Incidence of urinary tract infection in febrile children

R. Ravikumar Naik, Venkatesha K. R.


Background: Urinary tract infection is diagnosed by the growth of many organisms of a single specimen in the urine with presence of many symptoms. bacteriuria is defined as growth with a colony of >105/ml of a single species in a midstream clean catch urine sample.

Methods: A cross sectional study was undertaken in febrile children with urinary tract infection attending Department of Paediatrics, tertiary care hospital, Bangalore during the period January 2017 to December 2017.

Results: Out of the 200 children studied, 93 children belonged to the age group of 6 year to 12 year and 57 children belong to 1 year to 6-year age group and 50 children belongs to 12 year to 18-year age group. 97 children showed significant pyuria in centrifuged urine sample of which 49 were males and 48 were females. Majority 45 children were belonging to age group of 6 year to 12 year. Out of 97 children showed significant pyuria in centrifuged urine sample of which 46 children 5-10 cells/HPF and 27 children showed > 10 cells/HPF and 24 cases showed < 5cells / HPF. Out of 200 children, in 29 cases urine culture showed E. coli growth and 51 cases showed no growth.

Conclusions: Urinary tract infections are common in childhood. Nearly all UTIs are caused by bacteria that enter the opening of the urethra and move upward to the urinary bladder and sometimes the kidneys.


Pus cells, Pyuria, urine culture, Urinary tract infection

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Majd M, Rushton HG, Jantausch B, Wiedermann BL. Relationship among Vesicoureteral reflux, P-fimbriated Escherichia coli and acute pyelonephritis in children with febrile urinary tract infection. J Pediatr 1991;119: 578-5.

Hoberman A, Chao HP, Keller DM, Hickey R, Davis HW, Ellis D. Prevalence of urinary tract infection in febrile infants. J Pediatr.1993;123:17-23.

Dharnidharka VR, Kandoth PW. Prevalence of bacteriuria in febrile infants. Indian Pediatr. 2993;30:987-90.

Shaw KN, Gorelick M, McGowan KL, Yaksoe HM, Schwartz JS. Prevalence of urinary tract infection in febrile young children in the emergency department Pediatrics. 1998;102:E16.

Fallanzadeh MH, Alamdarbe HM. Prevalance of urinary tract infection in preschool febrile children. Irn J Med Sci. 1999;24:35-9.

Lin DS. Urinary tract infection in febrile infants younger than eight weeks of Age. Pediatrics. 2000;105(2):E20.

Andrew Dziewit J. Urinary tract infection in febrile infants younger than 60 days of age. Penn Sci. 2002;1.

Schlager TA. Poulton A, Prescond NP. Retrospective study of children with renal scarring associated with reflux and urinary infection. BMJ. 1994;308:1193-6.

Nethersole PY, Wan C, Yuen SF, So LY. Evaluation of the accuracy of leukocyte esterase testing to detect pyuria in young febrile children: prospective study. HKMJ 2001;7 (1):5-8.

Bachur R, Harper MB. Reliability of the Urinalysis for Predicting UTI in Young Febrile Children. Arch Pediatr Adolesc Med. 2001;155:60-5.

Chon CH, Lai FC, Dairiki LM. Pediatr Urinary Tract Infection. 2001; 48 (6):21-7.

Musa-Aisien AS, Ibadin OM, Ukoh G, Akpede GO. Prevalence and antimicrobial sensitivity pattern in urinary tract infection in febrile under-5s at a children's emergency unit in Nigeria. Annals of Tropical Paediatrics: Int Child Health 2003; 23(1):39-45.

Saleh SI, Tuhmaz MM, Sarkhouh MY, El-Ghawabi MA. Urinary Tract Infection in Infants and Children in Al-Jahra Area, Kuwait: An Overview. Kuwait Med J.2003;35 (1):31-5.

Kanellopoulos TA, Salakos C, Spiliopoulou I, Ellina A, Nikolakopoulou NM, Papanastasiou DA. First urinary tract infection in neonates, infants and young children: a comparative study. Pediatr Nephrol. 2006; 21: 1131-37.

Shaikh N, Morone NE, Lopez J. Does This Child Have a Urinary Tract Infection? JAMA 2007; 298(24):2895-904.

Shaikh N, Morone NE, Bost JE, Farrell MH. Prevalence of Urinary Tract Infection in Childhood: A Meta-Analysis. Pediatr Infectious Dis J 2008; 27(4):302-8.

Ferrara P, Romaniello L, Vitelli O, Gatto A, Serva M, Cataldi L. Cranberry juice for the prevention of recurrent UTI: A randomized controlled trial in children. Scandinavian J Urology Nephrol.2009;43: 369-72.

Quigley R. Diagnosis of UTI in children. Current Opinion Pediatr. 2009; 21:194-8.

Leroy S, Gervaix A. Procalcitonin: A Key Marker in Children with Urinary Tract Infection. Advances in Urology. 2011;115: 225-32.