dc.contributor.author | Abdalla, Khadija A | |
dc.date.accessioned | 2014-01-25T11:30:24Z | |
dc.date.available | 2014-01-25T11:30:24Z | |
dc.date.issued | 1998 | |
dc.identifier.uri | http://hdl.handle.net/11295/64352 | |
dc.description.abstract | A descriptive cross-sectional survey was carried out in the
out-patient paediatric filter clinic of Kenyatta National
Hospital, Nairobi, to determine the prevalence of urinary
tract infection among 185 children under 5 years of age who
presented with fever of no obvious cause.
The male to female ratio was 1.3:1 and the mean age was 23
months.
Significant bacteriuria (SBU) was found in 41 out of the 185
patients giving a prevalence of 22.2%. The prevalence was
higher in males than in females, but the difference was not
statistically significant(P=0.2582). Clinical symptoms"and
signs were found to be poor indicators of the presence of
urinary tract infection.
Leucocyturia occured in 40 out of the 41 children with SBU,
giving a sensitivity of 97.6%, while presence of nitrites
was found to be very specific (94.4%).
Bacteriological studies indicated that E.coli was the
commonest organism isolated (43.9%) followed by Staph aureus
(19.5%), Staph Saprophyticus (17.1%), Klebsiella (9.8%) and
proteus (7.3%).
Nitrofurantoin, augmentine, nalidixic acid and the
cep ha1ospori'ns (2nd and 3rd genera t .Lioorniss)were the drugs mos t
sensitive to the organisms isolated while ampici 11in and
cotrimoxazole showed high resistant patterns.
The high prevalence rate found in this study emphasizes the
need for regular urine checking in children with fever whose
cause cannot easily be clinically determined. | en_US |
dc.language.iso | en | en_US |
dc.publisher | university of Nairobi | en_US |
dc.title | Urinary tract infection in children under five with fever of no obvious cause at Kenyatta National Hospital | en_US |
dc.type | Thesis | en_US |
dc.description.department | a
Department of Psychiatry, University of Nairobi, ; bDepartment of Mental Health, School of Medicine,
Moi University, Eldoret, Kenya | |