| A Clinical Study of Infants and Children with Urinary Tract Infection. |
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Hyoung Doo Lee, Chan Yung Kim |
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Department of Pediatrics, College of Medicine, Pusan National University, Pusan, Korea |
| 소아 요로감염증에 대한 임상적 고찰 |
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이형두, 김찬영 |
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부산대학교 의과대학 소아과학교실 |
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Received: 3 July 1989 • Accepted: 3 July 1989 |
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| Abstract |
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Clinical, bacteriologic and radiologic studies were performed in 63 infants and children with urinary
tract infection who were admitted to Department of Padiatrics, Pusan National University Hospital
from March 1982 to February 1988.
The results were summarized as follows:
1) UTI was more prevalent in infancy and early childhood (71.4%). Sex distribution was similar in
all age group, and male was more prevalent in infancy and female was more prevalent thereafter, but
no statistical significance.
2) Fever was the most common manifestation. Systemic manifestations such as irritability and
poor feeding were predominant in the infancy and early childhood whereas local manifestations such
as dysuria, frequency in urination and abdominal pain were predominant in the late childhood.
3) Hematologic findings showed leukocytosis (white blood cell, 15,000 /mm3 or more) in 68.2% and
anemia (hemoglobin, 10gm/dl or less) in 9.5%. Urinalysis findings showed proteinuria in 53.9%,
hematuria in 33.3% and pyuria in 88.9%.
4) E. coli was the most prominent strain, cultured in 50.7%. Others included Klebsiella,Proteus and
enterococcus in order. The incidence of UTI by E. coli was higher in infancy (76.5%) than in
thereafter (43,1) and female (64.7%) than male (39.1%). Patients associated with radiologic abnor-
malities had lower incidence of E. coli (16.0%) than others (68.0%). They showed the predominance
of Serratia, coagulase positive Staphylococcus.
5) There was abnormal findings on radiologic studies (IVP, VCUG, DMSA scan etc) in 16 cases of
patients (59.3%). Vesicoureteral reflux was the most common abnormal finding of them (68%). Renal
scar and vesicoureteral reflux was more sensitively detected by DMSA renal scan. |
| Key Words:
Urinary Tract Infection |
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