Clinical audit on management of pediatric urinary tract infection at Assiut University Children Hospital

Background
Pediatric urinary tract infection (UTIs) is among the most common bacterial infections. It represents an important cause of morbidity and mortality, with a spectrum of severity that ranges from mild self-limiting infection to life-threatening systemic disease.
Aim
The aim was to evaluate management of children with suspected UTI referred to the Outpatient Clinic and the Inpatient Pediatric Nephrology Unit, Assiut University Children Hospital.
Patients and methods
The study included 104 patients with symptoms and signs of UTI who were admitted to pediatric nephrology unit or seen in outpatient nephrology clinic at Assiut University Children Hospital. Management protocol was compared with guidelines of the American Academy of Pediatrics and National Institute for Health and Care Excellence.
Results
Evaluation of the studied patients was perfectly done regarding history taking and examination, but there is defect in neurological and genital examination by 48 and 51%, respectively. Laboratory investigations were done, but there is defect in the following investigations: urine analysis by 17%, dimercaptosuccinic acid scan (DMSA) by 32%, and voiding cystourethrography (VCUG) by 28.8%. Management was perfectly done except for treatment of complications in age group from 2 to 18 years.
Conclusion
UTI diagnosis and good management are very important issues. Evaluation of the studied UTI patients was perfectly done in Assiut University Pediatric Nephrology Unit regarding history taking, examination, and laboratory investigations; however, special care should be directed toward neurological and genital examination and the need of such patients for DMSA scan and VCUG.