Spahiu Lidvana, Hasbahta Virgjina
Pediatric Clinic, University Clinical Center of Kosovo, Pristina, Republic of Kosovo.
Med Arh. 2010;64(2):88-90.
to determine the most frequent causes of urinary tract infection (UTI) amongst children according to gender and age.
299 children with urinary tract infections were evaluated. All of the cases were clinically evaluated and quantitative and qualitative examinations of the urine (culture with antibiogram) were done.
There were 54.58% males and 45.15% females in the research group. Similar distribution was present in age groups: 1-28 days (67.86% male, 32.14% female), 1 month up to 1 year (64.56% male, 35.44% female), 2-6 years (55.29% male, 44.71% female). The only difference was found in the age group of 7-16 years where there were more female patients (56.07% female, 43.93% male). Based on microbiological findings, in 91.3o% of the cases only one species was isolated, and more than one species was isolated in 8.70% of cases. Escherichia coli was the most common cause of urinary tract infection (62.88%), the second most common was Klebsiella (23.080/%), followed by Proteus mirabilis (7.02%), Citrobacter(5.35%), Staphylococcus saprophyticus (1.34%) and Candida albicans (0.33%). E. coli was the most frequent causative of UTI amongst children of all ages. In the age group of newborns, E. coli was isolated as the etiological causative of UTI in 57.14% of cases. In the age group ofi month-1 year, E.coli was the most frequent cause of urinary tract infection (60.76%). In the age group of 2-6 years, E.coli was the most frequent cause of urinary tract infection (74.12%). In the age group of 7-16 years, E. coli was isolated in 59.81% of cases. Klebsiella was the second most frequent causative (23.08%) and with a higher incidence in the age group of newborns (42.86%).
UTI was generally more present in male patients. E. coli was the most frequent cause of UTI in children of all age, while the second most frequent cause of UTI in children was Klebsiella.
根据性别和年龄确定儿童尿路感染（UTI）的最常见病因。
对299例尿路感染患儿进行评估。所有病例均进行临床评估，并对尿液进行定量和定性检查（培养及药敏试验）。
研究组中男性占54.58%，女性占45.15%。各年龄组分布相似：1 - 28天（男性67.86%，女性32.14%），1个月至1岁（男性64.56%，女性35.44%），2 - 6岁（男性55.29%，女性44.71%）。唯一的差异出现在7 - 16岁年龄组，该组女性患者更多（女性56.07%，男性43.93%）。根据微生物学检查结果，91.3%的病例仅分离出一种菌种，8.7%的病例分离出不止一种菌种。大肠埃希菌是尿路感染最常见的病因（62.88%），其次是克雷伯菌（23.08%），然后是奇异变形杆菌（7.02%）、柠檬酸杆菌（5.35%）、腐生葡萄球菌（1.34%）和白色念珠菌（0.33%）。大肠埃希菌是各年龄段儿童UTI最常见的病原体。在新生儿年龄组，57.14%的UTI病例分离出大肠埃希菌作为病因。在1个月至1岁年龄组，大肠埃希菌是尿路感染最常见的病因（60.76%）。在2 - 6岁年龄组，大肠埃希菌是尿路感染最常见的病因（74.12%）。在7 - 16岁年龄组，59.81%的病例分离出大肠埃希菌。克雷伯菌是第二常见的病原体（23.08%），在新生儿年龄组发病率更高（42.86%）。
UTI在男性患者中更为常见。大肠埃希菌是各年龄段儿童UTI最常见的病因，而儿童UTI第二常见的病因是克雷伯菌。
