CLINICAL PROFILE OF URINARY TRACT INFECTIONS IN PEDIATRIC PATIENTS

Introduction: Urinary tract infections remain one of the most common infections and a leading cause of morbidity in human population. The rate of UTI usually depends on age and sex. The incidence of UTI is greater in girls as compared to boys, which may be either due to anatomical structure or physiologic mechanisms. Objectives of the study: The main goal of the study is to analyze the clinical profile of urinary tract infections in pediatric patients. Material and methods: This cross sectional study was conducted at Lahore General Hospital during June 2019 to January 2020. During the study period, children less than 18 years of age of both sex presented to the pediatric Nephrology inpatient ward with a clinical diagnosis of UTI were included. Neonate were excluded from this study. Results: Out of the 100 urine samples that were processed in this study, 81 samples showed no UTI while 20 patients showed significant UTI, giving rise to the total incidence of 6.87%. The most common associated disease with UTI in children was the nephrotic syndrome 38 (37.25%) out of 985 NS, followed by obstructive uropathy 29 (28.43%) out of 20 obstructive uropathy (OU), glomerulonephritis 8 (17.64%) out of 10 GN and chronic kidney disease 02. Conclusion: It is concluded that UTI varies with age and gender and, therefore, extensive evaluation is required in boys under one year of age with UTI. The isolated organisms showed resistance to a large number of oral and parenteral antibiotics.