E-ISSN 2231-3206 | ISSN 2320-4672
 

Original Research

Online Publishing Date:
11 / 06 / 2024

 


Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study

Favas K, Muhammed Aslam T K, Noushadali A K, Santhosh Jose.


Abstract
Background: Urinary tract infections (UTIs) pose a significant health concern for children worldwide, with a prevalence ranging from 2% to 20%. If not promptly diagnosed and treated, these infections can lead to severe complications such as renal scarring, hypertension, and chronic renal failure.

Aims and Objectives: This study aims to evaluate the clinical presentation, diagnostic methods, and common bacterial pathogens associated with pediatric UTIs. The focus is on identifying age-specific symptoms and improving diagnostic accuracy to mitigate long-term complications.

Materials and Methods: Over 1 year, we conducted a cross-sectional study at MES Medical College in Perinthalmanna, Kerala. Fifty-four children with culture-positive UTIs were included. Clinical data were collected using a semi-structured pro forma, and laboratory tests were performed to identify the causative organisms and their antibiotic susceptibility patterns.

Results: Among neonates, fever (100%), jaundice (100%), and vomiting (83.3%) were the most common symptoms. Older children predominantly presented with fever (93.3%), pain or burning during urination (79.63%), and lethargy (53.7%). Escherichia coli was the most frequently identified pathogen, followed by Klebsiella pneumoniae and Pseudomonas aeruginosa. High sensitivity was noted for piperacillin-tazobactam (100%) and amikacin (88.89%).

Conclusion: Early and precise diagnosis of pediatric UTIs, based on specific clinical presentations and laboratory tests, is crucial for preventing severe complications. Recognizing common pathogens and their antibiotic sensitivities helps in developing effective treatment guidelines.

Key words: Pediatric Urinary Tract Infection; Urinary Tract Infection; Febrile Illness; Clinical Diagnosis; Escherichia coli; Antibiotic Susceptibility


 
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How to Cite this Article
Pubmed Style

K F, K MAT, K NA, Jose S. Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. Natl J Physiol Pharm Pharmacol. Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024


Web Style

K F, K MAT, K NA, Jose S. Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. https://www.njppp.com/?mno=202727 [Access: June 11, 2024]. doi:10.5455/njppp.2024.14.05227202431052024


AMA (American Medical Association) Style

K F, K MAT, K NA, Jose S. Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. Natl J Physiol Pharm Pharmacol. Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024



Vancouver/ICMJE Style

K F, K MAT, K NA, Jose S. Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. Natl J Physiol Pharm Pharmacol, [cited June 11, 2024]; Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024



Harvard Style

K, F., K, . M. A. T., K, . N. A. & Jose, . S. (2024) Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. Natl J Physiol Pharm Pharmacol, Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024



Turabian Style

K, Favas, Muhammed Aslam T K, Noushadali A K, and Santhosh Jose. 2024. Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. National Journal of Physiology, Pharmacy and Pharmacology, Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024



Chicago Style

K, Favas, Muhammed Aslam T K, Noushadali A K, and Santhosh Jose. "Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study." National Journal of Physiology, Pharmacy and Pharmacology Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024



MLA (The Modern Language Association) Style

K, Favas, Muhammed Aslam T K, Noushadali A K, and Santhosh Jose. "Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study." National Journal of Physiology, Pharmacy and Pharmacology Online First: 11 Jun, 2024. Web. 11 Jun 2024 doi:10.5455/njppp.2024.14.05227202431052024



APA (American Psychological Association) Style

K, F., K, . M. A. T., K, . N. A. & Jose, . S. (2024) Clinical presentation and diagnosis of pediatric urinary tract infections: A comprehensive study. National Journal of Physiology, Pharmacy and Pharmacology, Online First: 11 Jun, 2024. doi:10.5455/njppp.2024.14.05227202431052024