[Urinary tract infection in a pediatrics emergency department: frequency and clinical parameters].
Urinary tract infection (UTI) is a frequent bacterial infection in children. The objective was to define the profile of children with UTI that consulted in a Chilean pediatric emergency department (PED). We reviewed 18302 consultants and identified 1173 patients in whom urine culture (UC) were obtained. UC was positive in 264 cases. UTI represented 1.34% from total consultants and 21% from whom UC were obtained. UTI was 1.78 times more frequent in girls. The most common clinical presentation was fever and urinary tract symptoms. In older than 2 years, urinary tract symptoms and previous UTI, was a risk factor for UTI. The most frequent organism isolated was Escherichia coli (86%). Nine percent of child with UTI were hospitalized. UTI is a frequent diagnosis in PED and is important to consider urinalysis in febrile infants, especially boys younger than 12 months.
Lizama C
Macarena
M
Departamento de Pediatría, Hospital Clínico, Pontificia Universidad Católica de Chile, Santiago, Chile. mlizamca@puc.cl
Luco I
Matías
M
Reichhard T
Cristina
C
Hirsch B
Tamara
T
D000293:Adolescent; D017677:Age Distribution; D002648:Child; D002675:Child, Preschool; D002677:Chile / Q000453:epidemiology; D016001:Confidence Intervals; D004636:Emergency Service, Hospital / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008297:Male; D012189:Retrospective Studies; D017678:Sex Distribution; D014552:Urinary Tract Infections / Q000175:diagnosis / Q000453:epidemiology*