Prevalence of urinary tract infection in febrile children between one to five years of age

Abstract

Introduction: It is essential to identify urinary tract infection (UTI) in febrile children and institute prompt treatment to reduce the potential for lifelong morbidity. With this a study was taken to find the prevalence of UTI in febrile children one year to five years of age.

Materials and Methods: Study was conducted in GSL Medical College. Febrile children aged 1 year to 5 years attending the outpatient department or admitted in the hospital were included in the study. Socioeconomic status was categorized as per modified kuppuswamy scale. The fresh urine sample was subjected for urinalysis and culture and sensitivity. Chi-square test was used to assess the association between different categorical variables; P<0.05 was considered statistically significant.

Results: Total 200 participants were included with male female ratio 0.87. Maximum cases were in lower middle class and nil participants in upper class. Significant pyemia was detected 13.5% (27) cases, statistically the difference was not significant (P>0.05) and culture positivity was 8% (16); Esch. coli was the predominant pathogen, followed by Klebsiella pneumoniae, Pseudomonas aeruginosa and serratia spp.

Conclusion: The culture positivity was 8% which is significant in the pediatric group. Hence any child with fever, UTI also should be suspected.