Urinary Tract Infections in Children

Urinary Tract Infections in Children - 83-17% Frequency of...

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Urinary Tract Infections in Children Prof. Pushpa Raj Sharma
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The Differences Difficult in collecting samples Symptoms are non specific Associated with congenital anomalies Risk of having serious complications Risk factors Permanent renal damage Poor long term prognosis
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The Differences The risk of recurrence of UTI if infected before one year Of age is 18% in boys and 48% in girls.
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Prevalence of UTI Sharma PR et al JIOM (1983);5:19-22 7.3% of all childhood illness admitted in KCH Ball CS et al Paediatrics (1999):Vol11;143-149 Less than one year Girls:6.5%; Boys: 3.3% Kaushal RK et al Indian Pediatrics(2003) Vol 4 Girls: 8.4%; Boys: 6.1% Kanti Children’s Hospital Monthly data review, 2003 64% of Urinary disease Hemsagar R : 2 months to 2 years with fever (2003) Female: 38.7% Male: 18.7%
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Symptoms* Fever 80% Failure to thrive 12-15 % Fainting 6.1% Fast breathing 6.3% Fowl smelling urine 43-20% Feeding problems
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Unformatted text preview: 83-17% Frequency of urine 34-12% Frequent vomiting 48-43% Frequent constipation 2% Frequent diarrhoea 8-18% *Rimal H and Sharma K (MD Thesis) The Symptoms Aetiologial Agents 10 20 30 40 50 60 70 80 90 E.coli S.aureus Pseudom Klebsiel Proteus S.typhi Serratia S.fecalis H.S. Rimal / K.R. Sharma Antibiotic Sensitivity of the commonest etiological agent Antibiotics sensitivity E.coli Gentamycin 62.5% Amikacin 55% Cotrimoxazole 60% Nalidixic acid 35% Ciprofloxacin 47.5% Rimal HS Complications of UTI Acute Pyelonephritis Chronic pyelonephritis Renal scarring Hypertension Sepsis Investigations for UTI Routine urine examination Culture Ultrasound DMSA scanning Micturating cystourethrogram CT/MRI Treatment Acute attack: oral/IV antibiotics Repeated attacks: prophylactic Surgical treatment...
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Urinary Tract Infections in Children - 83-17% Frequency of...

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