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Title: Studies in urinary tract infection in childhood
Author: Sharma, Shakti Kumar
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 1975
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In 436 children in whom urinary infection was suspected, bladder aspiration confirmed the diagnosis in 143 (26 male, 117 female). In a further 29 (9 male, 20 female) children, diagnosis was based on the demonstration of repeated significant bacteriuria and pyuria in midstream specimens of urine. Thus of the 436 patients who presented with suspected urinary infection, only 172 (40%) had proven infection. Of those patients (436) presenting with suspected urinary infection, only 24% under the age of 2½ years and only 50% over the age of 2½ years had proven infection. In the 172 children with urinary infection, there was a preponderance of females at all ages giving a sex difference between females and males of 4:1. One hundred and eleven (78%) of the 143 cases with urinary infection proven on suprapubic aspiration had a white cell count of more than 4 per in the bladder urine. In 106 children (42 male, 64 female) the urine obtained by bladder aspiration was sterile and in all but one of these cases the white cell count in the bladder urine was 4 or less per The clinical features of the 172 children with urinary infection at the time of presentation and of those with further recurrences during the course of follow up indicated that the symptoms of urinary infection under the age of 2½ years were non-specific i.e. fever, vomiting, diarrhoea, irritability, anorexia or feeding problem. In children over 2½ years, the main symptoms were dysuria, frequency of micturition, fever and abdominal pain. Enuresis was the main symptom in children with recurrent urinary tract infection. In respect of height and weight of children with urinary infection there was no difference whether they had normal or abnormal radiology of the urinary tract.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available