Urinary Tract Infections in Children - PowerPoint PPT Presentation

About This Presentation
Title:

Urinary Tract Infections in Children

Description:

Urinary Tract Infections in Children Prof. Pushpa Raj Sharma The Differences The Differences Prevalence of UTI Symptoms* Fever 80% Failure to thrive 12-15 % ... – PowerPoint PPT presentation

Number of Views:234
Avg rating:3.0/5.0
Slides: 12
Provided by: prsharmaC
Category:

less

Transcript and Presenter's Notes

Title: Urinary Tract Infections in Children


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

2
The Differences
  • 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

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
Sharma PR et al JIOM (1983)519-22 7.3 of all childhood illness admitted in KCH
Ball CS et al Paediatrics (1999)Vol11143-149 Less than one year Girls6.5 Boys 3.3
Kaushal RK et al Indian Pediatrics(2003) Vol 4 Girls 8.4 Boys 6.1
Kanti Childrens Hospital Monthly data review, 2003 64 of Urinary disease
Hemsagar R 2 months to 2 years with fever (2003) Female 38.7 Male 18.7
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
Antibiotics sensitivity E.coli
Gentamycin 62.5
Amikacin 55
Cotrimoxazole 60
Nalidixic acid 35
Ciprofloxacin 47.5
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
Write a Comment
User Comments (0)
About PowerShow.com