الفهرس 
URINARY TRACT INFECTIONOnly 14 pages are availabe for public view
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Abstract
The present study was conducted to detect the prevalence of UTI among febrile children aged 1month to 18 years at Ain Shams University children’s hospital. Three hundred and twenty patients were included in the study, 190 (59.4%) were males and 130(40.6%) were females.
Collecting urine sample was carried out using clean catch for older children and urine bag collection for infants. Urine sample was examined using dipsticks for nitrites. When dipsticks were positive for nitrites a complete urine analysis was done. Pus cells more than five WBC’s/HPF was considered positive for infection and urine culture and sensitivity was performed. Patients showing growth of significant bacterial count 105/HPF on urine culture and sensitivity had a pelvi-abdominal ultrasound done to exclude any anatomical anomalies in the urinary tract.
Of 320 patients 33 (10.3%) had positive dipsticks for nitrites the 33 patients had pus cells >5 WBC’s/HPF. Of these 33 patients 13 (39.4%) were males and 20 (60.6%) were females.
In the 1st year 9.7% of males and 5.7% of females had a urinalysis with pus cells >5 WBC’s/HPF, males were more affected but the difference between males and females was statistically non significant.
In infants and children aged 1-5 years 7.6% of males and 16.1% of females had pus cells >5 WBC’s/HPF in urinalysis. Though females were more affected, the difference between males and females was statistically non significant.
In children aged 5-18 years of age 3.7% of males and 18% of females had pus cells >5 WBC’s/HPF. Females were more and the difference between males and females was statistically significant.
A total of 28 cultures were done, E.coli 5 (17.8%), klebsiella 2 (14.3%), Enterococcus 2 (2%), other gram-negative bacilli 3 (10%), no growth in 13 (39.4%) due to prior intake of antibiotics.
A total of 14 U/S were performed out of which 6 were normal, 1 (3%) showed hydroureter and pyonephrosis bilaterally, 1 (3%) showed bilateral hydroureter and hydronephrosis, cystitis in 2 (6.1%) patients, duplex kidney in 1 (3%), nephropathy in 2 (6.1%), nephrocalcinosis and stones in 1 (3%).
The frequency of children with fever and upper respiratory tract infections as tonsillitis or pharyngitis and had UTI were 7(21.2%). This should draw our attention to the fact that patients with febrile illness and signs of mild infection (as URTI) are better investigated for hidden infections as UTI.