URINARY TRACT INFECTIONS AND COMORBIDITY IN CHILDREN: A RETROSPECTIVE STUDY


Erdoğan F., Atay Z., Çiftçi M., Ceran Ö.

Medical Research Reports, vol.1, no.3, pp.50-54, 2018 (Peer-Reviewed Journal)

  • Publication Type: Article / Article
  • Volume: 1 Issue: 3
  • Publication Date: 2018
  • Journal Name: Medical Research Reports
  • Page Numbers: pp.50-54
  • Istanbul Medipol University Affiliated: Yes

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 …