FREQUENCY OF URINARY TRACT INFECTION IN FEBRILE PRESCHOOL CHILDREN IN COMBINED MILITARY HOSPITAL ABBOTTABAD, PAKISTAN
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Keywords
Urinary tract infection, febrile children, preschool, Escherichia coli, antibiotic resistance, CMH Abbottabad, pediatric UTI.
Abstract
Introduction: Urinary tract infection (UTI) is a common cause of unexplained fever in preschool children. Prompt diagnosis is essential to prevent complications such as renal scarring and recurrent infections. This study evaluates the frequency and microbiological profile of UTIs in febrile preschool children at Combined Military Hospital Abbottabad.
Objective: To determine the frequency, causative organisms, and antimicrobial sensitivity patterns of UTIs in febrile preschool children.
Material and Method: This cross-sectional study was conducted from January, 2021 to July, 2021 at CMH Abbottabad. Febrile children aged 1–5 years without a known infection source were enrolled. Urine samples were collected using age-appropriate methods. UTI was diagnosed based on pyuria and positive culture results. Data were analyzed using SPSS.
Results: Out of 210 children, 52 (24.8%) were diagnosed with UTI. Female children had a higher prevalence (29.8%) compared to males (17.4%). Escherichia coli was the most common organism (80.8%). Highest sensitivity was observed for cefixime (88.1%) and ciprofloxacin (84.5%), while ampicillin showed the most resistance (72.5%).
Conclusion: UTIs are prevalent in febrile preschool children, especially in females. Empirical therapy should be guided by local resistance trends to improve outcomes.
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Dr Maira Nazar
Resident Paediatrician, Combined Military Hospital, Abbottabad, Pakistan
Dr Shreen Ajmal
Resident Paediatrician Combined Military Hospital Abbottabad, Pakistan
Dr Muhammad Sohaib Khan
Resident Paediatrician, Combined Military Hospital Abbottabad, Pakistan
Dr Sher Alam Khan
Resident Paediatrician Combined Military Hospital Abbottabad, Pakistan
Dr Mudassir Shah
Resident Paediatrician, Hayatabad Medical Complex Peshawar, Pakistan
Dr Atiq Ur Rahman
Resident Paediatrician, Ayub Teaching Hospital Abbottabad, Pakistan