PREVALENCE OF URINARY TRACT INFECTION AMONG FEBRILE INFANTS WITHOUT LOCALIZATION

Abstract

U.T.I. is one of the most common infectious problem among infancy and childhood. It may be acute, chronic or recurrent. Recurrent U.T.I. may be a relapse or reinfection, but the majority of cases are due to reinfection. There are several predisposing factors that favour infection, the most common are : V.U.R., bi1harziasis, protein energy malnutrition, congenital anomalies and non circumcision in males, less common predisposing factors include obstructive lesions, instrumentation, metabolic disorders, residual urine and constipation. The ascending route of infection is by far the most common route especially in females and uncircumcised male infants. The haematogenous route is more common in neonates E-coli is the most common orgamsm responsible for U.T.I. in infants and children, followed by klebsiella, Enterobacter, proteus and staphylococcus. Virus and mycoplasma play a minor role in U.T.I. The unne collection can be done by suprapubic aspiration. The morning sample is prefered as it is the most concentrated one. It is U.T.I. 111 neonates present usually by septicemia, jaundice, hypothennia or C.N.S. manifestations. In infants the most common presentation is failure to thrive, fever or malodourous urine.