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Urinary tract infections associated with otitis media in infants and children

E Torrijos, A J Khan, M Bastawros

    Journal of the National Medical Association
    |June 1, 1989
    PubMed

    Insights

    Urinary tract infections (UTI) are common in children with otitis media. Hematuria and high fever in boys suggest UTI, but urine culture is essential for diagnosis.

    Area of Science:

    • Pediatrics
    • Infectious Diseases
    • Nephrology

    Background:

    • Otitis media is a common childhood infection.
    • Urinary tract infections (UTI) can coexist with otitis media.
    • Identifying UTI in children with otitis media is clinically important.

    Purpose of the Study:

    • To determine the incidence of UTI in infants and children diagnosed with otitis media.
    • To compare host factors and laboratory features between patients with and without UTI.

    Main Methods:

    • A cohort of 106 infants and children with otitis media were screened.
    • Urine cultures were performed to detect UTI.
    • Patients with and without UTI were compared for clinical and laboratory differences.

    Main Results:

    • 16% of patients with otitis media had concomitant UTI.
    • Patients with UTI showed a higher incidence of hematuria.
    • High fever was more prevalent in boys with UTI, but clinical signs were not definitive.

    Conclusions:

    • Urine culture is the only definitive method for diagnosing UTI in children with otitis media.
    • Clinical presentation alone is insufficient to rule out UTI in this population.

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