7.6).
Conclusion:
Patient age significantly influences length of hospital stay in children with UTI. To optimize resources, ambulatory treatment of children with UTI should be encouraged, even in those younger than 2 years.