Épidémiologie de l’infection urinaire chez l’enfant à Marrakech

Bouskraoui, M.; Sab, Imane Ait; Draïss, Ghizlane; Bourrouss, M.; Sbihi, M.

doi:10.1016/s0929-693x(10)70921-0

Cited by 20 publications

(34 citation statements)

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“…Next was Klebsiella pneumoniae, which was detected in 14 cases (36.8%) in this study and with prevalence rates of 25%, 14% and 29% in studies conducted by other authors [1] [6] [8]. Pseudomonas aeruginosa was isolated once, and ultrasound of the urinary tract detected a malformation in this case, especially in the posterior urethra valve.…”

Section: Isolated Pathogenssupporting

confidence: 64%

“…Nine children under 36 months of age had a urinary tract infection confirmed by CBEU but negative leucocyturia and nitrituria tests with the urine dipstick test. Boucharaoui et al [8] obtained a similar result due to the young ages of the children, who had a small bladder with closer emptying; according to these authors, another issue may have been poor storage of the urine dipstick. The authors concluded that negative leucocyturia and nitrituria tests did not exclude a urinary tract infection in infants.…”

Section: G G Sagbo Et Al Open Journal Of Pediatricsmentioning

confidence: 78%

“…Two other authors showed a clear female predominance in their studies [8] [10]. The predominance of urinary tract infections among the female gender may be due to the proximity of the terminal digestive tract, whereas the male reproductive system is associated with a short urethra [2].…”

Section: Sociodemographic Aspectsmentioning

confidence: 99%

“…In contrast, case control studies focused on longer durations resulted in much lower frequencies (7.5% in France [7] and 1.3% in Marrakech [8]). Therefore, the frequency of urinary tract infections seems to vary according to the number of children involved in the study, the method and the study duration [8] [9].…”

Section: Sociodemographic Aspectsmentioning

confidence: 99%

“…However, when the leucocyturia result was negative, the specificity was relatively high (94%). The few negative results were observed when the number of leukocytes was low (below 15 leukocytes/mL) [8] [15]. When only nitrituria was positive, the CBEU was positive in only one child with a specificity estimated at 94% and sensitivity at 83%.…”

Section: G G Sagbo Et Al Open Journal Of Pediatricsmentioning

confidence: 99%

See 4 more Smart Citations

Contribution of the Urine Dipstick to Urinary Tract Infection Diagnosis among Children in Two Hospitals in Cotonou-Benin

Sagbo¹,

Sogbo²,

Lalya³

et al. 2017

OJPed

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Introduction: Urinary tract infections are a daily concern in pediatric nephrology with long-term risks for high blood pressure and renal failure. The purpose of this study was to determine the contribution of a urine dipstick (UD) to the diagnosis of urinary infections among children at the CNHU-HKM and the Lagoon Mother and Child University Teaching Hospital (CHU-MEL) of Cotonou. Patients and Methods: This study is a cohort, descriptive and analytical study focused on children with suspected urinary infections in the pediatric units of the CNHU-HKM and CHU-MEL of Cotonou from March 25 to August 25, 2015. Results: Two hundred and four children out of a total of 5125 admitted children (4%) presented with at least one clinical sign of a urinary tract infection. Children under 36 months of age were predominant (41%). The main clinical signs of urinary infections were fever (60.8%) and urinary disorders (38.2%). The urinary dipstick test was positive in 145 children (71.2%). A urinary tract infection was confirmed by urine culture in 38 children (18.6%). In cases with leucocyturia-and nitrituria-positive urine dipstick tests, the sensitivity was estimated to be 13.2%, and the specificity was 95.2%, with a negative predictive value (NPV) of 82.8%. Only when the leucocyturia test was positive, the sensitivity was 76.3%, and the specificity was 31.9%. When the leucocyturia test was negative, the specificity was estimated to be 94%, and the sensitivity was 83% in the nitrituria-positive cases and 15.8% in the nitrituria-negative cases. The main isolated pathogens were Escherichia coli (n = 21) and Klebsiella pneumoniae (n = 14). Conclusion: In our environment, a negative leucocyturia test may help exclude urinary tract infections in most cases.

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Section: Isolated Pathogenssupporting

confidence: 64%

Section: G G Sagbo Et Al Open Journal Of Pediatricsmentioning

confidence: 78%