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Urinary Tract Infection in Infants and Children.

Journal of the Korean Pediatric Society 1984;27(4):358-365.
Published online April 30, 1984.
Urinary Tract Infection in Infants and Children.
C G Chung, B Y Han, B L Lee, E B Kwon, S I Ahn
Department of Pediatrics Eul Ji General Hospital, Seoul, Korea
소아 요로감염에 대한 관찰
정정구, 한봉용, 이병렬, 권이붕, 안승일
을지병원 소아과
The clinical and laboratory features of urinary tract infection in 93 infants and children who were admitted to the department of pediatrics of Eul Ji General Hospital during the period of Sept. 1979 through Aug. 1983 were observed. The results were as follows: 1)Of the 93 patients, 54 were male and 39 were female. Infants aged 1 to 12 months were most common. Of the patients in the 1st year of life 39 were male and 9 were female, and beyond the 1st year of life, 15 were male and 30 were female. 2)The most common chief complaint was fever. And irritability, diarrhea and vomiting were also common. 3)The signs of URI were most common clinical feature. 4)Pyuria(5 or more WBC/HPF) was found in 50 patients (53.8%). 5) The most common etiologic agent, E. coli was identified in 56 patients (60.2%). 6) E. coli and Proteus species were sensitive to amikin, gentamicin and cefamezin, but resistant to ampicillin, carbenicillin and kanamycin. 7) IVP was obtained in 23 patients, and in 7 patients, abnormalities were identified, including duplication (2), renal scarring (2), ureteropelvic stenosis with ydronephrosis (1), hydronephrosis with hydroureter (1), nonvisualization of Lt. kidney (1) and enlargement of Lt. kidney(l). VCUG was obtained in 21 patients and vesicoureteric reflux was found in 11 patientsof them.
Key Words: Urinary tract infection, Clinical and laboratory features

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