A Study of Urinary Tract Infection among children with Febrile Convulsions at a Tertiary care Hospital – A Prospective Observational study

Abstract

Introduction :Febrile seizures (FS) are seizures occurring in children between age group of 6 -60 months with a temperature of 38°C or higher in a healthy child. Materials and Methodology:A prospective observational study was conducted in the Department of Pediatrics. The inclusion criteria was children aged between 6 months to 5 years with temperature of at least 990F or above at presentation, and brought to hospital with seizure or had a reliable history of febrile seizure prior to admission. The exclusion criterion was children with a history of unprovoked afebrile seizure, significant neurological abnormality or head trauma.. For all the children who met the inclusion criteria, urine samples were sent for urine examination and culture and sensitivity. Results :A total of 115 children were enrolled for the study among which 59 (51.3%) were boys and 56 (48.7%) were girls. Urine analysis done within 24 hours of admission, showed abnormal in 21 cases which accounted to 18.3%. Among them, 15 (71.4%) were girls and 6 (28.6%) were boys. The urine culture for these cases showed growth in 9 (42.9%) cases. Among these 6 (66.7%) cases of E- coli, 2 (22.2%). Conclusion: Our study concludes that although FS is relatively common in boys, UTI as a cause of FS is common in girls with E coli being the most common isolate. Hence all children with FS must be evaluated for UTI.