Prevalence and predictive factor for bacteremia in children with urinary tract infection at Sawanpracharak hospital
Keywords:
Urinary tract infection, Bacteremia, Risk factors, PediatricsAbstract
Objective : To study prevalence and risk factors for bacteremia in pediatrics with urinary tract infection at Sawanpracharak Hospital.
Method : This study was a retrospective cohort study in pediatrics with aged less than 18 years old, who were diagnosed with bacteremia and nonbacteremic urinary tract infection at Sawanpracharak Hospital between January 2010 and July 2021 from 170 patient medical records in the databases. The multivariate logistic regression model was used to predict risk factors in pediatrics with bacteremia urinary tract infections. A p-value of < 0.05 was considered statistically significant.
Results : The prevalence of pediatrics with bacteremia urinary tract infection was 10.6%, and 72.4% were female. The median age was 9.5 months, the median duration of fever before admission was 48 hours ,the median duration of total fever was 7 days. The maximum body temperature was 39.5oC. Four (4%) were admitted to PICU. The children with fever for more than 5 days (aOR, 13.4; 95%CI 2.77-64.96, P=0.001), recurrent urinary tract infection (aOR, 4.95; 95%CI 1.14-21.57, P=0.03), white blood cells in urine more than 100 cell/HPF (aOR, 10.35; 95%CI 1.92-55.95, P=0.01) and hematocrit less than 30% (aOR, 5.88; 95%CI 1.08-32.12, P=0.04) were statistically significant risk factors for bacteremia urinary tract infection. The mortality rate of pediatrics with bacteremia urinary tract infection was 11.1%
Conclusion : This study found several risk factors for bacteremia urinary tract infection. Therefore, there should be surveillance, education, and advice to parents and medical personnel to realize the importance and proper care to reduce mortality.
Keywords : Urinary tract infection, Bacteremia, Risk factors, Pediatrics
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