3. Urinary Tract Infection as a Cause of Parenteral Diarrhea in Children
Jan Muhammad Afridi1, Sabahat Amir1, Yasir Rehman1 and Fazlur Rahim2
ABSTRACT
Objective: To determine the frequency of UTI in children presenting with diarrhea.
Study Design: Descriptive / cross sectional study
Place and Duration of Study: This study was conducted at the Department of Paediatrics, Khyber Teaching Hospital, Peshawar from July 2017 to December 2017.
Materials and Methods: 88 patients presenting with diarrhea were elected through non randomized convenient sampling. Patients were catheterized under aseptic technique for Urine sample collection before starting Antibiotics. Common clinical features were noted along with urine culture report. The cases were then managed according to standardized management criteria. Children presenting with diarrhea below 5 years age. Children above 5 years age.
Children with history of Antibiotic use within 48 hrs of presentation.
Results: Out of 88 patients presenting with diarrhea 27 patients had culture proven urinary tract infection. Leading organism isolated was E.Coli (15 cases) followed by Citrobacter (8 cases) and Psudomonas (4 cases).
Conclusion: In our study we found out that E.Coli was the most common cause of diarrhea secondary to UTI comprising of 15 patients. 8 and 4 patients had Cetrobacter and Psudomonas as a causative agent respectively. Diarrhea is one of the commonest diseases in infancy and association between UTI and diarrhoea are often overlooked. Children presenting with diarrhea should be screened for underlying UTI. Key Words: Diarrhea, Urinary tract infection
Citation of articles: Afridi JM, Amir S, Rehman Y, Rahim F. Urinary Tract Infection as a Cause of Parenteral Diarrhea in Children. Med Forum 2018;29(5):11-14.