Urinary tract infections agents in malnourished children Original Article

Abstract

Aim: The aim of our study was to determine the frequency of urinary tract infection in children with PEM and the species of bacteria that cause urinary tract infection in children with protein energy malnutrition PEM and to compare with the control group with hout PEM Material and Method: In this study 79 children aged 3 months to 5 years who were diagnosed as PEM according to Gomez Classification were included Control group consisted of 66 children with positive urine culture in same age and sex Results: In 79 children with PEM urinary tract infection rate was found as 39 2 The most common isolated microorganism from urine cultures was Proteus spp 32 3 and the others were E coli 25 8 Staphylococcus spp 19 4 Klebsiella spp 9 7 Enterobacter spp 6 5 Pseudomonas spp 3 2 and Streptococcus spp 3 2 respectively In 66 control cases the most common isolated nbsp; microorganisms were E coli 54 5 Staphylococcus spp 18 2 and Proteus spp 13 6 While Proteus spp frequency in patients with PEM was significantly higher than control group E coli frequency in the former group was significantly lower than the later nbsp; p=0 03 and p= 0 008 respectively Conclusion: We want to emphasize that pathogens of urinary tract infection isolated from the children with PEM may be different from the pathogens isolated from the children without PEM Turk Arch Ped 2007; 42: 162 4 Key words: Malnutrition Protein energy malnutrition Urinary tract infection

Keywords

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Malnütrisyonlu çocuklarda görülen idrar yolu enfeksiyon etkenleri Orijinal Araştırma

Öz

Amaç: Çalışmamızda protein enerji malnütrisyonu PEM nbsp; olan çocuklarda idrar yolu enfeksiyonunun İYE sıklığının saptanması ve İYE’ye neden olan etkenlerin PEM olmayan aynı yaş ve cinsteki çocuklarla karşılaştırılması amaçlandı Gereç ve Yöntem: Gomez sınıflamasına göre PEM tanısı koyulan yaşları 3 ay 5 yıl arasında değişen 79 hasta çalışmaya alındı Kontrol grubu benzer yaş ve cinsiyette idrar kültürü pozitif olan 66 çocuktan oluşuyordu Bulgular: Protein enerji malnütrisyonu olan 79 çocukta İYE nbsp; 39 2 oranında tespit edildi İdrar kültüründe en sık üreyen etkenler sırası ile Proteus spp 32 3 E coli 25 8 Staphylococcus spp 19 4 Klebsiella spp 9 7 Enterobacter spp 6 5 Pseudomonas spp 3 2 Streptococcus spp 3 2 ’idi nbsp; Kontrol grubu olan 66 olgunun idrar kültüründe en sık saptanan ilk üç mikroorganizma sırasıyla E coli 54 5 Staphylococcus spp 18 2 ve Proteus spp 13 6 idi Protein enerji malnütrisyonu olan grupta Proteus spp sıklığı kontrol grubundan anlamlı oranda daha fazla E coli sıklığı ise kontrol grubundan anlamlı oranda daha azdı p=0 03 ve nbsp; p= 0 008 Çıkarımlar: Protein enerji malnütrisyonu olan çocuklardaki İYE etkenlerinin PEM olmayan çocuklardaki İYE etkenlerinden farklı olabileceğini vurgulamak istiyoruz Türk Ped Arş 2007; 42: 162 4 Anahtar kelimeler: İdrar yolu enfeksiyonu malnütrisyon protein enerji malnütrisyonu nbsp;

Anahtar Kelimeler

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References

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