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Urinary Tract Infections in Children

Urinary Tract Infections in Children. Prof. Pushpa Raj Sharma. Difficult in collecting samples Symptoms are non specific Associated with congenital anomalies Risk of having serious complications Risk factors Permanent renal damage Poor long term prognosis. The Differences.

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Urinary Tract Infections in Children

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  1. Urinary Tract Infections in Children Prof. Pushpa Raj Sharma

  2. Difficult in collecting samples Symptoms are non specific Associated with congenital anomalies Risk of having serious complications Risk factors Permanent renal damage Poor long term prognosis The Differences

  3. The Differences The risk of recurrence of UTI if infected before one year Of age is 18% in boys and 48% in girls.

  4. Prevalence of UTI

  5. Symptoms* • Fever 80% • Failure to thrive 12-15 % • Fainting 6.1% • Fast breathing 6.3% • Fowl smelling urine 43-20% • Feeding problems 83-17% • Frequency of urine 34-12% • Frequent vomiting 48-43% • Frequent constipation 2% • Frequent diarrhoea 8-18% *Rimal H and Sharma K (MD Thesis)

  6. The Symptoms

  7. Aetiologial Agents H.S. Rimal / K.R. Sharma

  8. Antibiotic Sensitivity of the commonest etiological agent Rimal HS

  9. Complications of UTI • Acute Pyelonephritis • Chronic pyelonephritis • Renal scarring • Hypertension • Sepsis

  10. Investigations for UTI • Routine urine examination • Culture • Ultrasound • DMSA scanning • Micturating cystourethrogram • CT/MRI

  11. Treatment • Acute attack: oral/IV antibiotics • Repeated attacks: prophylactic • Surgical treatment

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