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[Urinary tract infections in children]
D A Senses1, U Dilmen, I S Kaya
1Türkiye Sağlik ve Tedavi Vakfi Merkezi Hastanesi.
Insights
Urinary tract infections (UTIs) are common in infants, with most cases occurring in those aged 1-12 months. E. coli is the most frequent cause, and a significant recurrence rate of 32% was observed in followed patients.
Area of Science:
- Pediatric infectious diseases
- Microbiology
- Nephrology
Context:
- Urinary tract infections (UTIs) represent a significant health concern in pediatric populations.
- This study focuses on a cohort of 50 children diagnosed with UTIs over one year at a single hospital.
- Infants under 12 months constituted the majority of cases (56%).
Purpose:
- To analyze the clinical characteristics, causative agents, and recurrence patterns of UTIs in children.
- To identify key demographic and symptomatic indicators associated with pediatric UTIs.
- To evaluate the prevalence of specific microorganisms and the rate of UTI recurrence.
Summary:
- The study diagnosed 50 pediatric UTIs, predominantly in infants (1-12 months) with a female-to-male ratio of 3.5:1.
- Fever (34%) was the most common symptom; urinalysis revealed significant pyuria (88%) and proteinuria (22%).
- Escherichia coli (E. coli) was the primary pathogen (70%), and 32% of followed patients experienced recurrence.
Impact:
- Highlights the high prevalence of UTIs in young children and the importance of early diagnosis.
- Identifies E. coli as the leading causative agent, informing empirical treatment strategies.
- Underscores the need for vigilant follow-up due to a substantial recurrence rate, potentially preventing long-term complications.
Abstract:
The diagnosis of urinary tract infections were established on fifty children in our hospital in the last year. Most of the patients were between the age of 1-12 month (28 cases, 56%). The ratio of female/male was 3.5. Fever was the most common symptom (17 cases, 34%). In the routine urinalysis, proteinuria and pyuria were revealed in 11 cases (22%), and 44 cases (88%), respectively. E. coli was the most common microorganism isolated from urine cultures (70%). Twenty-two patients were regularly followed up and recurrence was observed in 7 patients (32%).