Prevalence of Urinary Tract Infections (UTIs) in Children with Inguinal Hermia Repairs

Abstract

This case control study was carried out in Baghdad city from 1st of April 2018 to 1 March 2019 included40 studied cases (children with inguinal hernia) and 40 healthy children to evaluate the prevalence of UTIsin children with inguinal hernia repairs. it was known that the children are infected or not with urinarytract infection through clinical examination of the signs that indicate urinary tract infection, as well as alaboratory examination of the urine to detect the presence of bacteria that cause urinary tract infectionin the laboratory. All children under 15 years of age were included in the study who attended pediatricsurgery 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 inour study included in the study were examined through routine and microscopic examination of urine, urineculture and sensitivity. children with urinary tract infections were treated according to sensitivity culturereports. This case control study included children with inguinal hernia (90% males and 10% females), theirage range was <1 year to 15 year (mean: 9.52±1.3 year), the study also included 40 healthy children (ascontrol group) with the same characteristics of patient. Thestudyrevealedthaturinary tract infection wasobserved in 25% of (10 of 40) of children with inguinal hernia compared with 5% of (2 of 40) of thecontrol group (P<0.001).This study showed that most of children with inguinal hernia were suffered fromabdominal 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% andKlebsiella 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 cand75% to Cefotaxime.It was concluded that, there significant positive correlation between UTIs and inguinalhernia repairs in children.