Document Type : Original Article
Authors
1
Assistant Professor of Pediatric Infectious Disease, School of Medicine,Children and Adolescents Health research center, Research institute of cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Sciences, Zahedan, Iran.
2
General Pediatrician, Department of Pediatrics, Ayatollah Mousavi Hospital, Zanjan University of Medical Sciences, Zanjan, Iran.
3
Professor of Pediatric Nephrology Disease, School of Medicine,Children and Adolescents Health research center, Research institute of cellular and Molecular Science in Infectious Diseases, Zahedan University of Medical Sciences ,Zahedan, Iran.
Abstract
Background: Fever is a common complaint among pediatric patients, often leading to hospital visits. Urinary tract infections (UTIs), which can be detected by the presence of pyuria, are a frequent cause of fever in children. This study aims to investigate the association between fever and pyuria in hospitalized children.
Methods: This case-control study included 202 children aged 12 to 144 months, hospitalized at Ali Ibn Abi Talib Hospital. The children were divided into two groups: 101 with fever and 101 without. The study analyzed data from medical records and laboratory results, using statistical tools to determine the association between fever and pyuria. Data were collected from medical records and laboratory results, and statistical analysis was performed using SPSS software.
Results: Among the 202 children aged between 12 to 144 months, 101 had fever and 101 did not. There was no significant difference in the incidence of pyuria between the febrile and afebrile groups. The results showed no significant difference in the incidence of pyuria between febrile and afebrile children. Specifically, 5.8% of the febrile group and 3.9% of the non-febrile group exhibited pyuria, a difference that was not statistically significant (p=1.000). Further, the correlation coefficient between fever and pyuria was -0.010 (p=0.914), indicating no significant correlation.
Conclusion: the study found no significant association between fever and pyuria in hospitalized children, underscoring the importance of considering other diagnostic factors beyond pyuria when evaluating febrile pediatric patients. This approach can help improve the accuracy of UTI diagnoses and optimize patient care.
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