All issues > Volume 30(1); 1987

Original Article

J Korean Pediatr Soc. 1987;30(1):64-70. Published online January 31, 1987.

Clinical Studies of Urinary Tract Infection in Infant and Children.

Bo Kyung Cho¹, Jeong Oh Kim¹, Ik Jun Lee¹

¹Department of Pediatrics, Catholic Medical College, Seoul, Korea

Abstract

Clinical studies on the 42 cases of urinary tract infection who were admitted to Pediatric department of Kangnam St. Mary’s Hospital from January 1982 to December 1985 were subjected in this study. The results were as follows: 1) The incidental ratio to total inpatients was 0.76%. 2) Age incidence disclosed under 1 year in 10 cases (23.8%), 1 to 6 year in 21 cases(50%), 7 to 12 years in case 8 (19%) and above 13 years in 3 (7.2%). 3) Under one year of age, male (7 cases) was more commonly affected than female (3 cases) with the ratio 2.3: 1. And after one year of age, female were relatively more than male with total male to female ratio 1: 1.8. 4) The common chief complaints were high fever, frequency, turbid urination and dysuria. Under the one year of age, non-specific symptoms such as fever, anorexia and irritability were more common. 5) Hematologic findings showed leukocytosis in 23 cases (54.7%), elevated ESR 23 cases (54.7%), positive creative protein 28 cases (66.7%). 6) Urinalysis disclosed proteinuria in 27 cases (64.3%), pyuria in 38 cases (90.5%) and hematuria in 22 cases (52.4%). 7) Escherichia coli was the most common strain (20 cases, 47.6%), and Proteus mirabilis, Staphylococcus aureus, Staphylococcus epidermidis, Klebsiella species were common in descending order. 8) Intravenous pyelogram was performed in 15 cases and 6 cases of them showed abnormal findings such as hydronephrosis, hydroureter, ureterocele, poor visualized kidney and renal scarring. 9) Voiding cystourethrogram findings in 6 cases showed vesicoureteral reflux in 3 cases.

Keywords :Urinary tract infection.