A study of Obstructive Uropathy among Children

Background: Where in the infection occur repeatedly leaving residual inflammatory changes. It is more common in the presence of structural or functional anomalies of the urinary tract, which interfere with drainage of urine. Common organisms are E. coli in early infancy, while the later resistant organism like proteus and klebsiella predominate. Objective: To study, obstructive uropathy among children. Methods: A hospital-based study was carried out among children of 6 months to 5 years of age who satisfied inclusion and exclusion criteria. Complete detailed history, examination and investigations like urine for culture and sensitivity, and radiological investigations were carried out. Results: Out of total no. of 60 cases sent for urine culture, 44 cases were culture positive. E. coli is isolated in 32 cases (53.3%). Klebsiella in 7 cases (11.6%) and pseudomonas in only 3 cases (5%) and proteus in 2 cases (3.3%). Out of total no of cases, 60 cases, 15 cases were presented with predisposing factors like vesical stones in 8 cases (13.3) noted on plain X-ray of abdomen, where as hydronephrotic changes were seen in 7 cases (11.6%). Conclusion: Organism isolated in present study E. coli (53.3%) was commonest organism isolated, then followed, by Klebsiella, Pseudomonas and Proteus.