PREVALENCE OF URINARY TRACT INFECTION IN FEBRILE CHILDREN BETWEEN 1-5 YEARS OF AGE

Abstract

Aim: The aim of the study was taken to find the prevalence of UTI in febrile children one year to five years of age.

Material and methods: This Prospective observational study was done the Department of Pediatric, Darbhanga Medical College and Hospital, Darbhanga, Bihar, India for 1 year.  Total 100 Febrile children aged 1 to 5 years were include in this study. The fresh urine sample was subjected for urinalysis and culture and sensitivity. Urine was centrifuged at 2500 rpm for 20-30 min, supernatant was decanted and sediment was examined under microscope for hematuria, and leukocyturia. Presence of ? 5 pus cells/HPF in a centrifuged urine sample was taken as significant pyuria. Culture and sensitivity was performed in that patient as per the standard Methods. Results: Out of 100, 45% were males 55% were females; 47% cases were < 2 years. Maximum cases for the study of urinary tract infection were in the age < 3 years (78%). According to Modified Kuppu Swamy scale, 10% were belong to upper middle, 46% lower middle, 35% upper lower class and 9% belong to lower class. However only 1% participants belong to upper class. Gender wise, majority of female children belong to lower middle (57.77%) and upper lower class (32.73%) and in male category also. 14 children (14%) showed pyuria in centrifuged urine sample; among these, 42.86% (6) were males and 57.14% (8) were female participants; statistically the difference was not significant (Table 3); majority (42.86%) were between 1-2 years of age. Growth > 10⁵ CFU/ml of single organism was considered as significant bacteriuria. Culture positivity was 50%, in this Esch. coli was the predominant (21.43%) isolate, followed by Klebsiella (14.29%), Pseudomonas aeruginosa and serratia (7.14%) species.

Conclusion: The culture positivity was 14% which is significant in the pediatric group. Hence any child with fever, UTI also should be suspected.