ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG CỦA BỆNH NHIỄM KHUẨN TIẾT NIỆU Ở TRẺ TỪ 2 THÁNG ĐẾN 5 TUỔI TẠI TỈNH QUẢNG NINH

Abstract

Objectives: To describe the clinical and subclinical characteristics of children with urinary tract infections from 2 months to 5 years old in Quang Ninh province. Materials and Methods: Cross-sectional descriptive study of 161 children from 2 months to 5 years old in Quang Ninh province from September 1, 2023 to August 31, 2024. Results: The rate of urinary tract infections is high in girls, accounting for 62.1%, male/female ratio: 0.61/1, average age is 25.35±17.89 months. Symptoms include high fever (96.9%), chills (23.6%), fatigue (19.9%), urinary retention (3.7%), painful urination/ crying when urinating (3.1%), hematuria (1.9%). WBC an average of 16.03±5.96, there was 82.0% of children tested had increased white blood cells, CRP quantification showed that 87.0% of children had increased CRP. Urine test showed that children tested for urine had leukocytes in urine (98.8%), positive urinary hematocrit accounted for 58.4%. The rate of positive urine culture was 12.4%. Among the urine culture results, pathogenic bacteria were found: The most pathogenic bacteria were E.coli (50.0%), followed by E.facecalis (30.0%). Conclusions: The rate of urinary tract infections is high in female children. Clinical symptoms are common in children with high fever, chills, frequent urination/ crying when urinating. Blood test showed increased white blood cell count, increased CRP, urine test had positive urinary leukocytes, the main cause was still E.coli.