Urinary Tract Infection in Children: Etiological Structure, Age and Gender Characteristics

Objective. To study the etiological structure of urinary tract infections, dynamics, gender and age dependence in the child population of Chernivtsi region. Patients and methods. During 2009–2013 2432 urine samples of the children treated in health care centers of Chernivtss region were investigated by bacteriological method with purpose of verification of the diagnosis urinary tract infections. Six hundred and fifty five strains of bacteria and fungi were isolated as etiological agents. Results. The patient’s gender was found to correlate with etiological structure of the urinary tract infections and the content of the residential urine microflora. The main etiological role of the Enterobacteriaceae family in general was demonstrated. As a causative agent of the urinary tract infection E.coli has been isolated more frequently in the urine samples of female patients (р < 0.05). In contrary, Proteus spp. has been isolated in male patients (р < 0.01). As a part of the urine resident microflora E.coli strains were more frequently isolated in the female urine samples (р < 0.05). Conclusion. The research will allow to hold the correct and reasoned medical and rehabilitation events on all stages of rendering of specialized medical care for children and to develop the programs directed on the improvement of indicators of health and prevention of disability in children