Association between the frequency of disposable diaper changing and urinary tract infection in children

Main Article Content

Meirina Daulay
Rosmayanti Siregar
Oke Rina Ramayani
Supriatmo Supriatmo
Rafita Ramayati
Rusdidjas Rusdidjas


Background Urinary tract infection (UTI) is the most common
cause of fever in children. Less frequent disposable diaper changing
is thought to be a cause ofUTI in children. While wearing a diapei;
the perinea! area becomes damp with urine allowing bacteria to
migrate from the anus to the external urethral orifice.
Objective To assess for an association between the frequency
of disposable diaper changing and urinary tract infections in
Methods This cross-sectional study was conducted in the
children's outpatient clinic of Haji Adam Malik Hospital from
April to June 2010. Urine culture was performed in children with
suspected UTI who wore disposable diapers every day. Subjects'
ages ranged from 2 months to 2 years 6 months, with samples
matched and collected by consecutive sampling. Diagnosis ofUTI
was based on urine cultures with bacterial count 2:: 105/mL. Eighty
children were followed in this study and divided into two groups:
positive (n=40) and negative (n=40) urine cultures. Chi square
test was use d to analyze the association between the frequency of
daily disposable diapers changing during a one week period and
the urine culture results.
Results The frequency of daily disposable diapers changing in
80 subjects was as follows: < 4 times (22.5%), 4-5 times (40%),
and 2::6 times (37.5%) . The frequency of daily disposable diaper
changing in children with positive urine culture was as fo llows:
< 4 times (1 8 out of 40), 4-5 times (22 out of 40), and 2::6 times
(O out of 40); (P < 0.0001). The most common bacterial species
found in urine cultures was Escherichia coli.
Conclusion Lower frequency of daily disposable diaper changing
is significantly associated with higher UTI incidence in children.

Article Details

How to Cite
Daulay M, Siregar R, Ramayani O, Supriatmo S, Ramayati R, Rusdidjas R. Association between the frequency of disposable diaper changing and urinary tract infection in children. PI [Internet]. 30Apr.2013 [cited 19Jul.2019];53(2):70-. Available from:
Received 2016-08-19
Accepted 2016-08-19
Published 2013-04-30


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