Of 433 febrile children examined in the paediatric clinics of two university hospitals in Tehran, Iran, 39 (9%) children (27 girls and 12 boys) were diagnosed as having urinary tract infection in which Escherichia coli was the most frequently detected pathogen (84.6%). According to the voiding cystourethrogram, nine (75%) boys and 17 (63%) girls had urinary tract abnormalities. This result is slightly higher than seen in other reports from developing countries.
Get full access to this article
View all access options for this article.
References
1.
NewmanTB, BernzweigJA, TakayamaJI, FinchSA, WassermanRC, PantellRH. Urine testing and urinary tract infections in febrile infants seen in office settings: the Pediatric Research in Office Settings' Febrile Infant Study: Arch Pediatr Adolesc Med2002;156:44–54
2.
WinbergJ. Progressive renal damage from infection with or without reflux: J Urol1992;148:1733–4
3.
TwaijM. Urinary tract infection in children: a review of its pathogenesis and risk factors: J R Soc Health2000;120:220–6
4.
RushtonHG. The evaluation of acute pyelonephritis and renal scarring with technetium 99 m-dimercaptosuccinic acid renal scintigraphy: evolving concepts and future directions. Pediatr Nephrol1997;11:108–20
5.
JanssonUB, HansonM, HansonE, HellstromAL, SillenU. Voiding pattern in healthy children 0 to 3 years old: a longitudinal study. J Urol2000;164:2050–4
6.
SvanborgC, BergstenG, FischerH, The ‘innate’ host response protects and damages the infected urinary tract. Ann Med2001;33:563–70
7.
Singh-GrewalD, MacdessiJ, CraigJ. Circumcision for the prevention of urinary tract infection in boys: a systematic review of randomised trials and observational studies. Arch Dis Child2005;90:853–8
8.
JeenaPM, CoovadiaHM, AdhikariMA. Bacteriuria in children attending a primary health care clinic: a prospective study of catheter stream urine samples: Ann Trop Paediatr1996;16:293–8
9.
Musa-AisienAS, IbadinOM, UkohG, AkpedeGO. Prevalence and antimicrobial sensitivity pattern in urinary tract infection in febrile under-5s at a children's emergency unit in Nigeria: Ann Trop Pediatr2003;23:39–45
10.
WammandaR, EwaB. Urinary tract pathogens and their antimicrobial sensitivity patterns in children: Ann Trop Paediatr2002;22:197–8
