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KMID : 1040420180220020058
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Childhood Kidney Diseases
2018 Volume.22 No. 2 p.58 ~ p.63
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Relationship between Obesity and UTI in Children Under 2 Years of Age Admitted with Fever
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Ko Su-Yeong
Lee Jae-Hee
Rho Young-Il
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Abstract
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Purpose: We observed an association between obesity and UTI in infants and pediatric patients, which we aimed to validate in this study.
Method: The medical records of 740 patients (≤24 months old) hospitalized with fever were retrospectively analyzed. The patients were subdivided into 2 groups, namely, the UTI and control (non UTI) groups. We analyzed the patient’s height, weight. Obesity was defined as weight-for-length ≥95th percentile, and the association between obesity and UTI was evaluated.
Results: Out of 740 patients, 253 and 487 patients were in the UTI group and the control group, respectively. A comparative analysis, based on 3 age groups (0?5 months, 6?11 months, and 12?24 months) showed higher proportion of obesity in the UTI group (26.4%) than in the control group (13.0%) in the 0-5months group. After adjusting for age and gender in the 0-5month group, the obesity group was 3.76 times likely to have an UTI (95% CI 1.419?9.98).
Conclusion: Obesity and UTI show strong association, especially in infants aged 0-5 months. Febrile obese infant patients (≤5 months old) visiting medical centers should be advised urine tests for potential UTI.
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KEYWORD
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Urinary tract infection, Pediatrics, Obesity
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