Clinical Spectrum of Recurrent Urinary Tract Infections in Children: Recurrent Urinary Tract Infections in Children

Abstract

Background and Aim: Urinary tract infection (UTI), is a common bacterial infection inpediatric group, can be easily diagnosed, but its recurrence can indicate underlying seriousanatomical defects of the urogenital tract, leading to acute morbidity and chronic medicalcondition, such as hypertension and renal insufficiency.Objective: To know the clinical spectrum and the frequency of recurrent UTI among childrenvisiting our hospital.Methods: This prospective study was conducted during the period from April 2020 to March2021, in the department of pediatrics and pediatric nephrology, Governmental MedicalCollege, Srinagar. All children aged between 6 months to 18 years presenting with a historyof recurrent urinary tract were included in the study. A detailed history, relevant clinicalexamination, and the ultrasonography of kidney ureters and bladder (USG KUB) followedby voiding cystourethrography (VCUG), were carried out and subsequently analyzed.Results: A total of 38 patients with recurrent UTI were evaluated during one year. Thecommonest age group was 6 months to 2 years (68%), with female preponderance (F: M3.2:1). Urine culture grew E. coli in 95% of patients, while USG abnormalities and thepresence of vesicoureteral reflux (VUR) on voiding cystourethrography (VCUG) were seenin 14 patients (36%).Conclusion: Recurrent UTI are common between 6 months to 2 years, and E coli is the mostcommon cause. Children with the past history of UTI seem more predisposed to have anotherE.coli-associated UTI

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