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• W2890956178 abstract "INTRODUCTION:Worldwide in paediatric age group urinary tract infection remains as silent yet very frequently faced infection. It produces significant mortality and morbidity among paediatric population due to inconspicuous clinicalmanifestations. It results in significant morbidity by producing irreversible damage to renal system that can never be salvaged if not recognised and treated early. Hence early recognition of subtle symptoms and signs will definitely provide good outcome among patients suffering from urinary tract infection.The etiology that predisposes to UTI is not very clear as not many studies are available worldwide to find the exact risk factors. If exact risk factors are known knowledge about prevention of risk factors helps in the management of urinary tract infection as well as prevents recurrence. Therisk factors of UTI depend on socioeconomic status and cultural habits like perineal cleaning methods and diaper usage. So it is better to analyse the risk factors in specific cultural groups of different places so that therisk factors which are differing from population to population can be identified and different strategies can be formed for population with different cultures. AIMS AND OBJECTIVES: 1. To analyse the clinical and demographic profile of urine culture positive urinary tract infection patients aged 2 – 12 years coming to our hospital which is a tertiary care centre catering to low socio economic status children.2. To analyse the risk factors associated with urinary tract infection in 2 – 12 years age group. DISCUSSION: In this study urinary tract infection occurred more in male children than in female children. Studies done elsewhere and literature do not support this. The probable reason for this difference is that the study being hospital based the proportion of male and female children attending ourhospital may be different.In this study majority of children belonged to low socio economic status and were from urban area and the analysis is targeted to this group of the community.On analysing the clinical profile of the study group fever was the most common presenting symptom with 64.8% of the children presenting with it. This is followed by increased frequency of urination which was seen in 51.9%. The third common symptom was abdominal pain which constituted 45.8%.This is similar to other study by A Sharma et al(113) which included children from two months to fifteen years conducted in Nepal except that the second common presentation was abdominal pain.In a study by April Gamier Bay et al(117) taking all children with Urinary infection coming to outpatient department at Philippines also showed fever as the most common presentation and abdominal pain as the secondcommon one. CONCLUSION: The study group in which the risk factors were analysed had a male preponderance and belonged to low socio economic class. In our study population fever and increased frequency are two important symptoms followed by abdominal pain. Recurrent infection was most often due tounresolved bacteriuria or persistent bacteriuria than reinfection. Signs like supra pubic tenderness and hypertension are very rare. Common organisms causing urinary tract infection in our study population are E.coli followed by Klebsiella, proteus and pseudomonas. Amikacin sensitivity is the highest among the isolates in the study population and it can be recommended as the drug of choice for UTI. In this study USG abnormality was present in 2.3% of patients in age group between 2 to 12 years and renal ultrasound is mandatory for identifying structuralabnormalities so that further investigations can be done. A voiding cysto urethrogram abnormality was present only if there was USG abnormality in 2-5years children. This study also restates the fact that VCUG may not be required for all patients with UTI in 2 to 5 years of age instead it canbe reserved for patients who have got USG abnormality. In this study worm infestation, constipation, voluntary withholding of urine and reduced water intake were found as risk factors for UTI which is similar to other studies." @default.
• W2890956178 created "2018-09-27" @default.
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• W2890956178 date "2013-04-01" @default.
• W2890956178 modified "2023-09-23" @default.
• W2890956178 title "Clinico Demographic Profile of UTI in Children between 2 – 12 Years and Analysis of Factors Predisposing to UTI" @default.
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