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Genitourinary tract anomalies in Thai children with urinary tract infection
Insights
Pediatric urinary tract infections (UTIs) warrant radiologic evaluation, particularly in children under five. Genitourinary anomalies were common, especially in boys during infancy and girls in early childhood.
Area of Science:
- Pediatric Nephrology
- Urology
- Infectious Diseases
Background:
- Urinary tract infections (UTIs) are common in children.
- Identifying genitourinary (GU) anomalies is crucial for managing pediatric UTIs.
- Early diagnosis and intervention can prevent long-term renal complications.
Purpose of the Study:
- To retrospectively analyze pediatric patients with initial documented UTIs.
- To determine the frequency of genitourinary anomalies and primary vesicoureteral reflux (VUR) in children with UTI.
- To establish recommendations for radiologic evaluation in pediatric UTI cases.
Main Methods:
- Retrospective analysis of 143 pediatric patients with initial documented UTIs.
- Review of radiologic evaluations for genitourinary tract anomalies.
- Analysis of the incidence of primary VUR in relation to age and sex.
Main Results:
- E. coli was the most frequent organism in uncomplicated UTIs.
- Genitourinary tract anomalies were identified in 46% of 110 patients who underwent radiologic evaluation.
- Anomalies were more frequent in boys during infancy and girls during early childhood. Primary VUR occurred in 11% of patients, primarily in infancy.
Conclusions:
- Radiologic evaluation is strongly advised for all children diagnosed with a UTI.
- This recommendation is particularly important for children younger than five years old.
- Early detection of GU anomalies and VUR can guide appropriate management and prevent complications.
Abstract:
One hundred and forty-three pediatric patients with initial documented UTI were analysed retrospectively. E. coli was the most common organism found in uncomplicated cases. Forty-six per cent of 110 patients who had radiologic evaluation had genitourinary tract anomaly with higher frequency in boys during the infancy period and girls during the early childhood period. Primary VUR was found in 11 per cent of patients mainly in infancy with an equal number among boys and girls. We conclude and strongly advise that radiologic evaluation should be done in all children with UTI, especially if they are younger than 5 year old.