URINARY TRACT INFECTIONS AND COMORBIDITY IN CHILDREN: A RETROSPECTIVE STUDY

Authors : Fırat Erdoğan, Zeynep Atay, Mustafa Çiftçi, Ömer Ceran

Pages : 50-54

View : 25 | Download : 17

Publication Date : 2018-12-31

Article Type : Research

Abstract :Introduction: Urinary tract infections (UTIs) are common infections in all childhood including the newborn period, and it causes considerable mortality and morbidity. Our aim in this study is to emphasize the importance of UTIs that even if there are other diseases that may explain the present complaints and findings.  Methods: The study was carried out with 100 patients who were hospitalized between May 2003 and May 2005. A detailed physical examination, Gastric microscopy and gaita cultures, PA lung graphy, Anthropometric measurements, CRP, serum leukocyte levels, ultrasound, Scintigraphy and VCUG   was performed in order to investigate the accompanying disease.  Results: While urinary system complaints are seen in 29% of cases, non-Urinary symptoms are seen in 15% of the cases, and in 50 % of cases had both complaint types were together. In urinary system symptoms were 32% disuria, 19% polyuria, 63% abdominal pain and pollakiuria 13%. Non-Urinary symptoms were diarrhea (10%), cough (24%), hypertension (10%), CVD  (27%) and fever (53%). 14% Protein energy malnutrition, 19%acute gastroenteritis, 22% lower respiratory tract infection and 13% central nervous system (CNS) anomaly were found. Of the 90 patients who had USG results, 53.3% were evaluated as normal; Grade 1 + 2 pelvicalectasis in 16,7%; grade 3 + 4 pelvicalectasis in 18,9%. The distributions of 51 cases with voiding results were as follows; 60.8% were normal, 3.9% grade 1, 5.9% grade 2, 7.8% grade 3, 7.8% grade 4, 9.8% Grade 5 Vesicoureteral reflux was detected. Scintigraphic examination revealed 40.0% normal, 22.5% scar and 47.5% loss of activity. Ampicillin and TMP SMX did not show any statistically significant difference between microorganisms cultured in resistance culture (p> 0,05). Discussion: Urinary system infections did still maintain their significance for causing chronic diseases and serious complications. This study shows that even if the patient has a disease that will explain the complaints of the patient, the urinary system infection may also be accompanied by the appropriate treatment of the detected UTI and that further tests (radiology, nuclear medicine ) may be life saving for the patient if necessary.
Keywords : Urinary tract infections, child, comorbidity