Child Kidney Dis.  2017 Apr;21(1):15-20. 10.3339/jkspn.2017.21.1.15.

Clinical Characteristics of Febrile UTI First Developed Over 5 Years of Age

Affiliations
  • 1Department of Pediatrics, Kyungpook National University, School of Medicine, Daegu, Korea. chomh@knu.ac.kr

Abstract

PURPOSE
Febrile urinary tract infection (UTI) is one of the commonest bacterial infections in children. The purpose of this study is to investigate the clinical characteristics of the first episode of febrile UTI occurring in children over 5 years compared to those in infants younger than a year.
METHODS
We retrospectively reviewed the medical records of 10 patients over 5 years, having febrile UTI, and 25 controls under 1 year. Clinical characteristics including symptoms at admission, the time interval between symptom onset and hospital visit and/or diagnosis, duration of fever, urinalysis, and other laboratory and imaging test results were compared between the two groups.
RESULTS
Most patients in the control group showed only high fever at the time of presentation to the hospital. However, 60% of the case group had fever along with gastrointestinal (GI) symptoms such as abdominal and flank pain, vomiting, as well as relatively mild pyuria. The case group showed a longer duration between symptom onset and hospital visit and/or diagnosis.
CONCLUSIONS
Delay in diagnosis and initiation of treatment of UTI increases the risk of permanent renal scarring and associated complications. Therefore, early diagnosis and treatment of febrile UTI is vital for very young infants, as well as children considering that febrile UTI could be an important cause of febrile illness in children over 5 years.

Keyword

Urinary tract infection; Children; Age

MeSH Terms

Bacterial Infections
Child
Cicatrix
Diagnosis
Early Diagnosis
Fever
Flank Pain
Humans
Infant
Medical Records
Pyuria
Retrospective Studies
Urinalysis
Urinary Tract Infections
Vomiting
Full Text Links
  • CKD
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr