Abstract General Information

Title

RECURRENT URINARY INFECTION AND CONSTIPATION IN CHILDREN, COLLATERAL DAMAGE?

Introduction and objective

Urinary tract infections are one of the most frequent infectious pathologies with a prevalence of 2 to 5%, of which around 5 to 8% are under 2 years of age, the pediatric urological approach to urinary infection and constipation in children requires us to to carry out a follow-up together, due to the coexistence between both factors.

Method

A retrospective, observational, descriptive and cross-sectional study of all patients under 12 years of age with a diagnosis of recurrent urinary tract infection and constipation who underwent intrahospital medical treatment during the period from November 2021 to October 2022.

Results

The final analysis included 48 patients between November 2021 and October 2022, The mean ± standard deviation of the age of the patients at the time of hospitalization was 3.81 + - 3.46 (range 1 to 12 years), 64.6% (31/48) female and 35.4% (17/48) male. The presence of constipation was in 35.4% (17/48), female 52.90% (9/17), male 47.05% (8/17), the microorganism identified in the urine culture was 31.3% (15/48) E. coli. ATB sensitivity, there was 31.3% (15/48) to amikacin and nitrofurantoin. The EGO with positive nitrites was in 14.6% (7/48), presence of leukocytes more than 10 in 56.3% (27/48), the density between 1005 - 1015 was in 65.5% (31/48), a pH of 5-6 in 48.0%. Regarding the history, 27% (13/48) had a urological history, 25% (12/48) digestive and 10.4% (5/48) had a surgical history. We identified an apparent correlation between the presence of urinary infection and the factors: with constipation and without constipation. There is a statistically significant difference between age and constipation. We found no association between the presence of recurrent urinary infection and constipation, with the gender factor.

Conclusion

We identified a significant relationship between the presence of recurrent urinary infection and constipation (p=0.000), however this relationship is inverse (-0.578) and its degree of relationship is moderate. As it is a cross-sectional study, causality cannot be inferred. The small sample size gives us the limitations of this study. Future prospective, multicenter studies are required. that provide more answers in relation to the pathology.