Clinical and laboratory aspects of urinary tract infections in hospitalized children

Abolhassan Seyedzadeh; Shams Vazirian; Tahereh Yavari; Liela Karimi; Akram Soliemani

Journal of Kermanshah University of Medical Sciences

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Clinical and laboratory aspects of urinary tract infections in hospitalized children

Author(s):

Abolhassan Seyedzadeh^1,*,

Shams Vazirian¹,

Tahereh Yavari²,

Liela Karimi²,

Akram Soliemani³

1Dept of Urology and Nephrology Pediateric School of Medicine, Kermanshah University of Medical Science, Kermanshah, Iran

2School of Medicine, Kermanshah University of Medical Science, Kermanshah, Iran

3Dept. of Research, Kermanshah University of Medical Science, Kermanshah, Iran

Journal of Kermanshah University of Medical Sciences:Vol. 13, issue 3; e79597

Published online:Dec 19, 2009

Article type:Research Article

Received:Apr 12, 2009

Accepted:Aug 04, 2009

How to Cite:Seyedzadeh A, Vazirian S, Yavari T, Karimi L, Soliemani A. Clinical and laboratory aspects of urinary tract infections in hospitalized children. J Kermanshah Univ Med Sci. 2009;13(3):e79597. doi:

Abstract

Background: urinary tract infection (UTI) is the most common disease of urinary system and second common infection in children. Approximately, 5% of girls and 1% of boys have experienced a UTI by 11 years of age. The aim of this study was to determine clinical and laboratory aspects of urinary tract infection in hospitalized children in Razi Hospital of Kermanshah, Iran during 2001-2005.

Methods: This study is a descriptive one considered to evaluate profiles of 462 patients with UTI. UTI was defined as WBC>5 per high power microscopic field and positive culture or passive U/A , clinical symptoms and positive urine culture. Finding data were analyzed using SPSS (13) software.

Results: Among 462 patients, 306 cases (66%) were female and 156 cases (34%) were male (f/m=1.94). 69.4% of patients were under 2 year and 13.8% of them were older than 5 years. The sonographic findings were normal in 216/392 (55%) of patients. The organisms isolated in urine culture were Ecoli in 240 (53%), Proteus in 34(7%) and klebsiella in 29 (6%) of subjects. The most common manifestation of UTI was fever (48%). In addition, in 81 cases there was an other infection associated with UTI that gastroenteritis was the most common associated infection.

Discussion: Based on prevalence of fever in UTI, we recommend urinalysis as one of the primary tests in evaluation of febrile children under 2 years (especially in girls). Pyuria with high sensitivity can confirm UTI. Presence of other infections cannot exclude the diagnosis of UTI.

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Author(s):

Abolhassan Seyedzadeh:[PubMed][Scholar]
Shams Vazirian:[PubMed][Scholar]
Tahereh Yavari:[PubMed][Scholar]
Liela Karimi:[PubMed][Scholar]
Akram Soliemani:[PubMed][Scholar]

Peer-reviewed Medical Quarterly

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Clinical and laboratory aspects of urinary tract infections in hospitalized children

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