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URINARY TRACT INFECTIONSIN CHILDREN
Moises Auron, MD, FAAP, FACPMoises Auron, MD, FAAP, FACPAssistant Professor of Medicine andAssistant Professor of Medicine andPediatricsPediatricsCleveland Clinic, Cleveland OHCleveland Clinic, Cleveland OH
01/17/10
 
Epidemiology
Children < 2 years old
Prevalence - 7 % percent in febrile infants and youngchildren
Caucasian have a 2-4 fold higher prevalence comparedwith African Americans
Girls have a 2-4 fold higher prevalence compared withcircumcised boys.
Caucasian girls with fever ≥39ºC - 16% prevalence
Shorter female urethra
Children > 2 years old
Prevalence is underestimated : 8 – 9 %
UTI are associated with urinary symptoms but in lessfrequency than adults
Higher frequency of non-specific vulvovaginitis in children
Adults have better ability to recognize UTI symptoms
Pediatr Infect Dis J 2008; 27:302-308
01/17/10
 
Epidemiology
Age
Boys < 1 year
Girls < 4 years
Circumcision
Febrile uncircumcised infant: 4-8 foldprevalence of UTI vs. circumcised infant
Pediatr Infect Dis J 2008; 27:302-308
01/17/10
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