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Staphylococcus saprophyticus urinary tract infections in children
K Abrahamsson1, S Hansson, U Jodal
1Department of Paediatrics, University of Göteborg, East Hospital, Sweden.
Insights
Staphylococcus saprophyticus urinary tract infections (UTIs) are uncommon in children. This study found these pediatric UTIs rarely present with fever and are associated with a low incidence of urinary tract anomalies.
Area of Science:
- Pediatrics
- Infectious Diseases
- Urology
Background:
- Staphylococcus saprophyticus is a common cause of urinary tract infections (UTIs) in young women.
- In males, S. saprophyticus UTIs are typically observed in the elderly population.
Purpose of the Study:
- To investigate the occurrence and characteristics of S. saprophyticus urinary tract infections in children under 16.
- To assess the association between S. saprophyticus UTIs and urinary tract anomalies in pediatric patients.
Main Methods:
- Retrospective analysis of pediatric patients diagnosed with S. saprophyticus UTI.
- Review of clinical presentations, including symptoms like dysuria and flank pain.
- Evaluation of radiological investigations for urinary tract abnormalities.
Main Results:
- S. saprophyticus UTI was identified in 59 children (45 girls, 14 boys) under 16 years old.
- Dysuria and flank/back pain were common symptoms; high fever (>38.5°C) was rare.
- Radiological investigations in 63% of cases showed no significant urinary tract anomalies.
Conclusions:
- Pediatric S. saprophyticus UTIs are infrequent and typically present without high fever.
- Children with S. saprophyticus UTI have a low likelihood of underlying urinary tract anomalies.
- These children also exhibit a reduced risk of concurrent infections by other bacterial agents.
Abstract:
Staphylococcus saprophyticus commonly causes urinary tract infection (UTI) in young women; in males it is found mainly in the elderly. In this study S. saprophyticus UTI occurred in 59 children (45 girls and 14 boys) below 16 years of age, of whom 20 were less than 13 years of age. The common presentation was dysuria and flank or back pain whereas fever > or = 38.5 degrees C was rare. Radiological investigation performed in 63% of the children revealed no anomalies of importance. Children with S. saprophyticus UTI appear to constitute a group with a low frequency of urinary tract anomalies and with a low risk of UTI caused by other bacteria.