Management Of Recurrent Urinary Tract Infections In Pediatric Patients: A Prospective Study

Abstract

Background:

If urinary tract infections that keep coming back (ruts) are found in children, they may result in complications such as harm to the kidneys and worse quality of life. It is very important to identify and treat the condition quickly to prevent major repercussions and encourage better results.

Objectives:

By analyzing how to evaluate and manage recurrence UT Is in children, it is hoped that treatment can be better optimized and recurrence reduced.

Study design:  A prospective study.

Place and duration of study:   Department of Urology Niazi Medical College Sargodha from july 2022 to july 2023

Methods:

The study was carried out at Department of Urology Niazi Medical College Sargodha from july 2022 to july 2023 on 100 children visiting the same hospital with frequent UT Is. We gathered information on each patient’s medical records, urine cultures, imaging findings and treatment results. Results were analyzed using SPSS 25, where p<0.05 was considered statistically significant.

Results:

100 patients, with an average age of 6.5 +/- 2.8 years. In the study, males were 35% and females were 65%. Vesicoureteral reflux occurred in 40% of the cases examined. According to antibiotic sensitivity results, nitrofurantoin was susceptible in 85% of infections, along with a 78% susceptibility to cephalosporins. Giving antibiotics before surgery greatly reduced the number of reinfections (p=0.02). Behavioral interventions were important in reducing the number of infections.

Conclusion:

To handle paediatric recurrent UT Is, kids should receive useful antibiotics, any associated structural issues should be found and change in behavior should be suggested. Pursuing several approaches lowers the chance of renal complication and reoccurrence in kidney disease patients.