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Risk of urinary tract infection in infants and children with acute bronchiolitis

Mohamed A Hendaus1, Ahmed H Alhammadi1, Mohamed S Khalifa2

  • 1Department of Pediatrics, Academic General Pediatrics Division, Hamad Medical Corporation, Doha, Qatar; ; Weill-Cornell Medical College-Qatar;

Paediatrics & Child Health
|July 16, 2015
PubMed

Insights

Urinary tract infections (UTIs) affect 10% of infants hospitalized with bronchiolitis. This prevalence is higher when bronchiolitis is caused by viruses other than respiratory syncytial virus (RSV).

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Urology

Background:

  • Bronchiolitis is a common respiratory infection in infants.
  • Urinary tract infections (UTIs) can present with non-specific symptoms in young children.

Purpose of the Study:

  • To determine the prevalence of UTIs in infants and children diagnosed with bronchiolitis.
  • To identify risk factors or specific viral triggers associated with UTIs in this population.

Main Methods:

  • A retrospective cross-sectional study was conducted on 835 pediatric patients (0-24 months) hospitalized with acute bronchiolitis.
  • Patients were categorized into three groups based on the detected pathogen: respiratory syncytial virus (RSV), other respiratory viruses, or no virus detected.
  • Urinary tract infection prevalence was analyzed across these groups.

Main Results:

  • Overall, 10% of pediatric patients with bronchiolitis had a UTI.
  • UTI prevalence was highest in patients with bronchiolitis due to viruses other than RSV (13.4%).
  • Patients with RSV bronchiolitis had the lowest UTI prevalence (6%).

Conclusions:

  • The study highlights a significant prevalence of UTIs in infants with bronchiolitis.
  • Clinicians should consider UTI in febrile infants diagnosed with bronchiolitis, especially when RSV is not the causative agent.
Abstract

Keywords:
BronchiolitisInfectionUrine

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