Impact of Constipation in Children on Urinary Tract Infection (UTI)

Hoque, Seikh Azimul; Islam, Tariqul; Ahmed, Farid; Hanif, Mohammed; Islam, Shahnoor; Matin, MA

doi:10.3329/bjch.v34i1.5697

Cited by 5 publications

(11 citation statements)

References 13 publications

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“…Constipation occurs in 27%–50% of children with CP. 16 , 17 , 19 , 29 , 30 In the current study, 30.3% had constipation. This proportion might not be a true representation due to unawareness of constipation as a problem leading to possible underreporting, as has been observed by Halachmi and Farhat.…”

Section: Discussionsupporting

confidence: 46%

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Prevalence and antimicrobial sensitivity pattern of urinary tract infection among children with cerebral palsy, Moshi, Tanzania

Ryakitimbo

Philemon

Mazuguni

et al. 2018

PHMT

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BackgroundUrinary tract infection (UTI) in children with cerebral palsy (CP) is a challenging yet common clinical condition. Children with CP bare the greatest risk of contracting UTI because of their difficulties in neuromotor control which lead to delay of bladder control, causing incomplete bladder emptying and urine retention.MethodThis was an analytical cross-sectional study that was conducted from September 2016 to March 2017 at Comprehensive Community Based Rehabilitation in Tanzania – Moshi and Kilimanjaro Christian Medical Centre Neurological Pediatrics Outpatient Clinic. All children who met the inclusion criteria were studied. Urine samples were collected at one point by catheterization, and urine dipstick and urine culture were done. Data were analyzed using SPSS version 20.ResultsA total of 99 children were enrolled in the study. The median age was 4 years (3–8 years); 53.5% were aged between 2 and 4 years. More than half were male. UTI was detected in 13.1% (n=13) of the children. Five causative agents of UTI were isolated, namely Escherichia coli, Proteus mirabilis, Klebsiella pneumonia, Staphylococcus aureus, and Enterococcus faecalis. The two most common organisms, E. coli and P. mirabilis, both had low sensitivity to ampicillin and co-trimoxazole while they were sensitive to ciprofloxacin and ceftriaxone.ConclusionUTI is a common finding among children with CP. E. coli and P. mirabilis are the commonest causative agents and are sensitive to ciprofloxacin and ceftriaxone but have low sensitivity to ampicillin and co-trimoxazole.

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Section: Discussionsupporting

confidence: 46%

“…Constipation has been demonstrated to have impact on UTI. 30 In children with motor disability, a full rectum compresses the bladder and causes bladder dysfunction which leads to incomplete bladder emptying and increase in residual urine volume. Constipation occurs in 27%–50% of children with CP.…”

Section: Discussionmentioning

confidence: 99%

Prevalence and antimicrobial sensitivity pattern of urinary tract infection among children with cerebral palsy, Moshi, Tanzania

Ryakitimbo

Philemon

Mazuguni

et al. 2018

PHMT

View full text Add to dashboard Cite

show abstract

“…In a study by Hoque SA, the rate of positive urine culture in children suffering constipation was 8.9%, while it was 1.3% in children without constipation. 10 Hence, they found out that the prevalence of UTI was approximately seven times higher in children with constipation. In this paper, we realized that among the non-anatomical factors, constipation was the most common factor (66 cases, 16.3%).…”

Section: Discussionmentioning

confidence: 98%

Risk factors of pediatric urinary tract infections: an epidemiologic study

Esteghamati

Mousavi

Alizadeh

2018

Int J Contemp Pediatr

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Background: Urinary tract infection (UTI) is the second most prevalent pediatric infection, and if it is not recognized and treated properly, it can cause severe irreversible complications such as renal failure and hypertension. In this research, some of the risk factors of UTIs were compared in children with urinary tract infections.Methods: This is a cross-sectional study, with the urinary tract infection as the dependent variable and gender, circumcision status, history of urinary catheterization, family history, history of renal stone, hypercalciuria, constipation history, reflux, neurogenic bladder, phimosis, posterior urethral valves (PUV), ureteropelvic junction obstruction (UPJO), and ureterovesical junction obstruction (UVJO) as the independent variables. A total of 405 children were studied in this research. The data was collected using questionnaires, checklists, and examinations. Data analysis was also carried out using descriptive and analytical statistics method in SPSS.Results: This research revealed the prevalence of urinary tract infection among children with several risk factors, and the common factors were positive family history, history of urinary catheterization, constipation, and other non-anatomical disorders (history of renal stone and hypercalciuria. The most common risk factors regardless of gender and age were non-anatomic disorders that were observed in 147 cases (43.7%) (p-value<0.001). Among the non-anatomical factors, constipation was the most common factor observed in 66 cases (16.3%). A higher rate of urinary infection was observed in the uncircumcised male patients than the circumcised patients, and there was a significant relationship between circumcision and UTI.Conclusions: In this study, urinary tract infection staged a significant relationship with gender, circumcision status, urinary catheterization history, family history, renal stone history, hypercalciuria, history of constipation, reflux, neurogenic bladder, phimosis, PUV, UPJO, and UVJO.

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“…Haque et al also observed that risk of UTI is seven times more in constipation than without constipation in children. 21 There was also significance relationship of using unhygienic cloth and hygienic sanitary pad during menstruation with UTI positive cases (p-value0.02). Ahmed et al, showed that prevalence of UTI was significantly more in those adolescent girls using unsanitary cloth during menstruation.…”

mentioning

confidence: 87%

Bacterial Pattern and Risk Factors Associated with Urinary Tract Infection in Secondary School Going Girls in Dhaka City

Asaduzzaman¹

2018

jmscr

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Impact of Constipation in Children on Urinary Tract Infection (UTI)

Cited by 5 publications

References 13 publications

Prevalence and antimicrobial sensitivity pattern of urinary tract infection among children with cerebral palsy, Moshi, Tanzania

Prevalence and antimicrobial sensitivity pattern of urinary tract infection among children with cerebral palsy, Moshi, Tanzania

Risk factors of pediatric urinary tract infections: an epidemiologic study

Bacterial Pattern and Risk Factors Associated with Urinary Tract Infection in Secondary School Going Girls in Dhaka City

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