Publication: Factors Associated with Urinary Tract Infection among Children Aged Less than 5 Years Visiting Department of Pediatrics of Dhulikhel Hospital
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Urinary tract infection (UTI) constitutes a significant cause of morbidity, especially
among children under five years old. Early diagnosis and management are essential
to minimize acute morbidity and prevent the long-term complications associated
with urinary tract infections.
Objective
To identify factors associated with urinary tract infections among children under five
years old.
Method
A quantitative cross-sectional study was conducted at Dhulikhel Hospital, Kathmandu
University Hospital in Nepal, involving face-to-face interviews with 105 parents of
children under 5 years with suspected or culture-positive Urinary tract infections.
Data collection occurred from July 2022 to December 2022, covering both outpatient
(OPD) and inpatient cases. Logistic regression was employed to identify factors
associated with urinary tract infections.
Result
The Urinary tract infection prevalence among children under five was 27.12%, with
over half (55.2%) were female. Females had a seven times higher urinary tract
infection risk than males (95% CI: 1.64 - 30.18; p = 0.009). Children with congenital
anomalies faced a 22.8 times higher urinary tract infection risk (95% CI: 1.70 - 286.56,
p = 0.01). Diaper changes exceeding 6 hours elevated the risk by 20.09 times (95% CI:
1.14 - 353.95; p = 0.04). Escherichia coli presence in urine culture correlated with a
9.43 times higher urinary tract infection risk (95% CI: 1.34 - 66.16, P = 0.02).
Conclusion
Implementing preventive measures, including maintaining personal hygiene and
changing diapers frequently, can significantly reduce the incidence of urinary tract
infections in children, ultimately minimizing medical costs.
KEY WORDS
Children, Cleaning, Risk factors, Urinary tract infection
Description
Siluwal N,1 Bhandari N,1 Prajapati R,1 Timalsena D2
1Department of Child Health Nursing
2Department of Community Health Program
Dhulikhel Hospital, Kathmandu University Hospital
Kathmandu University School of Medical Sciences
Dhulikhel, Kavre, Nepal
Keywords
Children, Cleaning, Risk factors, Urinary tract infection