Relationship between protein energy malnutrition and urinary tract infection in children
Abstract
Background Urinary tract infections (UTI) is a common healthproblem in children. Its occurrence depends on several predis-
posing factors and individual immunocompetence. Children
with protein energy malnutrition (PEM) have impaired immune
function. Thus early detection and prompt treatment of associated
infections in children with PEM are very important.
Objective To determine the relationship between PEM and the
occurrence of UTI in children.
Methods This cross sectional study conducted in Dr. Wahidin Sud-
irohusodo Hospital and Labuang Baji General Hospital, Makassar
between March 1, 2007 and June 30, 2007. The target population
included PEM patients aged 2 to 5 years. Well-nourished patients
matched for age and sex were selected for control group.
Results Out of 220 patients, 25 had UTI consisted of 12 males
and 13 females. Eighteen of them had PEM and 7 were well-
nourished subjects. There was a statistical significant difference
(P=0.019) in the occurrence of UTI between children with PEM
and in well- nourished children. The relationship between PEM
and UTI as determined by prevalence ratio value (PR) was 2.6
with 95% confidence interval (CI) of 1.1 to 5.9, suggested the
risk of getting UTI was 2.6 times higher in children with PEM as
compared to normal controls.
Conclusions The frequency of UTI in PEM was 16.4%. Chil-
dren with PEM have the risk of getting UTI 2.6 times higher
as compared to well-nourished children
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Accepted 2016-09-09
Published 2016-09-26