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Factors Associated with Urinary Tract Infection among Children Aged Less than 5 Years Visiting Department of

N Siluwal1, N Bhandari1, R Prajapati1

  • 1Department of Child Health Nursing, Dhulikhel Hospital, Kathmandu University Hospital, Kathmandu University School of Medical Sciences, Dhulikhel, Kavre, Nepal.

Kathmandu University Medical Journal (KUMJ)
|September 26, 2024
PubMed

Insights

Urinary tract infections (UTIs) are common in young children. Key risk factors include being female, having congenital anomalies, infrequent diaper changes, and E. coli presence, highlighting the need for hygiene interventions.

Area of Science:

  • Pediatrics
  • Infectious Diseases
  • Epidemiology

Background:

  • Urinary tract infections (UTIs) are a significant cause of illness in children under five.
  • Early diagnosis and management are crucial to prevent acute morbidity and long-term complications.

Purpose of the Study:

  • To identify factors associated with urinary tract infections (UTIs) in children under five years old.

Main Methods:

  • A quantitative cross-sectional study was conducted at Dhulikhel Hospital, Nepal.
  • Face-to-face interviews were conducted with 105 parents of children under five with suspected or culture-positive UTIs.
  • Logistic regression analysis was used to determine risk factors.

Main Results:

  • The prevalence of UTIs was 27.12%, with females accounting for over half of cases.
  • Females had a 7x higher risk of UTI. Congenital anomalies increased risk by 22.8x.
  • Infrequent diaper changes (>6 hours) increased UTI risk by 20.09x. E. coli presence correlated with a 9.43x higher risk.

Conclusions:

  • Implementing preventive measures like frequent diaper changes and maintaining personal hygiene can significantly reduce UTI incidence in children.
  • These interventions can help minimize the medical costs associated with childhood UTIs.

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