Abstract
The present study is designed to access the factors responsible for developing recurring infection and antibiotic resistance among children with urinary tract infection (UTI). The socio-demographic characteristics of the respondents are important to determine the level of awareness regarding antibiotic resistance; 16.1% children were between 1 to 5 years of age, 21.9% between 5.1 to 9 years, 29.9% between 9.1 to 12 years and 32.1% between 12.1 to 15 years of age who were suffering from UTI. Out of 137 children, 17.5% males were suffering from UTI and the rest 82.5% were females; it reveals that 34.3% children intakes less than 500 ml of water every day while 40.1% intakes 500 to 1000 ml of water, 21.1% children take about 1000 to 1500 ml of water and only 4.4% intakes more than 1500 ml of water every day. The present investigation showed that 50.4% of the children had a history of taking antibiotics while 29.9% did not know whether the child had a history of taking antibiotics and 5.8% has no history of taking antibiotic. Out of the 81 children who received treatment for UTI, 76.5% were fully cured after receiving antibiotic while 19.8% were not cured after taking antibiotic. Out of the 43 children who took the antibiotic on time, 79% took it for 1 to 3 days, 16.3% took it for 3 to 5 days and 4.7% took it for 5 to 7 days. Positive correlation found with male children, maintaining toilet hygiene and recurrent UTI.54.4% respondent used water to maintain the child’s toilet hygiene suffered from recurrent UTI and 92.8% respondent used other means excluding water to maintain the child’s toilet hygiene suffered from recurrent UTI (p<0.05). The major factors for developing recurrent UTI and resistance to certain antibiotics are taking medicine from pharmacy, doing self-prescription, incomplete medication courses along with lack of hygiene and insufficient water intake. There should be rational use of antibiotic and culture sensitivity for urine should be a mandatory test before administering antibiotics for UTI. There is need to build awareness about antibiotic resistance through health campaigns.
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