Incidence of UTI, Organisms Isolated From Urine Culture and their Antibiotic Sensitivity in Sam Children Aged between 6-59 Months

Background: UTI in SAM prevalence rates ranges from 6% to 37% in developing countries. The prevalence of UTI was significantly higher in malnourished children than in their well-nourished counterparts. Hence this study was planned to determine the incidence of UTI in SAM children, and to identify the causative organisms and their antibiotic sensitivity pattern. Objectives: To study the incidence of UTI among SAM children between 6month to 59months, to study the various organism and their culture and sensitivity pattern. Material and Methods: It was a hospital based prospective study, conducted in district NRC Ballari, BMCRC. A total of 102 SAM children who fulfilled WHO criteria for SAM were enrolled in the study. Urine microscopy and culture sensitivity were performed. The confirmatory diagnosis of urinary tract infection was made only on the basis of urine culture report. Data was entered into Microsoft excel data sheet and was analyzed using SPS22version software and Epi-info version 7.2.1 (CDC Atlanta) software. Results: Of total 102SAM children, incidence of UTI was found to be 15.7%. E-Coli was the most common organism isolated from urine culture (62.5%), followed by staph epidermidis (25%) and klebsiella (12.5%).Most of the organisms isolated were sensitive to amikacin. Conclusion: Incidence of UTI in SAM children was 15.7%.Themost common organism isolated was E.coli. Organisms showed varied sensitivity to antibiotics, hence urine culture and sensitivity should be performed in all these children.