A survey of urinary tract infection in febrile children   under Two years old in AL-Diwania city

Abbas Mohammed Hussein AL-Shebani, Dr.

	A survey of urinary tract infection in febrile children under Two years old in AL-Diwania city
KUFA MEDICAL JOURNAL
Article 1, Volume 13, Issue 2, 2010, Pages 129-135
Author
Dr. Abbas Mohammed Hussein AL-Shebani
Abstract
Abstract: Background :UTIs in febrile children is still a problem that is frequently encountered by pediatric health care providers. Objective: To establish the prevalence of urinary tract infection in febrile children < two years old in outpatient clinic. Demographic and clinical parameters. Methods: A cross sectional study evolving 662 child their age < 2 years presenting to the outpatient clinic of Maternity and Teaching Hospital in AL-Diwania city with fever (≥38C) and did not have a definite source of infection and do not receiving antibiotics in the last 48 hr and not immunosuppressive . Results: overall prevalence of UTI(growth of >10 CFU/ml) was 8.9% with high prevalence rate among ,female uncircumcised male more liable to have infection than circumcised one. Infant less than 6 months of age often presented with little symptoms and more liable to had severe infection .32% of patients has previous history of UTI. And 40% have renal system abnormality on ultrasound assessment .gram –ve bacteria is the most causative agent that responsible for infection of the urinary tract. Conclusion: UTI is common cause of fever in febrile children under the age of 2 year especially in female, specific sign and symptoms of UTI are uncommon.

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