A STUDY ON CLINICAL PROFILE OF URINARY TRACT INFECTIONS IN CHILDREN A TERTIARY CARE CENTRE

R.Padmaraj; R.Manorajan

Volume : VIII, Issue : III, March - 2019

A STUDY ON CLINICAL PROFILE OF URINARY TRACT INFECTIONS IN CHILDREN A TERTIARY CARE CENTRE

R. Padmaraj, R. Manorajan

Abstract :

Objectives: To study the clinical profile of children with urinary tract infections. Design: Descriptive study Setting: Tertiary care teaching hospital Methods: All children <12 years attending OPD or admitted in wards with symptoms suggestive of urosepsis. In children < 36 months presenting as fever alone without localizing signs. All were subjected to necessary investigations. Results:In this study, fever was the predominant symptom accounting for 87%, followed by vomiting in almost 59%of cases .41% of cases had abdominal pain as their symptoms. Urinary symptoms in the form of dysuria, hematuria, decreased urine output and increased of urination were noted in 67% of cases. Children who had other foci of infection like respiratory , gastrointestinal tract were excluded from the study. According to Joan L Robinson et al, children <3 years of age, with fever(>39.0C rectal),with no apparent source should be investigated for Urinary tract infection for children > 3 years, presenting with urinary symptoms, abdominal flank pain vomiting ,toxicity can be used as a criterion for urine analysis and urine culture studies. In this study, urine microscopic examination done showed,32% of cases with pyuria,20% both pyuria and bacteriuria, 2% showed microscopic hematuria,1% showed pyuria and microscopic hematuria1% showed bacteriuria alone. In 44% of the cases the urine analysis turned out to be normal.