All issues > Volume 34(1); 1991

Original Article

J Korean Pediatr Soc. 1991;34(1):57-65. Published online January 31, 1991.

A clinical and bacteriologic study of infants and children with urinary tract infection.

Jae In Roh¹, Yeong Su Kwon¹, Hung Kun Oh¹, Jin Hee Jeong¹, Man Chul Ha¹, Jin Yeong Jeong¹

¹Department of Pediatrics, A san Medical Center Hae sung Hospital Ul san, Korea

Received: June 16, 1990;  Accepted: September 4, 1990.

Abstract

Clinical, Bacteriologic and radiologic studies were performed in 321 infants and childen with urinary Tract Infection who were diagnosed at Department of pediatrics, Haesung Hospital from Jan. 1984 to Dec. 1988. The results were summarized as follows: 1) The incidence of urinary tract infection was highest in children below the age of one year, the rate then decreased with age. Among the total 321 cases, 201 cases (62.6%) were male and 120 cases (37.4%) were females with male to female sex ratio of 1.7:1 2) Fever was the most common clinical feature, systemic nonspecific manifestation was predominant in the infancy and early childhood whereas local symptom of UTI was predominant in the late childhood. 3) Hematologic findings showed leukocytosis in 24.9% and low hemoglobin in 7.5% 4) Urinalysis disclosed pyuria in 42.4%, proteinuria in 10.6%, and hematuria in 9.3%. 5) E.coli was the most prominant strain as the infecting organisms, cultured in 62.7%. others were staphyloccus aureus, and proteus in order. 6) E.coli was most sensitive to cefoxitin and Amikacin. 7) IVP was performed in 86 cases, and 13 cases of them showed abnormal findings. VCUG showed 14 cases of vesicoureteral reflux among 70 cases studied. 8) We performed urine culture again after 48hrs from the beginning of theraphy and 87.2% of cases became sterile. 9) Recurrent UTI was found in 13.4%of cases with male to female sex ratio of 2.2:1. Most of them was in children below the age of one year.

Keywords :Urinary Tract Infection