ĐẶC ĐIỂM VÀ MỘT SỐ YẾU TỐ NGUY CƠ GÂY NHIỄM KHUẨN TIẾT NIỆU Ở TRẺ TỪ 2 THÁNG ĐẾN 15 TUỔI TẠI BỆNH VIỆN TRUNG ƯƠNG THÁI NGUYÊN

Abstract

Objectives: Describing the clinical characteristics and some risk factors for urinary tract infections (UTI) in children aged 2 months to 15 years old at the Pediatric Center, Thai Nguyen National Hospital during 2023-2024. Subjects: 139 patients aged 2 months to 15 years old diagnosed with urinary tract infections treated as inpatients at the Pediatric Center, Thai Nguyen National Hospital and 278 patients of similar age, gender, symptoms of fever with disease group according to case-control ratio of 1:2. Methods: Cross-sectional descriptive study combined with case-control study. Results and conclusion: The frequency of UTI in female is 70.5% higher than in male 29.5%. The most common age group with the disease is the group < 2 years old, accounting for 47.5%. The common clinical symptom is high fever ≥ 38.5°C (91.4%), often high fever with chills in older children or irritability and crying in young children accounting for 79.1%. Urinary disorders symptoms are uncommon at 15.8%, unurinary symptoms are relatively numerous include gastrointestinal symptoms are 45.2%, and respiratory symptoms are 28.1%. Factors such as diaper wearing in female, enuresis, drinking less water, severe and moderate malnutrition, phimosis, urinary malformations, lower respiratory tract infections and constipation were statistically significant in univariate analysis. When multivariate logistics regression analysis, only the factors severe malnutrition was a factor that increased the risk of UTI (OR = 2,65, 95%CI = 1,08 - 6,55).