Abstract

The aim of the present study was to diagnose the urinary tract infection in febrile children and to assess the validity of microscopic urine analysis and urine culture in the diagnosis of UTI. It is a prospective study conducted in a tertiary care hospital. 370 children were included in the study, data related to age, sex, nutritional status, socioeconomic status and predisposing risk factors like urethral instrumentation, bowel habits etc, were noted. A thorough physical examination with relevant investigations was carried out in all patients. Routine blood counts, urine analysis was done and those showing pus cells >5 per HPF in centrifuged urine sample were taken as study group and urine culture sensitivity was done in them. A total of 370 febrile children were included in the study, out of 370 patients in study 165 were males and 205 were females with M: F ratio 1:1.2 and majority of them i.e.64.8% were <2years. In our study out of 370 children 48 children showed significant pyuria(12.9%) of pyuric cases 26% showed significant bacterial growth making an overall prevalence of 3.5%.Among culture positive UTI'S 76% were <2years of age with a overall prevalence of 4.1% in children <2years and 7%in children <1year.