Study of Microbiological Profile of Urinary Tract Infection in Febrile Children

Abstract

Introduction: This study was undertaken to find out the microbiological  profile of urinary tract infection in febrile children and to assess the validity of microscopic urine analysis in the diagnosis of urinary tract infection. Since UTI is commonly missed in children, the study emphasises on strongly suspecting it in febrile children to prevent future complications. Aim: Study aimed to determine the microboloical profile of urinary tract infection in febrile children, less than 5 years of age and to assess the validity of microscopic urine analysis in the diagnosis of urinary tract infection. Material and Methods: A prospective  study  was  undertaken in the department of Microbiology of our institute.c  Urine was collected from enrolled febrile patients and sent for routine microscopic examination as well as for culture and sensitivity. Results: 240 febrile patients were enrolled in this study .Out of which 12 cases showed positive urine culture giving a prevalence of UTI as 5%. Chi-square analysis was done for significant pyuria (>5 pus cells/ HPF) and a sensitivity of 100% was calculated with accuracy rate of 97.5%. Conclusion: UTI is common in children presenting with febrile illness and should be suspected strongly. Urine culture is the gold standard for diagnosing UTI. Microscopic urine analysis is a strong tool and is helpful in diagnosing UTI.