Prevalence of Urinary Tract Infections (UTIs) in Children with Inguinal Hermia Repairs
Keywords:Children; inguinal hernia; UTI; Prevalence
This case control study was carried out in Baghdad city from 1st of April 2018 to 1 March 2019 included
40 studied cases (children with inguinal hernia) and 40 healthy children to evaluate the prevalence of UTIs
in children with inguinal hernia repairs. it was known that the children are infected or not with urinary
tract infection through clinical examination of the signs that indicate urinary tract infection, as well as a
laboratory examination of the urine to detect the presence of bacteria that cause urinary tract infection
in the laboratory. All children under 15 years of age were included in the study who attended pediatric
surgery clinics. Ages over the age of 15 years old, children with complex inguinal hernia such as blocked,
irreducible, strangulated hernia and children with recurrent hernia were excluded. All children included in
our study included in the study were examined through routine and microscopic examination of urine, urine
culture and sensitivity. children with urinary tract infections were treated according to sensitivity culture
reports. This case control study included children with inguinal hernia (90% males and 10% females), their
age range was <1 year to 15 year (mean: 9.52±1.3 year), the study also included 40 healthy children (as
control group) with the same characteristics of patient. Thestudyrevealedthaturinary tract infection was
observed in 25% of (10 of 40) of children with inguinal hernia compared with 5% of (2 of 40) of the
control group (P<0.001).This study showed that most of children with inguinal hernia were suffered from
abdominal pain, urge to urinate, polyurea , cloudy urine, fever and pyelonephritis. The study found that,
50% of children with inguinal hernia who suffered from UTI were due E. coli, S. aureus with rate 40% and
Klebsiella spp with rate 10%. The study showed that 80% of E. coli isolates were sensitive to ampicillin,
60% to amikacin and 40% to Amoxiclave, while 100% of S. aureus were sensitive to Ceftriaxone and cand
75% to Cefotaxime.It was concluded that, there significant positive correlation between UTIs and inguinal
hernia repairs in children.
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