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[Urinary infection in children with acute gastroenteritis]
Boletin Medico Del Hospital Infantil De Mexico
|September 1, 1980
Summary
Urinary tract infections (UTIs) are rarely associated with diarrhea in infants. Suprapubic aspiration is a reliable method for diagnosing UTIs in this population.
Area of Science:
- Pediatrics
- Infectious Diseases
- Nephrology
Context:
- Acute gastroenteritis is common in infants.
- Urinary tract infections (UTIs) can present with non-specific symptoms.
- The co-occurrence of UTI and diarrhea in infants requires careful investigation.
Purpose:
- To investigate the association between urinary tract infection and diarrhea in infants with acute gastroenteritis.
- To evaluate the diagnostic utility of clinical and laboratory findings.
- To assess the reliability and safety of urine collection methods.
Summary:
- This study examined 35 infants with acute gastroenteritis, finding only one case (3%) with a concurrent urinary tract infection, a lower rate than previously reported.
- Clinical presentation and routine laboratory tests were insufficient to differentiate UTI cases.
- All infants had abnormal urinalysis results, highlighting its sensitivity but lack of specificity.
- Urine samples collected via the micturition technique were frequently contaminated.
- Bladder suprapubic puncture was identified as a reliable and safe method for accurate UTI diagnosis in infants.
Impact:
- Findings suggest a low association between UTI and diarrhea in infants with gastroenteritis.
- Highlights the limitations of non-invasive urine collection methods due to contamination.
- Emphasizes the importance and safety of suprapubic aspiration for definitive UTI diagnosis in infants.
- Informs clinical practice regarding the diagnostic approach to infants presenting with gastroenteritis and suspected UTI.