Some determinants
of urinary tract infection in children
   from 2 months to 6 years old
   In hai phong vietnam In 2008

...
1. introduction

• Urinary Tract Infection (UTI):
  - Renal Scarring=> anemia, hypertention (7-17%),
preclampsia, clampsia...
2. Population and method

2.1. Population and research time.
- All children from 2 months to 6 years old at some areas of ...
2         p1  p
                n     Z 1    / 2
                                    d2

n: Sample Size
Z21-α/2 = (1,96)2 ...
- Data collection:
+ Determing UTI:
Clean morning midstream urine samples were used to scr
for urinary tract infection.
UT...
Data analysis:
     Using Epi-Info and SPSS version 13.0 to enter
and analyse data, calculate UTI incidence and determ
ris...
3. results


3.1. Common information on children:
-There were 4631 children screened among them
boys were 2268 (49%); girl...
3.2. Some determinants of UTI:
 Table 1. The relationship of socio-economic condition and UTI.

                          ...
3.2. Some determinants of UTI:
 Table 2. The relationship of socio-economic condition and UTI (continu

                  ...
3.2. Some determinants of UTI:
 Table 3. The relationship of hygienic factors and UTI.

                                  ...
3.2. Some determinants of UTI:
 Table 4. The relationship of hygienic factors and UTI (continued).

                      ...
3.2. Some determinants of UTI:
  Table 5. The relationship of children’s diseases and UTI.

                              ...
4. conclusion



- Family poverty
- Low weight malnutrition
- Phimosis in boys
- Parental Incorrect washing method for the...
4. dang van chuc
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4. dang van chuc

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4. dang van chuc

  1. 1. Some determinants of urinary tract infection in children from 2 months to 6 years old In hai phong vietnam In 2008 Dang Van Chuc Nguyen Ngoc Sang Dang Viet Linh
  2. 2. 1. introduction • Urinary Tract Infection (UTI): - Renal Scarring=> anemia, hypertention (7-17%), preclampsia, clampsia, renal failure and ended stage renal diseases. - Hospital based studies. - Limited community based studies Objective: To determine some risk factors of UTI in children from 2 month to 6 years old at some areas of Hai Phong.
  3. 3. 2. Population and method 2.1. Population and research time. - All children from 2 months to 6 years old at some areas of H - Research time: 7/2006-10/2008. -UTI criteria: Leucocyturia ≥ 30/mm3 and bacteriuria ≥ 105/m 2.2. Method - Research area: 3 counties/districts representative of rural, u coastal of HP. - Study design: Descriptive and Cross-sectional study. - Sample size: using the following formula:
  4. 4. 2 p1 p n Z 1 / 2 d2 n: Sample Size Z21-α/2 = (1,96)2 (Confidence degree 95%) p = 0,04 (UTI incidence in children of HP in a commune from Nguyen Ngoc Sang et al in 2005) d: Expected accuracy = 20% of p Applying to this formula , it needs about 4610 children for the study. -Sampling procedure: Multistage sampling. 3 county/districts: Kien An (urban), Kien Thuy (coastal) and Thuy Ng 9 cummunes: Nam son, Trang Minh and Van au (Kien An), ai Ha, T and Ngu oan(Kien Thuy), Phuc Le, Lap Le and Pha Le (Thuy Nguyen
  5. 5. - Data collection: + Determing UTI: Clean morning midstream urine samples were used to scr for urinary tract infection. UTI was defined when having both bacteriuria ≥105/ml and Leucocyturia ≥ 30/mm3. + Children’ parent interview: On socio-economic conditions, children’s diseases and history of children’diseases. + Physical examination: Pediatricians directly examined children to find out childre diseases then weigh and measure to estimate their nutritio status.
  6. 6. Data analysis: Using Epi-Info and SPSS version 13.0 to enter and analyse data, calculate UTI incidence and determ risk factors. Dependent variables: 128 UTI cases, independent va socio-economic and children’s diseases. Risk factor: OR>1, 95% IC includes OR. Multivariable analysis by using Logistics Regression
  7. 7. 3. results 3.1. Common information on children: -There were 4631 children screened among them boys were 2268 (49%); girls 2363 (51%); rural children 1603 (34,6%); coastal children 1568 (33,9%); urban children 1460 (31,5%). -128 children had both leucocyturia and bacteriuri UTI incidence was 2.8%.
  8. 8. 3.2. Some determinants of UTI: Table 1. The relationship of socio-economic condition and UTI. OR OR Risk Rate Bi Multi Exposure n 95%CI 95%CI factors % variable variabl s es Maternal < secondary* 105 3.1 1.7 1.1-2.7 education ≥ secondary 23 1.8 Paternal < secondary * 109 3.3 2.2 1.3-3.7 education ≥ secondary 19 1.5 Poverty* 29 5.8 Economy 2.5 1.6-3.8 2.9 1.3-6.5 Non poverty 99 2.4 Unsafe water 31 2.6 Water 0.9 0.6-1.3 Safe water 97 2.8 Ware of Unware of UTI 115 2.8 1.2 0.7-2.2 UTI Ware 13 2.3 Paternal Indirect paternal care 84 3.6 care of of child* 1.9 1.3-2.8 child Direct care 44 1.9
  9. 9. 3.2. Some determinants of UTI: Table 2. The relationship of socio-economic condition and UTI (continu OR OR Risk Rate Bi Multi Exposure n 95%CI 95%CI factors % variable variable s s Maternal Indirect maternal 71 3.9 1.4- care of care of child* 1.9 2.8 child Direct care 57 2.0 Stable 73 2.5 0.5- House 0.7 Unatable 55 3.3 1.1 Unhygienic 58 2.3 0.4- Lavatory lavatory 0.65 0.9 Hygienic lavatory 70 3.4 House’s < 20 m2 98 2.5 0.3- 0.5 square ≥ 20 m2 30 4.3 0.8
  10. 10. 3.2. Some determinants of UTI: Table 3. The relationship of hygienic factors and UTI. OR OR Risk Rate Bi 95%C Exposure n 95%CI Multi factors % variable I variables s Hygiene Clean* 102 3.3 1.3- after 1.9 Clean and 3.0 urination 26 1.8 washing Yes* 23 5.8 1.5- Diaper 2.4 3.8 No 105 2.5 Hygiene Clean * 99 3.2 1.1- after 1.7 Clean and 2.6 stool 29 1.9 washing
  11. 11. 3.2. Some determinants of UTI: Table 4. The relationship of hygienic factors and UTI (continued). OR OR Risk Rate Bi 95% Multi 95%C Exposure n factors % variable CI variable I s s Posterio- 123 2.9 Way of anterior* 1.1- 1.2- washing Anterio- 2.6 1.9 6.3 3.9 after stool posterior, in 5 1.2 place Kinder- Yes 94 2.6 0.5- 0.9 garten 1.1 No 34 3.3 Yes 16 2.5 0.5- Preschool 0.8 1.4 No 112 2.8
  12. 12. 3.2. Some determinants of UTI: Table 5. The relationship of children’s diseases and UTI. OR OR Exposur Rate Multi 95%C Risk factors n Bi 95%CI e % variable I variables s Yes * 49 3.5 Stunting 1.4 1.0-2.1 No 79 2.4 Yes * 41 4.0 1.1- Low weight 1.6 1.1-2.4 1.7 No 87 2.4 3.3 Yes * 26 4.7 Wasting 1.97 1.3-3.3 No 102 2.5 Yes * 30 6.6 3.7- 3.7- Phimosis 6.6 6.7 No 19 1.0 11.9 12.2 Yes * 44 4.6 Constipation 2.0 1.4-2.9 No 84 2.3 Yes * 81 3.3 Enuresis 1.5 1.1-2.3 No 45 2.1
  13. 13. 4. conclusion - Family poverty - Low weight malnutrition - Phimosis in boys - Parental Incorrect washing method for their child
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