A STUDY OF URINARY TRACT ABNORMALITIES IN HOSPITALISED CHILDREN PRESENTING WITH URINARY TRACT INFECTION IN MIDNAPORE MEDICAL COLLEGE AND HOSPITAL

Abstract

Introduction: Urinary tract infection is the most common bacterial infection in childhood and upto 30% of infants and children experience\nrecurrent infections during the \uf001rst 6 to 12 months after initial UTI. Urinary tract infections (UTI) imply invasion of urinary tract by pathogens,\nwhich may involve the upper or lower urinary tract depending on the infection in the kidney or bladder and urethra.\nAims And Objectives: Children presenting with UTI by Ultrasonography, MCU and / or DMSA depending on the child s age. structural\nabnormalities and the presence of VUR if any in children with UTI by USG, MCU and DMSAscan in indicated cases.\nMaterials And Methods: The study was conducted in the Pediatrics ward of Midnapore Medical College and Hospital. This is a tertiary care\ncentre. Pediatric patients from different districts of West Bengal are referred to our Institute. All pediatric patients from 3 months to 12 years of age\npatients with a diagnosis of, either \uf001rst episode or recurrent UTI admitted at Midnapore Medical College and Hospital. Our study was an\nObservational, Prospective study. All the pediatric patients ful\uf001lling the inclusion criteria, admitted to the hospital during the study period was\nenrolled for the study.\nResult And Analysis: We found in abnormal DMSA, the mean age (mean±s.d.) of children was 21.9375 ± 29.1398 years. In normal DMSA, the\nmean age (mean±s.d.) of children was 24.7321 ± 18.3179. In not required DMSA, the mean age (mean±s.d.) of children was 97.1667 ± 21.9855.\nDistribution of mean age in years vs. DMSAwas statistically signi\uf001cant (p<0.0001). In abnormal DMSA,\nConclusion: Even a normal USG report does not rule out dysfunctional bladder as we have had 3 children aged 19 months, 6 months and 26 months\nwho had normal USG \uf001ndings but clear evidence of VUR on MCU of grades 2 ,4 and 1 respectively.\nIn conclusion, abnormal US may carry a higher probability of grades III-VVUR and RS, and can affect the management in a signi\uf001cant number of\nchildren hospitalized with UTI.