Qureshi Azhar Munir
Department of Pediatrics, Ayub Teaching Hospital, Abbottabad.
J Ayub Med Coll Abbottabad. 2005 Jan-Mar;17(1):72-4.
Urinary tract infection (UTI) is common in pediatric practice and an important cause of morbidity and mortality in children. Infected urine stimulates an immunological and inflammatory response leading to renal injury and scarring, ultimately leading to end stage renal failure. The present study identifies the micro organisms causing urinary tract infection in children presenting with UTI at Ayub Teaching Hospital, Abbottabad.
One hundred patients of either sex, ranging from neonatal period to fifteen years of age were studied at the Pediatric units of Ayub Teaching Hospital, Abbottabad. Urine colony count and culture were done on the suspected cases.
Urinary tract infection was common among females, except in the neonatal period. Escherichia coli was the most common organism isolated (71.0%), followed by Klebsiella (13%), Proteus (11%), Staphylococcus (4%) and Pseudomonas (1%). Proteus was isolated from the males only.
UTI is a significant problem in the children and requires a large scale study at regular intervals in order to identify organisms from time to time and recommend prompt treatment to reduce UTI related morbidity and mortality in children.
尿路感染(UTI)在儿科临床中很常见,是儿童发病和死亡的重要原因。感染的尿液会引发免疫和炎症反应,导致肾损伤和瘢痕形成,最终导致终末期肾衰竭。本研究确定了在阿伯塔巴德阿尤布教学医院出现尿路感染的儿童中引起尿路感染的微生物。
在阿伯塔巴德阿尤布教学医院的儿科病房对100名年龄从新生儿期到15岁的男女患者进行了研究。对疑似病例进行了尿菌落计数和培养。
除新生儿期外,尿路感染在女性中更为常见。分离出的最常见微生物是大肠杆菌(71.0%),其次是克雷伯菌(13%)、变形杆菌(11%)、葡萄球菌(4%)和假单胞菌(1%)。变形杆菌仅从男性中分离出。
尿路感染是儿童中的一个重要问题,需要定期进行大规模研究,以便随时识别微生物,并建议及时治疗,以降低儿童尿路感染相关的发病率和死亡率。