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- Title
Odağı Belli Olmayan Düşük Riskli Ateşli Çocuklarda İdrar Yolu Enfeksiyonu Sıklığı ve Belirlemede Çeşitli şdrar şnceleme Yöntemlerinin Karşılaştırılması
- Authors
Ünal, Betül; Delibaş, Ali; Kuyucu, Necdet
- Abstract
Objective: Urinary tract infection is the second most common infection after upper respiratory infections among children. Diagnosis of UTI is confirmed with urine culture. However, since it takes a long time, awaiting the urine culture result causes delays in diagnosis, especially where rapid diagnosis is necessary. Material and Methods: This study was performed among 0 to 24 months old children who were admitted to the outpatient clinics and emergency department of Department of Pediatrics, Faculty of Medicine, Mersin University, with a complaint of fever. The aims of this study were to reveal the etiologies of fever, to investigate the frequency of urinary tract infection (UTI) among infants without an apparent source of fever and to compare the value of different urinalysis techniques in the diagnosis of urinary tract infection. Results: Infants under the age of 60 days were evaluated according to the Pittsburgh criteria and children between the ages of 2 to 24 months were evaluated according to the Yale Observation Scala in order to classify the severity of bacterial illness (SBI). Patients were classified as low risk or high risk groups and these were compared for demographical, clinical and laboratory findings. The prevalence of UTI in the low risk group without an apparent source of fever was 16%. Urine samples were obtained with both a sterile perineal bag and bladder catheterisation and different urinalysis methods were compared, The perineal bag was low quality and interpreted to be inadequate in the diagnosis of UTI. Also, WBC count in centrifuged urine, automated urinalysis and WBC count with thoma slide in centrifuged urine, automated urinalysis and WBC count with thoma slide in uncentrifuged urine obtained by both perineal bag and bladder catheterisation techniques were found to have low sensitivity in the diagnosis of UTI. In both of the urine sampling techniques, and gram stain of urine were found to have the highest sensitivity after urine cultures obtained by bladder catheterisation. Conclusion: According to our findings the history, physical examination and laboratory findings can distinguish between patients having low risk or high risk for SBI in the evaluation of febrile infants and UTI should be considered as an important source of fever in the low risk group. Urine cultures should be obtained by bladder catheterisation for the diagnosis of UTI.
- Subjects
URINARY tract infections in children; URINARY tract infections; BACTERIAL diseases; DISEASE prevalence; URINALYSIS; DIAGNOSIS; DISEASE risk factors
- Publication
Journal of the Child / Çocuk Dergisi, 2011, Vol 10, Issue 5, p47
- ISSN
1302-9940
- Publication type
Article
- DOI
10.5152/ced.2011.21