Abstract
The urinary tract is the most common site for serious bacterial infections in infants and young children. The epidemiology of UTI is confounded by the variability and non-specificity of signs and symptoms. Diarrhea may be the presenting symptom in younger children with UTI. Objective: to estimate the incidence of UTI in infants and children with diarrhea and to identify the clinical correlates this may help to identify UTI cases. Methods: we studied 160 patients presented with diarrhea aged 4 weeks to 5, admitted to Benha children hospital, in the period from April to November 2011. Blood sample was taken for CBC, CRP, urea and creatinine. Urine samples were taken from all patients and examined by dipstick; in dipstick positive cases (either for leucocytes or nitrite), another sample for culture was taken. Results: one hundred sixty patients were included in the study. The incidence rate was 6.8%, 63.6% of them were females. The majority of the patients were between 2 to 5 years of age. E.coli was the most common isolated organism (90.9%). Fever, recurrent diarrhea and artificial feeding were significantly associated with UTI.
Conclusion: The results of our study shows that female, fever and history of recurrent diarrhea are significantly associated with UTI cases which were presented by diarrhea.