DISTRIBUTION OF ORGANISMS AND PRESENTING ILLNESS IN RELATION WITH CULTURAL POSITIVITY AMONG CHILDREN SUFFERED FROM URINARY TRACT INFECTION

Ankaj Sharma, Poonam Chouhan*, Ranbir Singh Jaswal, S. C. Jaryal, Ajay Sharma and Gunjan Sharma

ABSTRACT

Background: Pediatric patients with UTI may present with nonspecific symptoms such as poor feeding, vomiting, irritability, or fever alone. The causative organisms are mostly bacterial. E. coli causes 54-67 percent of all urinary tract infections4 followed by Klebsiella spp, Proteus spp, Enterococcus and Pseudomonas.The purpose of this study was to evaluate the distribution of organisms and presenting illness in relation with cultural positivity among children suffered from Urinary Tract Infection. Material & Methods: The present descriptive, cross-sectional, and prospective study was conducted in the Department of Pediatrics, Dr RPGMC Kangra at Tanda for the period of One year. Total 263 Children aged 1 month to 5 years with fever (axillary temp of >38°C or >100.4°F) without any focus reporting to OPD or admitted to the ward of Pediatric Department were included in the study. Results: Majority of the patients had infecting organism as E. coli (81.25%) followed by Klebsiella (12.5%) followed by Proteus (3.1%)and Acinetobacter (3.1%).In culture positive patients all were having fever and majority had presenting illness; burning micturition (36.5%) followed by pain abdomen (21.9%), vomiting (15.6%) and constipation (0.6%). In culture negative patientsalso, all were having fever and majority of patients had constipation (24%) followed by burning micturition (13.4%), vomiting (12.5%) and pain abdomen (10.3%). Conclusion: In the present study, majority of the patients of UTI had E. coli as an infecting organism and most of the patients were having fever, burning micturition and pain abdomen as a presenting symptoms.

Keywords: Distribution, Organisms, Presenting Illness, cultural positivity children, Urinary Tract Infection.