Urinary tract infections in children in a tertiary care service.
OBJECTIVE
To determine the nature of urinary tract infection (UTI), accompanying anomalies and antibiotic sensitivity in children in a tertiary care centre.


METHODS
Retrospective observational study.


METHODS
King Fahd Hospital of the University-Al Khobar.


METHODS
Infants and children with proven urinary tract infection (UTI). Age up to 12 years seen between 1988-1993. Investigations included plain xrays, IVU, voiding cystourethrography and ultrasound examination of the abdome.


RESULTS
40% of subjects were referred cases and for the other 60% it was the first contact. 56% were infants below 2 years, males were predominant and proportion of older children diminished with age. Prominent associated anomalies were hypospadias in the male (6.14%), hydronephrosis, prune-belly syndrome, renal parenchymal and anorectal anomalies. Organisms predominantly grown on culture were Escherichia coli, Klebsiella pneumoniae and enterococci. Ampicillin and cotrimoxazole were found to be least effective.


CONCLUSIONS
Thereapeutic implications for the observations made are important to improve the outcome.
al Umran
K
K
College of Medicine and Medical Sciences, King Faisal University, Dammam, Saudi Arabia.
D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D012189:Retrospective Studies; D014552:Urinary Tract Infections / Q000150:complications / Q000188:drug therapy / Q000382:microbiology
D000900:Anti-Bacterial Agents