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. 2015 Jun-Jul;20(5):e25-9.
doi: 10.1093/pch/20.5.e25.

Risk of urinary tract infection in infants and children with acute bronchiolitis

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Risk of urinary tract infection in infants and children with acute bronchiolitis

Mohamed A Hendaus et al. Paediatr Child Health. 2015 Jun-Jul.

Abstract

Objectives: To estimate the prevalence of urinary tract infection in infants and children with bronchiolitis.

Methods: A retrospective cross-sectional study involving patients zero to 24 months of age who were hospitalized with acute bronchiolitis was conducted.

Results: A total of 835 paediatric patients with acute bronchiolitis were admitted to the paediatric ward between January 2010 and December 2012. The mean (± SD) age at diagnosis was 3.47±2.99 months. There were 325 (39%) girls and 510 (61%) boys. For the purpose of data analysis, the patient population was divided into three groups: group 1 included children hospitalized with respiratory syncytial virus (RSV) bronchiolitis; group 2 included children hospitalized with clinical bronchiolitis with no virus detected; and group 3 included children hospitalized with clinical bronchiolitis due to a respiratory virus other than RSV. Results revealed that urinary tract infection was present in 10% of patients, and was most common in group 3 (13.4%) followed by group 2 (9.7%), and was least common in group 1 (6%) (P=0.030).

Conclusions: The possibility of a urinary tract infection should be considered in a febrile child with a diagnosis of bronchiolitis, particularly if the trigger is a respiratory virus other than RSV.

Objectif: Évaluer la prévalence d’infections urinaires chez les nourrissons atteints de bronchiolite.

Méthodologie: Les chercheurs ont effectué une étude transversale rétrospective auprès de patients de zéro à 24 mois hospitalisés en raison d’une bronchiolite aiguë.

Résultats: Au total, 835 patients d’âge pédiatrique atteints de bronchiolite aiguë ont été hospitalisés dans l’aile pédiatrique entre janvier 2010 et décembre 2012. D’un âge moyen (± ÉT) de 3,47±2,99 mois au diagnostic, ils étaient répartis entre 325 filles (39 %) et 510 garçons (61 %). Pour les besoins de l’analyse de données, la population de patients était divisée entre trois groupes : le groupe 1 se composait de nourrissons hospitalisés en raison d’une bronchiolite à virus syncytial respiratoire (VRS), le groupe 2, de nourrissons hospitalisés en raison d’une bronchiolite clinique sans qu’un virus soit décelé et le groupe 3, de nourrissons hospitalisés en raison d’une bronchiolite clinique causée par un autre virus respiratoire que le VRS. Les résultats ont révélé une infection urinaire chez 10 % des patients, plus courante dans le groupe 3 (13,4 %), puis le groupe 2 (9,7 %), et moins courante dans le groupe 1 (6 %) (P=0,030).

Conclusions: Il faut envisager la possibilité d’infection urinaire chez un nourrisson fébrile atteint d’une bronchiolite diagnostiquée, particulièrement si elle est déclenchée par un autre virus respiratoire que le VRS.

Keywords: Bronchiolitis; Infection; Urine.

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Figures

Figure 1)
Figure 1)
Patients with bronchiolitis and urinary tract infection (UTI). RSV Respiratory syncytial virus; RVRT-PCR Respiratory virus real-time polymerase chain reaction

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