CORRELATION OF ABDOMINAL ULTRASONOGRAPHY FINDINGS WITH THE AGE OF CHILDREN WITH CULTURE POSITIVE URINARY TRACT INFECTION

2021 ◽  
pp. 46-48
Author(s):  
Murchana Khound ◽  
Sekharjyoti Sharma
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Laboratory Data ◽  
Abdominal Ultrasonography ◽  
Female Ratio ◽  
Mortality And Morbidity ◽  
Male Female Ratio ◽  
Culture Positive

Background: Urinary tract infection(UTI) is an important cause of mortality and morbidity in children, especially complicated UTI. In this study we have tried to see the correlation of Ultrasound abdomen ndings with age of the culture positive UTI patients. Objectives: to look at the age and sex distribution of patients with culture positive UTI and to look for the correlation of ultrasound abdomen ndings with the age of culture positive UTI patients Methods: It was a hospital based observational study conducted in one of the busiest hospitals of Jorhat over a period of 12 months. Urine culture reports of all patients were traced from the hospital laboratory data. Ultrasound abdomen was done in patients with positive urine culture report . Results: Total 206 urine samples were tested from suspected cases out of which 43(21%) were culture positive urinary tract infection. UTI was more in girls as compared to boys. The male : female ratio was found to be 3:1 in children less than 2 years and in children more than 2 years female outnumbered males(1:2 , 2:3 and 1:6 in children between the age group of 2 to 5 years, 6-9years and 10 to 14 years respectively). Cystitis(p=0.22) and hydronephrosis(0.27) had no signicant correlation with the age of the UTI patients whereas Pyelonephritis(p=0.03) had signicant correlation with age of UTI patients. All the patients who had pyelonephritis were less than 5 years of age. Conclusion: UTI is an important cause of mortality and morbidity in children and younger children are more prone to complications. So a collective effort should be made to diagnose such patients earlier and treat them adequately with judicious use of antibiotics.

scholarly journals Clinical, Epidemiological and Bacteriological Profile of Culture Positive Urinary Tract Infections in Febrile Children – A Cross Sectional Study

2021 ◽  
Vol 8 (10) ◽  
pp. 522-526
Author(s):  
Bhavani Shankar Rokkam ◽  
Chowdary Babu Menni ◽  
Ramu Pedada ◽  
Deepak Kumar Alikana
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Signs And Symptoms ◽  
Cross Sectional ◽  
Bacteriological Profile ◽  
Tract Infections ◽  
Culture Positive

BACKGROUND Urinary tract infections (UTI) constitute a common cause of morbidity in infants and children. When associated with abnormalities of urinary tract, they may lead to long-term complications including renal scarring, loss of function and hypertension. Most urinary tract infections remain undiagnosed if investigations are not routinely performed to detect them. Prompt detection and treatment of urinary tract infections and any complicating factors are important. The objective of the study is to know the clinical, epidemiological and bacteriological profile (i.e. clinical signs and symptoms, age, sex, family history, associated urinary tract abnormalities, & causative organisms) of urinary tract infections in febrile children with culture positive urinary tract infection. METHODS This descriptive, cross sectional observational study was conducted at outpatient clinics of our “child health clinics” between May 2016 and April 2017 (one year). All children aged 0 to 12 years with culture positive urinary tract infections were included in this study to evaluate the clinical, epidemiological and bacteriological profile. RESULTS A total of 69 children with culture positive urinary tract infections were included in this study. Out of 69 children included in this study, 36 (52.2 %) were females and 33 (47.8 %) were males. Overall female preponderance was seen and the M: F ratio was 0.9:1. But during first year of life in our study group we had more boys (10, 14.49 %) affected with urinary tract infection than girls. 49.3 % of urinary tract infections in the present study belonged to lower socio-economic status. Most common organism causing urinary tract infection in our group was E. coli (56.5 %). Fever (100 %), anorexia or refusal of feeds (52.2 %), dysuria (46.4 %), vomiting (46.4 %) and abdominal pain (39.1 %) were the predominant clinical manifestations observed in our study. CONCLUSIONS Urinary tract infection is a common medical problem in children and it should be considered as a potential cause of fever in children. As febrile children with urinary tract infection usually present with non-specific signs and symptoms, urine culture should be considered as a part of diagnostic evaluation. KEYWORDS Urinary Tract Infections (UTI), Febrile Children, Bacteriological Profile, Urine Culture

scholarly journals A study of prevalence of culture positive UTI in children: clinical profile, risk factor analysis, and microbiological profile

2019 ◽  
Vol 6 (2) ◽  
pp. 394
Author(s):  
K. Rajendran ◽  
Kiruba Shankar
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Indian Academy ◽  
Clinical Profile ◽  
Differential Count ◽  
Ascending Infection ◽  
Study Population ◽  
Culture Positive

Background: Urinary infection is one of the common infections occurring in children. Different literature says different definition for UTI. Indian Academy of Pediatrics defines urinary tract infection as the growth of a significant number of organisms of single species in urine culture with the presence of symptoms of UTI. The objective is to study the clinical profile of children with urine culture positive UTI.Methods: The study was conducted in Kovai medical centre and hospital Coimbatore. The sample size is 150 children. The study population includes children with culture-positive UTI who are admitted between October 2015 to September 2016 over a period of 1 year. Child’s history was then recorded as answers to the pre-prepared questionnaire in a proforma. Clinical examination was done, and the findings were recorded. Blood sampling was done for all patients and sent to a laboratory to measure total count, differential count, ESR.Results: Previous urinary tract infection was present in 2.7% of children. All children had the same organism grown in urine culture as in previous episode suggesting unresolved or persistent bacteremia. This is comparable with the literature stating unresolved bacteremia as the most common type of recurrent.Conclusions: The study group in which the risk factors were analysed had a female preponderance (may be due to the short urethra, easy ascending infection). In present study population fever and increased frequency are two important symptoms followed by abdominal pain.

scholarly journals Urinary tract infection among neonatal sepsis of late-onset in Cipto Mangunkusumo Hospital

2016 ◽  
Vol 45 (5) ◽  
pp. 217 ◽  
Author(s):  
Novie Amelia ◽  
Idham Amir ◽  
Partini P Trihono
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Neonatal Sepsis ◽  
Urine Culture ◽  
Late Onset ◽  
Preterm Neonates ◽  
Cross Sectional ◽  
Female Ratio ◽  
Late Onset Sepsis

Background Urine culture, as part of a full septic work-up forlate-onset neonatal sepsis, was not routinely done in the Neona-tal Ward at Cipto Mangunkusumo Hospital, and as of today, theprevalence of urinary tract infection (UTI) among neonates withlate-onset sepsis remains unknown.Objectives To determine the prevalence and microbiological pat-terns of UTI among late-onset neonatal sepsis in CiptoMangunkusumo Hospital.Methods We conducted a cross-sectional study on all neonatesdiagnosed as suspected late-onset sepsis who underwent sep-sis evaluation between 20 October 2003 – 30 April 2004. Urinespecimens were collected by bladder catheterization for cultureand urinalysis.Results UTI was found in 14.9% (7/47) neonates who under-went urine culture (male: female ratio was 5:2). Six subjectswho had UTI were preterm neonates, Klebsiella pneumoniaewas found in both blood and urine cultures of 1 subject, while theothers showed different microorganisms. Forty-five out of 47subjects, who were suspected of late-onset sepsis, had posi-tive blood cultures. All subjects with UTI had positive bacteriuriafrom Gram-stained specimen.Conclusions The prevalence of UTI among neonates with late-onset sepsis in Cipto Mangunkusumo Hospital was 14.9%. Themicroorganisms most frequently found in urine cultures werePseudomonas sp., Staphylococcus epidermidis, and Klebsiellapneumoniae. Urine culture, urinalysis, and urinary Gram-stainshould be performed as part of sepsis evaluation for late-onsetneonatal sepsis, especially in male and preterm neonates

scholarly journals Recent Antibiotic Sensitivity Pattern of Escherichia Coli in Urinary Tract Infection

2018 ◽  
Vol 30 (1) ◽  
pp. 61-65
Author(s):  
Md Abdul Bari ◽  
Mashiur Arefin ◽  
Moriom Nessa ◽  
Golam Mostofa ◽  
Tafiqul Islam
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Antibiotic Sensitivity ◽  
E Coli ◽  
Sensitivity Pattern ◽  
Marked Resistance ◽  
Culture Positive

The objective of the study is to assess the recent sensitivity pattern of Escherichia coli in Urinary tract infection (UTI). Widespread use of antibiotics has led to the emergence of resistant microorganisms. As the antibiotic sensitivity patterns of the microorganisms are frequently changing, this retrospective analysis was designed to assess the recent antibiotic sensitivity pattern of Escherichia coli (E. coli) in urinary tract infection among the human population. Details of 358 urine culture positive reports for E. coli and their antibiotic sensitivity pattern pertaining to the study period of 6 months from Jan 2017 to June 2017 were collected from Microbiology Laboratory of Diagnostic Centers at Rajshahi and the results were statistically analyzed. The antibiotics tested for sensitivity were amikacin, gentamycin, ciprofloxacin, levofloxacin, cotrimoxazole, nitrofurantoin, ceftazidime, ceftriaxone and cefixime. The sensitivity pattern of E.coli to antibiotics in UTI was amikacin (82.68 gentamycin (75.97%), nitrofurantoin (70.67), levofloxacin (44.13%), ceftazidime (42.17%), co-trimoxazole (40.78%), ceftriaxone (38.54%), ciprofloxacin (35.75%), and cefixime (24.02%). The study highlighted the marked resistance of E. coli to quinolones and third generation cephalosporins.TAJ 2017; 30(1): 61-65

scholarly journals Detection of Pyuria versus Bacteriuria in Suspected Patients of Urinary Tract Infection

2015 ◽  
Vol 15 (1) ◽  
pp. 129-132
Author(s):  
Anjila Dongol ◽  
Durga Man Joshi ◽  
Avishekh Gautam
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Culture Technique ◽  
Urine Samples ◽  
Suspected Case ◽  
Urine Sediment ◽  
Mortality And Morbidity ◽  
Significant Bacteriuria ◽  
Culture Positive

Urinary tract infection (UTI) is one of the most important causes of mortality and morbidity in the world affecting all age groups across the life span. The aim of this study is to determine incidence of bacteriuria and its relation with pyuria in suspected urinary tract infection. This crosssectional-descriptive-analytical study was conducted in microbiology section of Kathmandu Hospital, Tripureshwor from May to August 2011. During this period, 412 midstream urine samples collected were investigated by microscopic examination of centrifuged urine sediment and conventional semi-quantitative culture technique. Out of 412 MSU samples, 120 (29.13%) were culture positive. The remaining 22 (18.33%) samples showed low count significant bacteriuria (i.e 104-105 CFU/ml) and 98(81.67%) showed significant bacteriuria (i.e. ≥ 105 CFU/ml). Among 88 urine samples with significant pyuria, only 74   (84.09%) showed culture positive. Out of 324 urine samples without significant pyuria, 46 (14.19%) urine samples showed culture positive result. Significant pyuria was found to have sensitivity of 61.67%, specificity of 95.21% and the test has 84.09% positive predictive value in detecting bacteriuria. Pyuria and bacteriuria may not always correlate in the suspected case of UTI.DOI: http://dx.doi.org/10.3126/njst.v15i1.12029Nepal Journal of Science and TechnologyVol. 15, No.1 (2014) 129-132

scholarly journals Prevalence of urinary tract infections in febrile children less than five years of age: a chart review

2018 ◽  
Vol 5 (2) ◽  
pp. 359
Author(s):  
Shaik Ateal Saheb
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Febrile Illness ◽  
Abdominal Ultrasound ◽  
Successful Outcome ◽  
One Year ◽  
Tract Infections ◽  
Culture Positive

Background: In children less than five years of age, fever is the most common reason to visit emergency/outpatient pediatric departments. Quite often, the child receives antibiotics empirically, without adequate evaluation for urinary tract infection. The objectives of this study were to evaluate the prevalence of urinary tract infection (UTI) in febrile children, less than 59 months of age.Methods: Records of 370 children between 1 to 59 months of age, attending the department of paediatrics with febrile illness were reviewed. Data related to age, gender, socioeconomic status, nutritional status, clinical diagnosis, abdominal ultrasound, urinary microscopy and urine culture were analysed.Results: Records of 370 children were evaluated, among them, 240/370 (64.86%) children were below two years, and 130/370 (35.13%) were above two years. 165/370 (44.6%) were males, and 205/370 (55.4%) were females. The overall occurrence of urinary tract infection as defined by significant pyuria was 48/370 (12.9%) in children less than five years of age. The prevalence of UTI in children less than one year of age was 26/370 (7%), whereas it was 15/370 (4 %) in less than two years of age and 7/370 (1.8%) between two to five years. Among pyuric patients, 13/48 (27%) had a urine culture positive reports. The positive urine culture was seen in 6/13 (46%) of children with pus cells> 5/HPF and remaining 7/13 (54%) in children with pus cells >10/HPF. E. coli was the predominantly [9/13 (69%)] seen organism in urine cultures.Conclusions: In present study, the overall occurrence of UTI in children less than five years was 13%. Only 3.5% of children had culture-positive UTI. 46% of positive cultures were found in children having urine pus cells > five /HPF in the centrifuged sample, it is recommendable that children with pyuria should be evaluated thoroughly to initiate prompt treatment and have a successful outcome. 

Assessment of Urine Gram Stain and Urine Culture in the Diagnosis of Urinary Tract Infection

2012 ◽  
Vol 3 (2) ◽  
pp. 472-473
Author(s):  
Dr G Sucilathangam Dr G Sucilathangam ◽  
◽  
Dr G Velvizhi Dr G Velvizhi
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Culture ◽  
Gram Stain

URINARY INFECTION AT DEPARTMENT OF UROLOGY OF HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2018 ◽  
pp. 100-108
Author(s):  
Dinh Khanh Le ◽  
Dinh Dam Le ◽  
Khoa Hung Nguyen ◽  
Xuan My Nguyen ◽  
Minh Nhat Vo ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Clinical Manifestations ◽  
University Hospital ◽  
E Coli ◽  
Positive Urine ◽  
Tract Infections

Objectives: To investigate clinical characteristics, bacterial characteristics, drug resistance status in patients with urinary tract infections treated at Department of Urology, Hue University Hospital. Materials and Method: The study was conducted in 474 patients with urological disease treated at Department of Urology, Hue Universiry Hospital from July 2017 to April 2018. Urine culture was done in the patients with urine > 25 Leu/ul who have symptoms of urinary tract disease or infection symptoms. Patients with positive urine cultures were analyzed for clinical and bacterial characteristics. Results: 187/474 (39.5%) patients had symptoms associated with urinary tract infections. 85/474 (17.9%) patients were diagnosed with urinary tract infection. The positive urine culture rate was 45.5%. Symptoms of UTI were varied, and no prominent symptoms. E. coli accounts for the highest proportion (46.67%), followed by, Staphycoccus aureus (10.67%), Pseudomonas aeruginsa (8,0%), Streptococcus faecali and Proteus (2.67%). ESBL - producing E. coli was 69.23%, ESBL producing Enterobacter spp was 33.33%. Gram-negative bacteria are susceptible to meropenem, imipenem, amikacin while gram positive are vancomycin-sensitive. Conclusions: Clinical manifestations of urinary tract infections varied and its typical symptoms are unclear. E.coli is a common bacterium (46.67%). Isolated bacteria have a high rate of resistance to some common antibiotics especially the third generation cephalosporins and quinolones. Most bacteria are resistant to multiple antibiotics at the same time. Gram (+) bacteria are susceptible to vancomycin, and gram (-) bacteria are susceptible to cefoxitin, amikacin, and carbapenem. Key words: urinary tract infection

scholarly journals Culture-positive urinary tract infection following micturating cystourethrogram in children

2021 ◽  
Author(s):  
Ngweso Simeon ◽  
Nyandoro Munyaradzi ◽  
Nzenza Tatenda ◽  
Cheow Ting Yi ◽  
Bettenay Fiona ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Micturating Cystourethrogram ◽  
Culture Positive
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