Concomitant infectious diseases with urinary tract infection : which one is the cause?
Dr. Ayşe Balat1, Dr. Mehmet Turgut1, Dr. Yaşar Durmaz1, Dr. Mehmet Doğrul1.
Urinary-tract infection (UTI) is one of the most common infectious diseases in children; however, the significance of combined infection in the pathogenesis of UTI remains uncertain. Seventy-nine patients admitted to İnÃ¶nÃ¼ University, Medical Faculty, Department of Pediatrics outpatient clinic and diagnosed as UTI from December 1993 to May 1995 were retrospectively evaluated. Forthy-five patients (56.9%) had concomitant infectious diseases. There were 17 boys and 28 girls at a mean age of 3.6 years. Most of the patients (%84.4, 38/79) were younger than 3-year old. Of 45 patients, 23 had acute tonsillitis, 11 had otitis media, 5 had sinusitis, 3 had acute pneumonia, and 3 had acute gastroenteritis. E. coli was the most common pathogen and accounted for 22 (48.8%) of the organisms isolated in these patients, followed by staphylococcus, which accounted for 10 (22.2%) of the isolated organisms. The other microorganisms were proteus in 7 (%15.5), enterobacter in 5 (%11.1), and citrobacter in 1 (%2.2). We conclude that many patients diagnosed with UTI may have concomitant infectious diseases as well, particularly children younger than 3 year- old who have nonspecific symptoms. Evaluation and management of UTI is particularly important in young children who experience frequent childhood infections. [Journal of Turgut Ãzal Medical Center 1997;4(3):308-311]
Key Words: Urinary tract infection, concomitant infectious disease