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Published Online First: 22 May 2006. doi:10.1136/adc.2005.080721
Archives of Disease in Childhood 2006;91:845-846
Copyright © 2006 BMJ Publishing Group Ltd & Royal College of Paediatrics and Child Health.

SHORT REPORT

Clinical and laboratory characteristics of non-E coli urinary tract infections

S Friedman1, S Reif1, A Assia1, I Levy2

1 Department of Pediatrics, Dana Children’s Hospital, Sourasky Medical Center, Tel Aviv, Israel
2 Infectious Disease Unit, Schneider Children’s Medical Center of Israel, Petah Tiqva, and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel

Correspondence to:
Dr I Levy
Infectious Disease Unit, Schneider Children’s Medical Center of Israel, Petah Tiqva 49202, Israel; itzhakl{at}clalit.org.il; lavyguy{at}bezeqint.net

ABSTRACT

Comparison of the clinical and laboratory characteristics of infants and children with urinary tract infection caused by E coli (n = 107) or other pathogens (n = 32) yielded a significantly higher association of non-E coli disease with urinary tract anomalies, younger age, and previous antibiotic treatment. Underlying urinary tract anomalies were noted in 18 patients, of whom 14 (77%) were infected by non-E coli pathogens. The most frequent anomaly was grade 3–4 vesicoureteral reflux (50%), followed by hydronephrosis (22.7%), ureteropelvic junction obstruction (9%), hypospadias (4.5%), pinpoint meatus (4.5%), and dysplastic kidney (4.5%).

Keywords: non-E-coli; UTI; infants


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