Urinary tract infection in children with protein-energy malnutrition in Aminu Kano Teaching Hospital Kano, Northwest Nigeria

Ibrahim, Umma A.; Aikhionbare, H. A.; Aliyu, Ibrahim

doi:10.4103/njbcs.njbcs_5_18

Cited by 10 publications

(11 citation statements)

References 16 publications

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“…Similar significant association was found in most other studies [ 3 , 19 , 20 ]. On the contrary, a study by Ibrahim et al [ 18 ] and Rabasa et al [ 16 ] found poor leucocyte response in children with malnutrition compared to control. So, pyuria cannot be used as a criterion to diagnose UTI as it can be present without bacteriuria in various conditions like infections elsewhere in the body or glomerulonephritis.…”

Section: Discussionmentioning

confidence: 92%

“…Bagga et al [ 3 ] found good sensitivity to co-trimoxazole, amoxicillin, ciprofloxacin and ceftriaxone. In study by Ibrahim et al [ 18 ] 100% sensitivity was seen to gentamycin and ciprofloxacin. In study by Sharma et al [ 15 ] and Dangayach et al [ 20 ], E. coli showed 90- 100% sensitivity to imipenem, amikacin, nitrofurantoin and gentamicin.…”

Section: Discussionmentioning

confidence: 99%

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Prevalence of Urinary Tract Infection in Children With Severe Acute Malnutrition Aged Between Six Months and Five Years and Their Antibiotic Sensitivity Pattern

Tiwari,

Meena,

Gera

2023

Cureus

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Objective This study was conducted to determine the prevalence of urinary tract infection in children with severe acute malnutrition (SAM) aged between six months and five years and to identify the causative organisms and their antibiotic sensitivity pattern. Study design This study was an observational cross-sectional study. Setting and participants The study was conducted in the Department of Paediatrics in a tertiary care hospital in India over a period of 18 months. A total of 140 children aged between six months and five years according to the World Health Organisation's criteria of severe acute malnutrition were included upon fulfillment of inclusion and exclusion criteria. Ultrasound of kidney, ureter, and bladder (USG-KUB) was also done to exclude children with any underlying anatomical anomaly. Intervention Detailed clinical examination was performed on each of the participants with emphasis on anthropometry. Relevant blood investigations were sent along with urine routine microscopy and culture sensitivity in all patients. Results The prevalence of urinary tract infection (UTI) in our study was 23.57%. The most common organism isolated was Escherichia coli found in 54.54% of cases, followed by Klebsiella in 24.24%. Other organisms isolated were Enterococcus in 12.12%, Pseudomonas aeruginosa 6.06% and Citrobacter in 3.03%. E. coli showed high sensitivity to imipenem (88.87%), meropenem (83.84%), nitrofurantoin (77.76%) and amikacin (72.23%). Overall these organisms showed good sensitivity to amikacin (60.06%), imipenem (66.6%), meropenem (63.63%) and nitrofurantoin (72.72%). Resistance to common antibiotics like ciprofloxacin, cefotaxime and cefuroxime was seen. Conclusion Children with malnutrition are at risk of UTI. Urine routine examination and urine culture should be performed in all these children before starting antibiotics. Selection of an antibiotic should be according to the local drug sensitivity data. These antibiotics should have good efficacy against gram-negative organisms.

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Section: Discussionmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Prevalence of Urinary Tract Infection in Children With Severe Acute Malnutrition Aged Between Six Months and Five Years and Their Antibiotic Sensitivity Pattern

Tiwari,

Meena,

Gera

2023

Cureus

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“…The use of first morning urine sample yields a higher sensitivity of the nitrite test compared to the use of randomly collected urine sample. 26…”

Section: Discussionmentioning

confidence: 99%

Prevalence and antimicrobial sensitivity of asymptomatic bacteriuria among sickle cell anaemia patients in Aminu Kano Teaching Hospital, Nigeria

Ibrahim¹,

Mudi²,

Asani³

et al. 2022

Nig. J. Paed.

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Introduction: Urinary tract infection (UTI) is a common cause of morbidity in children with sickle cell anaemia (SCA) and may present as asymptomatic bacteriuria. Asymptomatic bacteriuria is often under-diagnosed and may lead to long term renal complications. Aim: This study compared the prevalence of asymptomatic bacteriuria, bacterial isolates and their antimicrobial sensitivity in children with and without SCA seen at Aminu Kano Teaching Hospital. Subjects and Methods: This cross-sectional study recruited 139 children with SCA in stable state and 139 children without SCA aged 1- 15 years. All children were tested for asymptomatic bacteriuria using clean catch or mid-stream urine samples. Children whose samples yielded significant bacteriuria (≥105cfu/ml) had a repeat urine culture within a week to confirm asymptomatic bacteriuria. Results: Both study groups had a mean age of 4.25 years ± 3.04, and a male: female ratio of 1.4:1. The prevalence of asymptomatic bacteriuria was higher in children with SCA(5.8%) compared to children without SCA (1.4%). Asymptomatic bacteriuria was more common among females in both study groups. The most common isolate in both groups was E. coli. Majority of the isolates were sensitive to quinolones, gentamycin and nitrofurantoin but resistant to commonly used antibiotics like amoxicillin and cotrimoxazole. Conclusion: Asymptomatic bacteriuria is more common in children with SCA than those without SCA. Majority of isolated pathogens showed low susceptibility to ampicillin, amoxicillin, cotrimoxazole and nalidixic acid, this implies that the use of these drugs for empirical or first line treatment for UTI in children with SCA should be avoided.

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“…Setelah dilakukan seleksi studi, didapatkan 12 artikel yang memenuhi kriteria inklusi dan ekslusi, kesemuanya merupakan penelitian secara langsung yang dilakukan di beberapa negara Asia dan Afrika. 11,12,[14][15][16][17][18][19][20][21][22][23] Hasil review 12 artikel tersebut dijabarkan pada Tabel 1.…”

Section: Hasil Penelitianunclassified

“…Hasil ini menunjukkan adanya perbedaan yang cukup besar. Sejalan dengan penelitian tersebut, Ibrahim et al 14 mendapatkan 16% anak dengan protein energy malnutrition (PEM) terdiagnosis ISK sedangkan pada anak dengan gizi baik hanya empat anak yang terdiagnosis ISK. Pada penelitian kasus-kontrol oleh Gopal et al 22 didapatkan 11,34% anak dengan malnutrisi terbukti mengalami ISK sedangkan pada kelompok kontrol, dalam hal ini anak dengan gizi baik, tidak ada yang mengalami ISK.…”

Section: Bahasanunclassified

Relationship between Nutritional Status and Urinary Tract Infection in Children

Hidayati

Umboh

Rondonuwu

2022

eCL

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Urinary tract infection (UTI) is one of the most common urinary tract diseases in children of all ages. Risk factors for UTI include age, sex, poor nutrition/nutritional status, uncircumcised boys, personal hygiene, urinary emptying dysfunction, and genitourinary tract abnormalities. It is already known that infection can worsen the nutritional status. This study aimed to evaluate the relationship between nutritional status and UTI in children, the incidence of UTI in children with under nutrition, poor nutrition, and over nutrition, and to compare the incidence of UTI in children with normal nutrition, undernutrition, poor nutrition, and over nutrition. This was a literature review study. The results showed that nutritional status and UTI had a significant relationship. Malnutrition or over nutrition could increase the incidence of UTI. Differences in the incidence of UTI in 12 articles were caused by a variety of factors, such as numbers of boys and girls in the studies, age, environment, and the ways to collect urine samples. In conclusion, there is a significant relationship between nutritional status and the incidence of UTI. Poor nutritional status especially malnutrition and over nutrition could increase the incidence of UTI.Keywords: urinary tract infection (UTI); nutritional status; malnutrition; obesity Abstrak: Infeksi saluran kemih (ISK) merupakan salah satu penyakit saluran kemih yang sering terjadi pada anak dalam semua usia. Faktor risiko ISK antara lain usia, jenis kelamin, gizi buruk/status gizi, anak laki-laki yang belum disirkumsisi, kebersihan diri, disfungsi pengosongan urin, dan abnormalitas saluran genitourinaria. Telah diketahui bahwa infeksi dapat memperburuk status gizi. Penelitian ini bertujuan untuk mengetahui adanya hubungan antara status gizi dan ISK pada anak, angka kejadian ISK pada anak dengan gizi kurang, gizi buruk, dan gizi lebih, serta mengetahui perbandingan kejadian ISK pada anak dengan gizi normal, gizi kurang, gizi buruk, dan gizi lebih. Penelitian ini merupakan suatu literature review. Hasil penelitian mendapatkan adanya hubungan bermakna antara status gizi dan ISK. Malnutrisi maupun gizi lebih dapat meningkatkan angka kejadian ISK. Perbedaan kejadian ISK pada 12 literatur yang diteliti disebabkan karena berbagai faktor, seperti rasio jumlah anak laki-laki dan perempuan dalam penelitian, umur, lingkungan tempat tinggal, dan cara pengambilan sampel urin. Simpulan penelitian ini ialah terdapat hubungan bermakna antara status gizi dan kejadian ISK. Status gizi kurang terutama malnutrisi maupun gizi lebih dapat meningkatkan angka kejadian ISK.Kata kunci: infeksi saluran kemih (ISK); status gizi; malnutrisi; obesitas

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Urinary tract infection in children with protein-energy malnutrition in Aminu Kano Teaching Hospital Kano, Northwest Nigeria

Cited by 10 publications

References 16 publications

Prevalence of Urinary Tract Infection in Children With Severe Acute Malnutrition Aged Between Six Months and Five Years and Their Antibiotic Sensitivity Pattern

Prevalence of Urinary Tract Infection in Children With Severe Acute Malnutrition Aged Between Six Months and Five Years and Their Antibiotic Sensitivity Pattern

Prevalence and antimicrobial sensitivity of asymptomatic bacteriuria among sickle cell anaemia patients in Aminu Kano Teaching Hospital, Nigeria

Relationship between Nutritional Status and Urinary Tract Infection in Children

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