Investigation of Positivity Rates in Urine Culture and Its Relationship with Acute Phase Markers in Children with Pyuria in the Emergency Department

• Published in: Van Tıp Dergisi Vol. 27; no. 3; pp. 287 - 301
• Main Authors: Feyza Ustabas Kahraman, Selçuk Uzuner
• Format: Journal Article
• Language: English
• Published: Van Yuzuncu Yil University, School of Medicine 01-08-2020
• Subjects: crp; culture; platelet; urinary tract infection; wbc
• ISSN: 2587-0351
• DOI: 10.5505/vtd.2020.25582

INTRODUCTION: We aimed to evaluate the frequency of reproduction in urine culture and to evaluate the most common microorganism and the relationship between the findings and acute phase markers in patients with urinary tract infection. METHODS: Patients aged 0-18 years (n=64420) who applied to the pediatric emergency department were retrieved from computer records between January 2018 and December 2018. A total of 1137 patients with fever of 38.0 ℃ and above who had records of urine culture, CRP, platelet, WBC tests were included into the study. RESULTS: E.coli was the most common bacteria in urine culture (18.4%). The mean age (5.09 +- 4.58) of the patients with culture reproduction was lower (p <0.001). WBC and platelet counts were significantly higher in patients with positive urine culture (p = 0.004, p = 0.015, respectively). DISCUSSION AND CONCLUSION: Platelet elevation, CRP elevation and leukocytosis can be seen in the course of urinary tract infections. These tests are thought to be helpful in predicting UTI.