Study of Clinical Profile in Urinary Tract Infections in Children Aged 1-12 Years

  • Dr. Debjit Biswas PG Student of Pediatric Department, Dr. Balasaheb Vikhe Patil , Rural Medical College, Pravara Medical Sciences, Loni District - Ahmednagar, Maharashtra
  • Dr. Rajib Chatterjee Professor of Pediatric Department, Dr. Balasaheb Vikhe Patil , Rural Medical College, Pravara Medical Sciences, Loni District - Ahmednagar, Maharashtra
  • Dr. Jayashree Jadhav H.O.D and Professor of Pediatric Department, Dr. Balasaheb Vikhe Patil , Rural Medical College, Pravara Medical Sciences, Loni District - Ahmednagar, Maharashtra
Keywords: Pediatric UTI, Escherichia coli, clinical presentation, recurrence, antibiotic therapy, imaging studies

Abstract

Urinary tract infections (UTIs) are prevalent among pediatric patients, posing significant health risks if untreated. This retrospective study, conducted from January 2022 to December 2023 at the Department of Pediatrics, VVP PRH (DU), Loni,, involved 200 children aged 1-12 years. The research aimed to analyze the clinical profiles, risk factors, and treatment outcomes of UTIs in this population. Females (65%) were more commonly affected, particularly those aged 4-7 years. Fever (85%), dysuria (75%), and abdominal pain (60%) were the most frequent symptoms. Predisposing factors included poor perineal hygiene (30%), constipation (25%), and previous UTIs (15%). Laboratory findings confirmed Escherichia coli as the predominant pathogen (75%), followed by Klebsiella pneumoniae (15%) and Proteus mirabilis (5%). Ultrasound abdomen revealed abnormalities in 15% of cases, and voiding cystourethrogram (VCUG) was performed in 20% of patients with recurrent infections or abnormal ultrasound results. All patients received culture-sensitive antibiotic therapy; however, 30% required hospitalization, 20% experienced recurrence within a year, and 5% developed renal scarring. Statistical analysis indicated significant variations in demographic and clinical characteristics, with higher prevalence and symptom severity in females. The study underscores the importance of early diagnosis, appropriate management, and vigilant follow-up to prevent recurrence and complications. Emphasizing education on proper perineal hygiene and constipation management can significantly reduce UTI incidence. These findings align with existing literature, emphasizing the need for targeted preventive strategies and evidence-based clinical practices to optimize pediatric UTI management.

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CITATION
DOI: 10.26838/MEDRECH.2024.11.3.719
Published: 2024-06-26
How to Cite
1.
Biswas D, Chatterjee R, Jadhav J. Study of Clinical Profile in Urinary Tract Infections in Children Aged 1-12 Years. Med. res. chronicles [Internet]. 2024Jun.26 [cited 2024Dec.4];11(3):65-4. Available from: https://medrech.com/index.php/medrech/article/view/706
Section
Original Research Article