Risk factors for urinary tract infection in children with urinary urgency.

Int Braz J Urol

Departamento de Urologia, Unidade de Urologia Pediátrica, Faculdade de Medicina e Saúde Pública da Bahia, Universidade Federal da Bahia, Salvador, BA, Brasil.

Published: May 2018

AI Article Synopsis

  • The study aimed to determine which independent variables could predict febrile urinary tract infections (UTIs) in children with overactive bladder.
  • Researchers analyzed data from 326 patients under 18 years diagnosed with overactive bladder, focusing on various factors like sex, age, and urination habits.
  • The results indicated that being female and having infrequent voiding significantly increased the risk of febrile UTIs in these patients.

Article Abstract

Purpose: To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder.

Materials And Methods: A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study. The independent variables were: sex, age, ethnicity (Brazilians of African descendence/others), the presence of urinary urgency, daytime incontinence, enuresis, frequent urination, infrequent voiding (≤3 voids/day), nocturia, holding maneuvers, straining to void, intermittent urinary flow, constipation and encopresis. An analysis was conducted to identify patients with febrile UTI and subsequently determine predictors of this condition. Univariate and multivariate analyses were performed.

Results: Overall, 326 patients (214 girls/112 boys) were evaluated. The mean age of the patients was 7.7±3.19 years (± standard deviation). The incidence of febrile UTI was 39.2%. Being female and infrequent voiding were factors significantly associated with febrile UTI, both in the univariate and multivariate analyses.

Conclusions: These results show that being female and infrequent voiding constituted significant risk factors for a diagnosis of febrile UTI in these children.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6050565PMC
http://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0434DOI Listing

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