CLINICAL AND DEMOGRAPHIC PROFILE OF UTI IN CHILDREN BETWEEN 2- 15 YEARS IN A SECONDARY CARE CENTRE
Dr. Divya Dhiman and *Dr. Twinkle Sood
ABSTRACT
Introduction: Urinary tract infection is among the most common infections occurring during childhood. It is caused by both gram negative and grampositive bacteria and Escherichia coli is the causative agent. It results in significant morbidity by producing irreversible damage to renal system if not treated adequately. Materials and Methods: A observational study was carried out at Civil hospital Palampur from July 2022 to December 2022. In this study, children between the age group of 2 to 15 years who were diagnosed as a case of UTI on the basis of urine routine examination were included. These children were followed up for a period of 6 months. Some hematological investigations, urine routine examination and urine culture and sensitivity and ultrasonography is done in these patients. Their clinical and demographic profile is studied in this study. Results: In total 70 patient , 33 (47.1 %) were males and 37 (52.8%) were females . Out of total 70 patients, 28(40%) presented with urinary symptoms like burning micturition , increased frequency of micturition and pain while passing urine . 12 (17.14%) patient presented with pain abdomen, 14(20%) patient presented with fever only, 16 ( 22.8%) patient presented with fever with urinary symptoms. Out of 70 Patients, urine culture was positive in 12 (17.2 %) patients. The organisms isolated were E-Coli, Klebsiella, pseudomonas. E-coli was isolated in 8 patients, Klebsiella in 3, Pseudomonas in 1 patient. Conclusion: This study showed female preponderance and all children belonged to low socioeconomic class. In our study, urinary symptoms were most common presentation followed by fever with urinary symptoms followed by fever without urinary symptoms. Urine culture was positive in 12 (17.2%) patients and E-coli was the most common organism isolated. Radiologic changes on the basis of ultrasonography was found in 7 % of patients.
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