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Clinical and Bacterilolgical Studies of Urinary Tract Infection in Infants and Children.

Journal of the Korean Pediatric Society 1979;22(8):716-723.
Published online August 15, 1979.
Clinical and Bacterilolgical Studies of Urinary Tract Infection in Infants and Children.
K I Kwon, I J Kang, I K Paick, C M Kang
Depatrment of Pediatrics, Presbyterian Hospital, Daegu, Korea.
小兒 尿路感染症에 對한 臨床細菌學的 考察
權光仁, 姜林周, 白仁基, 姜眞無
大邱東山基督病院 小兒科
Abstract
Clinical and bacteriological studies on the 118 cases of urinary tract infection who were admitted to the pediatric department of Presbyterian Hospital, Daegu, Korea during the period of July, 1965 throuth June, 1976 were subjected in this study. The following results were obtained: 1) Positive culture ratio was 16.5%. 2) Age incidence showed 1~6 years old group was most commonly affected, 49 cases(41.5%), and 70% of total cases were under the 6 years of age. 3) Among the cases, 82 cases(69.5%) were male and 36 cases(30.5%) were female. 4) Least seasonal incidence was in winter, and other season had no significant difference. 5) E. Coli was most prominant strain, cultured in 68 cases(57.6%). It was more prominant in female(86.1%). 6) Fever was most common chief complaints and vomitting, puffyface, abd. pain, coughant diarrhea were next common. 7) Urinalysis disclosed albuminuria in 36 cases(30.5%), pyuria in 23 cases(19.5%) and hematuria in 29 cases(24.7%). 8) Hematologic findings showed leukocytosis in 59 cases(50%) and anemia in 31 cases(26.3%). 9) Acute glomerulonephritis was most common associated disease, and diarrhea, U.R.I., nephrotic syndrome and sepsis were next common. 10) All cases were treated with Ampicillin. 65 cases(77.4%) were improved and 70.8% of these were improved within 1 week, clinically and bacteriologically.


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