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Urinary tract infection in infants and children with diarrhoea

M H Fallahzadeh1, F Ghane

  • 1Department of Paediatrics, School of Medicine, Shiraz University of Medical Sciences, Islamic Republic of Iran. fallahzadeh@dr.com

Eastern Mediterranean Health Journal = La Revue De Sante De La Mediterranee Orientale = Al-Majallah Al-Sihhiyah Li-Sharq Al-Mutawassit
|March 6, 2007
PubMed

Insights

Urinary tract infection (UTI) investigations in children with acute diarrhea are recommended only for febrile female infants aged 5-15 months. This guideline helps target diagnostic efforts effectively in young children.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Urology

Background:

  • Acute diarrhea is a common pediatric illness.
  • Urinary tract infections (UTIs) can present with non-specific symptoms in infants.
  • Early diagnosis and treatment of UTI are crucial to prevent complications.

Purpose of the Study:

  • To establish criteria for investigating urinary tract infections (UTIs) in children presenting with acute diarrhea.
  • To identify specific clinical features that warrant urine culture in this population.

Main Methods:

  • A case-control study involving 120 pediatric patients with acute diarrhea and 120 age- and sex-matched healthy controls.
  • Urine cultures were performed, and repeated if initial results were positive or suspicious for bacteriuria or pyuria.
  • Clinical data including fever, vomiting, and diarrhea characteristics were collected.

Main Results:

  • Urinary tract infections (UTIs) were diagnosed in 8 patients (all under 2 years old) and 1 control.
  • Among patients with UTI, fever was present in 7, vomiting in 5, and invasive diarrhea in 1.
  • The study identified febrile, female infants aged 5-15 months as the highest-risk group.

Conclusions:

  • Routine investigation for urinary tract infection (UTI) in all children with acute diarrhea is not recommended.
  • Investigation for UTI in children with acute diarrhea should be targeted towards febrile female infants aged 5-15 months.
  • This targeted approach can optimize resource utilization and diagnostic efficiency.

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