Evaluation of Urinary Tract Infection In Children With Acute Gastroenteritis

Abstract

Background: Diarrhea is common in infants and children, and urinary tract infection (UTI) is the second most common bacterial infection. Association of urinary tract infections with anomalies of genitourinary tract is common. Diarrhoea may be manifestation of urinary tract infections  in this age therefore we planned to evaluate if this can be used as a high risk index to pick up cases of urinary tract infections. There have been a limited number of studies on the correlation between UTI and acute diarrhea, and it is still not clear when to investigate for UTI in young children presenting with diarrhea Therefore, this study aimed to evaluate the relationship between diarrhea and UTI. Objective: Primary objective of this is to assess association of urinary tract infection in children with acute gastroenteritis. Methods: Study includes 546 children presenting with diarrhea in the age group of 1 to 60 months after excluding congenital anomalies of Genitourinary and Gastrointestinal tracts. Complete urine examination and urine culture sensitivity were done. Results: The overall prevalence of UTI in children presenting primarily with diarrhea was 6.04%. The prevalence of UTI in girls presenting with diarrhea was more in contrast to boys. Conclusion: Diarrhea is one of the common manifestations and risk factors of UTI in children.