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Background: Urinary tract infections (UTIs) represent a significant health issue in children globally, with prevalence rates varying between 2% and 20%.If not diagnosed and managed promptly, these infections can result in severe consequences, including hypertension, chronic renal failure and renal scarring.This study assessed pediatric patients' clinical manifestations, diagnostic approaches, and prevalent bacterial pathogens associated with UTIs.Methods: A cross-sectional study was conducted on 78 children with culture-confirmed UTIs.Clinical information was gathered using a semi-structured pro forma, and laboratory analyses were performed to determine the causative organisms and their antibiotic susceptibility profiles.Results: In neonates, the most prevalent symptoms were fever, jaundice, and vomiting.In older children, fever, dysuria, and lethargy were the most common symptoms.Escherichia coli emerged as the predominant pathogen, followed by Klebsiella pneumoniae and Pseudomonas aeruginosa.Piperacillin-tazobactam exhibited high sensitivity, and amikacin showed about 90% sensitivity rate.Conclusion: Accurate and timely diagnosis of pediatric UTIs, based on distinct clinical signs and laboratory evaluations, is essential for preventing severe outcomes.Identifying prevalent pathogens and their antibiotic sensitivities is critical for formulating effective treatment protocols.
Agrawal et al. (Mon,) studied this question.