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Risk factors for urinary tract infection in children: a population-based study of 2856 children

Premala Sureshkumar1, Mike Jones, Robert G Cumming

  • 1Centre for Kidney Research, NHMRC Centre for Clinical Research Excellence, The Children's Hospital at Westmead, Australia. premalas@chw.edu.au

Journal of Paediatrics and Child Health
|February 13, 2009
PubMed

Insights

Urinary tract infections (UTIs) in children are linked to kidney abnormalities, daytime incontinence, and encopresis. Addressing these issues, especially incontinence in boys, may help prevent UTIs.

Area of Science:

  • Pediatrics
  • Urology
  • Infectious Diseases

Background:

  • Urinary tract infections (UTIs) are common in children, with various risk factors contributing to their development.
  • Accurate identification of these risk factors is crucial for effective prevention strategies.

Purpose of the Study:

  • To identify key risk factors associated with urinary tract infections (UTIs) in elementary school-aged children.
  • To provide data for developing targeted preventative measures against childhood UTIs.

Main Methods:

  • A cross-sectional study surveyed parents of 2856 elementary school children using a validated questionnaire.
  • Urinary tract infection (UTI) status was confirmed through parental reports cross-referenced with microbiological data.

Main Results:

  • A history of structural kidney abnormalities, daytime incontinence, female gender, and encopresis were independently associated with UTIs.
  • Parents over-reported UTI cases by approximately threefold compared to verified diagnoses.
  • Daytime incontinence posed a higher risk for boys, while kidney problems were more prevalent in older children.

Conclusions:

  • Parental reporting of UTIs is significantly higher than verified cases.
  • Treating daytime urinary incontinence and encopresis may be effective in preventing UTIs in children, particularly boys.
Abstract

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