Background: Urinary tract infections (UTIs) encompass a wide array of infections, accounting for a vast number of community as well as hospital-acquired infections. Aim of the Study: The aim was to analyse the clinical presentation of UTI in children and Adolescents between 6 year to 18 years of age and to analyse the causative microorganism and their drug susceptibility in urinary tract infection in children and Adolescents of the above age group. Methods: This retrospective was conducted at the Department of Pediatrics in Bangladesh Shishu Hospital, Dhaka, Bangladesh. A total of 51 patients were enrolled and analyzed in this study based on culture-positive urine isolates. The study duration was September 2021 to August 2022. The ethical committee of the institution approved the study protocol. Antimicrobial susceptibility was done for positive urine culture by the Kirby-Bauer disk diffusion method. Statistical analysis was done using Statistical package for social sciences (SPSS) software version 16. Result: This is a retrospective study; 98 children were enrolled and analyzed. The majority of the study population was aged 6-10 years (62.75%), 11(21.57%) patients were from the age group 11-15 years, and 8(15.69%) patients were from the age group 16-18 years. Conclusion: The most common clinical presentations of UTI in admitted patients are fever, dysuria and abdominal pain. Gram-negative bacilli were found to be responsible for UTI, and the most frequently isolated bacteria were E-coli.
Introduction: Anemia is a common health problem worldwide. It is an important cause of morbidity and mortality of young and growing children in rural areas of developing countries. Young growing anemic children have various clinical symptoms including, pallor, Jaundice, fever, cough, breathlessness, hyper-pigmentation, tremors, and hepatosplenomegaly. Aim of the Study: Aim of the study was to evaluate the clinical manifestations, and grades of anaemia in different age groups. Methods: This retrospective observational study was conducted in the Department of Paediatrics at Dhaka Shishu Hospital, Dhaka, Bangladesh. A total of 95 patients were enrolled and analyzed in this study from July 2021 to December 2021. Result: In the present study of the prevalence of anemia and hematological parameters in children aged 1-18 years 10(10.53%) children were <1 year, 37(38.95%) were between 1-5 years, 28(29.47%) were aged between 6-10 years, and 11(11.58%) were between 11-15 years. Types of anemia were 46.32% had iron deficiency, 29(30.53%) had thalassemia. The clinical manifestation included 95 (100%) pallor, 79(83.16%) weakness and fatigability, 35(36.84%) fever, 25(26.32%) Icterus, 19(20.00%) shortness of breath, 17(17.80%) hepatomegaly. According to grade of anemia, 21.05% of patients had mild, 46.32% of patients had moderate anemia, and 32.63% had a severe grade of anemia. Conclusion: Besides haematological investigations for typing of anemia, Haemoglobin electrophoresis establishes the disease in haemoglobinopathies. Adequate health and healthy nutritional habits and prescription of Iron supplements are of great importance in the prevention and management of anemia in children assisted by public health services.
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