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Urinary tract infection caused by Haemophilus influenzae and Haemophilus parainfluenzae in children.

Artikel i vetenskaplig tidskrift
Författare Sverker Hansson
Åke Svedhem
Martin Wennerström
Ulf Jodal
Publicerad i Pediatric nephrology (Berlin, Germany)
Volym 22
Nummer/häfte 9
Sidor 1321-5
ISSN 0931-041X
Publiceringsår 2007
Publicerad vid Institutionen för biomedicin
Institutionen för kliniska vetenskaper, Avdelningen för pediatrik
Sidor 1321-5
Språk en
Länkar dx.doi.org/10.1007/s00467-007-0531-...
Ämnesord Adolescent, Child, Child, Preschool, Female, Haemophilus Infections, complications, Haemophilus influenzae, Haemophilus parainfluenzae, Humans, Infant, Infant, Newborn, Male, Urinary Tract Infections, microbiology
Ämneskategorier Medicin och Hälsovetenskap, Klinisk fysiologi

Sammanfattning

There are few reports on urinary tract infections caused by Haemophilus influenzae or Haemophilus parainfluenzae in children. The true incidence is not known, since bacteria of Haemophilus species do not grow in standard urine culture media. With the objective of investigating the occurrence and character of urinary tract infections (UTIs) caused by Haemophilus bacteria in children, we searched the files of our UTI clinic. Over a 24-year period 36 children with Haemophilus spp. bacteriuria were identified out of a total of more than 5,000 UTI episodes. There was a significant gender difference in that Haemophilus influenzae dominated in girls and Haemophilus parainfluenzae in boys. With one exception, all children had important urinary tract abnormalities, such as malformation, gross reflux or bladder dysfunction. Permanent renal damage was seen in 25. We conclude that growth of Haemophilus bacteria in urine is associated with serious urinary tract abnormalities. The inability of bacteria of the Haemophilus species to grow in standard media commonly used for culture of uropathogens suggests that the true frequency of these strains as a cause of urinary tract infections is underestimated.

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