Academic Overview of the Medical College Hospital.

Title : Clinical Profile and Risk Factors of Childhood Urinary Tract Infection at Jalalabad Ragib Rabeya Medical College Hospital, Sylhet

Published by -Jalalabad Medical Journal PDF Page : 64-68

Urinary tract infection (UTI) is a common childhood bacterial infection. It may cause significant morbidity and mortality in children. Most of the cases, clinical symptoms are non-specific. There are numerous risk factors that predispose UTI which depend on socioeconomic status and cultural habits. The aim of the study was to determine the clinical profile and risk factors of UTI in children. This was a hospital based cross sectional study, conducted in the paediatric outpatient and inpatient departments of Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet from January 2018 to December 2018. Total 62 patients presented with symptoms of UTI and urine culture positive were enrolled for the study. Male to female ratio was 1:1.9. Fever (66%) was the commonest clinical presentation followed by dysuria (52%), abdominal pain (52%), increase frequency of micturition (34%) and nausea and vomiting (34%). Among the various risk factors malnutrition (37%) was highest in number followed by constipation (35.5%), inadequate water intake (32.3%), cleaning perineum from back to front (30.6%), uncircumcised boy (30.6%), voluntary withholding of urine (25.8%) and worm infestation (22.6%). For early diagnosis and management, knowledge about clinical presentation is necessary. By identifying the risk factors, prevalence of childhood UTI can be reduced.

Keywords: Risk factors, Childhood, Urinary tract infection.