Prevalence of urinary tract infection in febrile children of less than five years of age

Original Article

Author Details : Mahishma K*, Anil Kumar K

Volume : 7, Issue : 4, Year : 2021

Article Page : 205-211

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Objective: To determine the prevalence of urinary tract infection in febrile children, less than 5 years of age. To assess the validity of microscopic urine analysis and urine culture in the diagnosis of urinary tract infection.
Design: Prospective study.
Setting: Children attending   the department of paediatrics, Dr.V.R.K. Women’s Medical College, Teaching Hospital & Research Centre, with febrile illness during June 2019-June 2020.
370 children between 1 month to 5 years of age.
Materials and Methods: Data related to age, sex, nutritional status, socioeconomic status and predisposing risk factors like urethral instrumentation, bowel habits etc, were noted. A thorough physical examination with relevant investigations were carried out in all these patients. Routine urinary microscopy was done in all patients and urine culture was done in those who showed pyuria of >5 pus cells/HPF in centrifuged urine sample.
Results: In our study, overall prevalence of UTI was 3.5% in children between 1 month to 5 yrs and 4.1% in children <2yrs>10 pus cells/HPF in centrifuged sample of urine and 2.5% in those who showed >5pus cells/HPF.
Conclusions: The presence of obvious source of fever such as upper respiratory tract infection or otitis media is not reliable in excluding urinary tract infection. Overall prevalence of UTI in our study was low (3.5%) and prevalence among children <2yrs>5pus cells/HPF (centrifuged urine sample) should be considered as significant and further evaluation should be done to initiate prompt treatment.

Keywords: Children, Infants, UTI, Prevalence, Pyuria

How to cite : Mahishma K, Anil Kumar K, Prevalence of urinary tract infection in febrile children of less than five years of age. IP Int J Med Paediatr Oncol 2021;7(4):205-211

Copyright © 2021 by author(s) and IP Int J Med Paediatr Oncol. This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (

Article History

Received : 20-10-2021

Accepted : 09-11-2021

Available online : 22-12-2021

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