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in thamer city Prevalence of infection varies markedly among sex and age Considered the second disease of the commonest familial disease The high cost that spent from hospital and from patient for treatment Considered one of commonest source for bacteremia in Yemen There are many way for bacterial infection may be from blood , lymph ,ascending from urethra and from vesicoureter reflux
infections (UTIs) are a common cause of morbidity in children. UTI causes significant illness in the first 2 years of life, particularly when associated with anatomical abnormalities , vesicoureter reflux is the most commonly associated with abnormality, and reflux nephropathy is important cause of end. stage renal disease in children and aldoscents
Misdiagnosis very often leads to avoidable ill health and longterm renal damage. At least 8% of girls and 2% of boys have urinary tract infections in childhood, and between 30% and 40% have another episode within two years.3 Male to female ratio was 1:104. Nearly all UTIs are ascending infection. The
In uncircumcised boys the bacterial pathogens arise from the flora beneath the prepuce.to urine culture and to determine the highly effective antibiotics in Al Mukalla the bacterial agent of urinary tract infections among137 pregnant women in Al Mukalla maternity hospital from January to June 2002.9 Antimicrobial susceptibility testing help in selection of appropriate treatment for patients with confirmed bacterial UTI.The aim of this study was to estimate the frequency of urinary tract infection in children subjected .10 An African study reported that Escherichia coli (32%) and Proteus spp. This study showed that 30% of the women suffered from UTI.bacteria arise from the fecal flora.UTIs are much more common in uncircumcised boys The flora greatly changes with skin commensals after circumcision. and it .5%). and enter the bladder via the urethra. Circumcision might be beneficial from this point of view.5 Present guideline recommends that empiric treatment should be started in all cases of suspected UTIs after an appropriate urine specimen is obtained to avoid severe illness. and sensitivity tests were done for the organisms isolated using a range of antibiotics. Quantitative urine culture before initiation of antimicrobial therapy is considered to be the gold standard for diagnosis of bacterial UTIs. (22%) form more than 50% of the total isolates . The use of an inappropriate antibiotic will delay effective treatment and increase the risk of renal scarring that is associated with chronic renal failure later in life. Escherichia coli was the most frequently isolated organism (41. colonize the perineum. . Diagnosis cannot be made on urinalysis and other findings alone. Urine samples were examined for UTI microscopically and by culture.
53. ciprofloxacin. Symptomatic urinary tract infections occur in about 1.7% of the infected women were in the age group 15-24 years.6% had 13 children. ( preponderance ( Alreak . Urinary tract infection are most commonly caused by members of enterobacteriaceae and other bacteria ( Yemen journal . 48.8% were in their 3rd trimester and 75. occurs more frequently in females than males .. uncomplicated Urinary tract infection . 2003 E. ceftizoxime and amikacin.was highly susceptible to chloramphenicol. Of the variables examined. 2002 .Coli is the most common cause of acute . it cause about 70-80% of Urinary tract infection. however the prevalence of various with ( geographical location (Green Wood . 2003 ) . with slight male .4 per 1000 newborn infants ..