Causes and Treatment of Urinary Tract Disorders Among Children in Diwaniyah Province

Abstract

Background: Urinary tract disorders are among the most important health problems for humans during childhood and it is often difficult to diagnose it early, especially in newborns, and for the importance of this topic, the study was designed to know the propagation of urinary tract infection (UTI) among children in Al-Diwaniyah province, in addition to determining the causes and the appropriate treatment for them. Methods: The current study includes data collection and medical examinations of 122 children suffering from UT disorders. The current study relied in samples collection on the diagnosis of the specialist doctor, medical history and clinical examination as well as the lab examination of the urine sample. Results: Our study included 122 children with UT disorders their ages ranged from 2 day to 15 years, with a mean age of 5,617 years. Nearly all the children infected with UTI were boys (52%) and girls (48%). In the current study, the duration of UT disorders ranged between 1-17 days, and the results showed that the main cause of UTI in children (64%) was bacteria, adding to kidney problems (12.2%), urethral obstruction (14%), and sand/ stone in the kidney (5%) . Our results also showed that 81% of females had bacteria as a main cause of UTI in addition to kidney disorders (10%). Moreover, 43% of children suffer from recurrent UTI, while 57% do not suffer from it. On the other hand, the results of the study demonstrated that antibiotics were the most used treatment for UTI, as they were prescribed by 95%, and meropenem and ceftriaxone were the most appropriate treatment. We also found the use of NSAIDs such as paracetamol by 57%, while surgical intervention such as circumcision was the best treatment is in 8% of male cases. In conclusion, it must be mentioned that UTI appeared in a high rate in children in the city of Diwaniyah, where 122 cases were identified , and the main cause of UTI in children was bacterial infection that mainly treated by meropenem and ceftriaxone.