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Clinical and epidemiology characteristics of urinary tract infections in childhood

Selmira Brkic1, Sehveta Mustafic, Sabina Nuhbegovic

  • 1Department of Pathophysiology, Faculty of Medicine, University of Tuzla, Univerzitetska 1, 75 000 Tuzla, Bosnia and Herzegovina. selmira.brkic@untz.ba

Medicinski Arhiv
|July 22, 2010
PubMed

Insights

Urinary tract infections (UTIs) are common in children, particularly in girls aged 3-6 years. Fever is the most frequent symptom, but non-specific signs often make diagnosis challenging.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Urology

Background:

  • Urinary tract infection (UTI) is a prevalent childhood illness, often emerging in early years.
  • Recognizing UTI in children can be difficult due to non-specific symptoms, especially in younger age groups.

Purpose of the Study:

  • To determine the incidence and distribution of UTIs in children.
  • To analyze the clinical presentation of UTIs in pediatric patients.

Main Methods:

  • Retrospective analysis of medical histories from 164 children treated at a Primary Health Centre.
  • Inclusion criteria: presence of bacteria in urinary sediment.

Main Results:

  • UTI prevalence was 7.74% overall (11.26% in girls, 4.47% in boys).
  • Highest incidence occurred in the 3-6 year age group (9.80%).
  • Non-specific symptoms were present in 73.18% of cases, specific UTI symptoms in 35.98%. Fever was the most common symptom (54.9%).

Conclusions:

  • UTI is a frequent bacterial infection in children.
  • Clinical diagnosis of UTI in children is often complicated by non-specific symptoms, necessitating a high index of suspicion, particularly in younger children.

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