Author(s): Ibeneme CA, Oguonu T, Okafor HU, Ikefuna AN, Ozumba UC, Ibeneme CA, Oguonu T, Okafor HU, Ikefuna AN, Ozumba UC, Ibeneme CA, Oguonu T, Okafor HU, Ikefuna AN, Ozumba UC, Ibeneme CA, Oguonu T, Okafor HU, Ikefuna AN, Ozumba UC
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Abstract BACKGROUND: Fever is a common symptom of urinary tract infection (UTI) in children less than 5 years of age. Little attention is however paid to UTI as a cause of fever in this age group. OBJECTIVE: The objective of the following study is to determine the prevalence of UTI in febrile children less than 5 years of age and relate it to demographic and clinical characteristics. MATERIALS AND METHODS: Urine specimen of febrile children aged 1-59 months obtained by suprapubic or midstream methods were analyzed using standard laboratory methods of microscopy, culture and sensitivity. RESULTS: A total of 200 children were enrolled; nearly 56\% (112/200) were males. The mean age of the subjects was 31.14 ± 17.96 months. The prevalence of UTI was 11\% and was significantly higher in females than in males ( P = 0.049). Children below 12 months of age had a higher rate of UTI than those 12 months and above ( P = 0.028). The common clinical features were vomiting, abdominal pain, diarrhea, urinary frequency and urgency but none had a significant association with UTI. CONCLUSION: UTI is common in febrile under-fives especially among females and infants. No association was apparent between the occurrence of UTI and clinical parameters.
This article was published in Niger J Clin Pract
and referenced in Clinical Microbiology: Open Access