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KMID : 0377819950150030339
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Diagnosis and Treatment
1995 Volume.15 No. 3 p.339 ~ p.348
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CLINICAL STUDIES OF URIMARY TRACT INFECTION IN INFANTS AND CHILDREN
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Abstract
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Clinical Studies of Urinary Tract Infection in Infants and Children
Jung Ja Park, M.D.
Department of Pediatrics, Inchon Red Cross Hospital
Jae Seung Lee, M.D.
Department of Pediatrics, Yongdong Severance Hospital
Clnical studies on the 150 cases of urinary tract infection who were admitted to IRCH and YSH from Jan. 1988 to Dec. 1994 were subjected in this study.
The results were as follows;
1. The difference of annual incidence was not remarkable.
2. Age distribution disclosed under 1 yerar in 46 cases (30.6%), 1 to 6 year in 57 cases (38.1 %), 7 to 12 years in 40 cases (26.7%) and above 13 yerars in 7 cases (4.6 %).
3. Sixty nine cases(46.0%) were male and 81 cases(54.0%) were female with male to female ratio of 1 : 1.2.
Under one year of age, male(32 cases) was more commonly affected than the female(14 cases).
4. Fever was the most common chief complaint and hematuria, urinary-#´requency, vomiting and flank pain were also common.
In infants, nonspecific symptoms such as fever, vomiting, and jaundice were more common but in the patients above one year of age, urinary symptoms such as hematuria, flank pain, urinary frequency, vomting and dysuria were more common.
5. Urinalysis disclosed pyuria in 103 cases (68.7%), hematuria in 84 cases ( 56.0 %) and proteinuria in 52 cases(34.7%).
6. Hematologic findings showed low hemoglobin in 21.3%, leukocytosis in 28.7%, elevated ESR in 42.9 %, positive CRP in 54.8 % and BUN over 20mg/dI in 7.8%.
7. Relation between pyuria and colony count showed significant bacteriuria with WBC z 20/ HPF on urinalysis was most common(33 cases, 61.1%).
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