8. Clinical Presentation and Aetiological Agents of Urinary Tract Infection in Children
1. Muhammad Azam Khan 2. Fareeha Fatima 3. Asim Khurshid
1. Asstt. Prof. of Paeds, NMC, Multan 2. Medical Officer of Peads, NMC, Multan
3. Asstt. Prof. of Peads, Institute of Child Health, Multan
Objective: To describe the clinical presentation and to identify the aetiological agents causing urinary tract infection.
Study Design: Descriptive study
Place and Duration of Study: This study was carried out in the Department of Paediatric Medicine, Nishtar Medical College/Hospital, Multan from January 2013 to December 2013.
Materials and Methods: A total of 50 children were included in the study conducted at Nishtar Medical College/Hospital, Multan.
Results: Out of 50 children, 38 were female and 12 were male. 28 children were from 1-3 years age group and 22 were of more than 3 years. Most common clinical presentations were fever, urinary symptoms, vomiting and pain abdomen. Aetiological agents in study were Escherichia coli, klebsiella, proteus, staphylococcus saprophyticus, streptococcus fecalis or pseudomonas.four cases of UTI (3 females, 1 male) were associated with nephritic syndrome. Four cases were associated with malnutrition.
Conclusion: It is concluded from study that UTI is more common in females between the age of 2-4 years mostly
due to problems in their toilet training.
Key Words: Urinary tract infection, Fever, Dysuria