Childhood Urinary Tract Infection: Clinical & Laboratory Profile in a Tertiary Care Hospital of Bangladesh

Abstract

Background: Urinary Tract Infection (UTI) implies presence of actively multiplying organisms in the urinary tract. Although it is infrequently associated with mortality, it is still an important cause of morbidity in the paediatric age group. Prompt diagnosis and early initiation of appropriate antibiotics in children reduce the morbidities associated with UTI. Objective: This study was undertaken to observe the clinical and laboratory profile of UTI in children attending outpatient department (OPD) of Combined Military Hospital (CMH) Dhaka. Methods: This observational cross sectional study was carried out in CMH Dhaka within the period of June 2015 to May 2016. A total of 120 children aged 0 months to 12 years attending paediatric OPD with symptoms of suspected UTI were included in this study. All the children were subjected to do urine analysis including microscopy and culture-sensitivity. Other relevant workups were also

Clinico-Laboratory Profile and Drug Sensitivity Pattern in Urinary Tract Infection of Children in a Tertiary Care Hospital

“…This result corresponds to other study. 11,12 In the present study the most common presentation was fever, followed by urinary complaints, vomiting, abdominal pain & others (Table II). Similar result was found in a study done in Bangladesh & other countries.…”

“…This corresponds with the data obtained by other investigators. 12,16 Klebsiella was the second most uropathogen in our study. Similar result was shown by a study done by Haghi-Ashteiani et al 17 But Sharma Gaurav et al showed Staphylococcus as.…”

“…Similar result was found in a study done in Bangladesh & other countries. 12,13,14,15 . The most commonly isolated uropathogen in this study was E. coli (78.57%) (Table IV).…”

Antimicrobial Sensitivity Pattern of Causative Agents of Urinary Tract Infection in Children Between 1 to 15 Years

“…Isolation of causative organism in urine culture is considered confirmatory with a colony count of >1,00,000 cfu/ml in midstream urine in females and >10,000 cfu/ ml in males respectively. A growth of single species of bacterial pathogen with colony count of ≥100 cfu/ml from a sample obtained by urinary catheterization or any growth of bacterial pathogens in a sample collected by suprapubic aspiration constitutes significant bacteriuria 7,8,9,10 Over the years there has been an emerging trend of resistance to antibiotics which are used as an antibacterial agent. It is important to know the type of uropathogens in the locality and their resistance pattern to commonly used antimicrobials.…”