The Association Between Urinalysis and Urine Culture Results in Children Aged 3-6 Years Who Applied to A Pediatric Emergency Clinic at A University Hospital

Authors : Funda Ekimci Deniz, Ayfer Gemalmaz

Pages : 126-136

Doi:10.55517/mrr.1288127

View : 77 | Download : 87

Publication Date : 2023-10-19

Article Type : Research Paper

Abstract :Aim: Urinary tract infection (UTI) is one of the most common infections of childhood. The generation of the causing pathogen in urine culture is the gold standard in diagnosis. However, due to the low likelihood of urine culture, particularly in primary healthcare facilities, and the prolonged results of urine culture, the patient must perform different examinations. In this case, it is thought that urinalysis and urine microscopy may guide physicians. In this study, it is aimed to reveal the role of urinalysis and urinary microscopy in the diagnosis of urinary tract infection. Methods: In this study, 728 children between the ages of 3-6 who applied to the pediatric emergency clinic at a university hospital over a 12-month period and were able to deliver both samples for urinalysis and urine culture were included. Retrospective patient file screening was done using the Hospital Information Management System, and Statistical Software SPSS 18.0 was used to assess the data. Results: 425 (58.4%) female and 303 (41.6%) male patients were included in the study. Patients with urine culture reproduction comprised 30.5% male and 69.5% female. The relationship between urinalysis and urine culture results was found to be statistically significant (p<0.01). Leukocyte esterase had the highest sensitivity with 63.1%. In the logistic regression analysis, it was seen that the presence of dysuria increased the likelihood of urinary tract infection by 3.15 times, the presence of leukocytes in the urine by 2.52 times, the presence of nitrites by 19.76 times, and the presence of bacteria by 13.43 times. Conclusion: Urinalysis and urine microscopy provide guiding information in the diagnosis of urinary tract infections.
Keywords : idrar yolu enfeksiyonu, lökosit esteraz, nitrit, tam idrar tetkiki