Logo-jnp
J Nephropathol. 2020;9(2): e16.
doi: 10.34172/jnp.2020.16
  Abstract View: 115
  PDF Download: 12

Original Article

An observational epidemiological study of febrile convulsion due to urinary tract infection

Mitra Naseri 1 * ORCID logo, Eltham Bakhtiari 2 ORCID logo, Niayesh Tafazoli 3 ORCID logo

1 Nephrology Department, Mashhad University of Medical Sciences, Mashhad, Iran
2 Research Center for Patient Safety, Clinical Research Development Unit, Dr. Sheikh Children Hospital, Mashhad University of Medical Sciences, Mashhad, Iran
3 Faculty of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

Abstract

Introduction: Febrile convulsion (FC) is the most common seizure disorder in childhood. Few studies focused on epidemiologic characteristics of urinary tract infections accompanied by FC.

Objectives: To evaluate prevalence and incidence rates of FC among children with urinary tract infection.

Patients and Methods: An observational study in epidemiology was performed in nephrology clinic of a tertiary children hospital from June 2002 to 2016. Totally 1242 cases were followed and those aged 6-60 months enrolled in the study. Demographic characteristics were compared between patients with and without FC.

Results: 784 cases including 704 girls (89.8%) and 80 boys (10.2%) enrolled. Twenty-five patients (3.18%) presented with FC. FC occurred in 25 of 503 cases (5%) with febrile urinary tract infection. Twenty girls and 5 boys were in FC and 684 girls and 75 boys were in non-FC groups (P= 0.1). The average age in FC and non-FC groups were 15.52±8.4 and 25.16± 16 months respectively (P=0.004). Patients were divided into 2 age sub-groups: 6-24 and 26-60 months. A significantly higher number of cases in FC compared with non-FC group were in age subgroup of 6-24 months (P=0.028).

Conclusion: Our study revealed a prevalence rate of 3.18% and an incidence rate of 5% for FC among children with urinary tract infection. Also FC subjects had a significantly younger age at presentation than non-FC cases. We found that FC as presentation of urinary tract infection occurred up to 3 years old, and there is no significant gender difference between FC and non-FC cases

Keywords: Urinary tract infection, Febrile convulsion, Age, Gender

Implication for health policy/practice/research/medical education:

FC is not a common presentation of UTI, but seems it exclusively occurs following febrile UTI in the first 3 years of life with majority of cases in 6-12 months. In children 3 up to 5 years, rarely urinary tract infection presents as FC.

Please cite this paper as: Naseri M, Bakhtiari E, Tafazoli N. An observational epidemiological study of febrile convulsion due to urinary tract infection. J Nephropathol. 2020;9(2):e16. DOI: 10.34172/jnp.2020.16.

First Name
 
Last Name
 
Email Address
 
Comments
 
Security code


Abstract View: 115

Your browser does not support the canvas element.


PDF Download: 12

Your browser does not support the canvas element.

Submitted: 12 Mar 2019
Accepted: 03 Jun 2019
ePublished: 12 Jul 2019
EndNote EndNote

(Enw Format - Win & Mac)

BibTeX BibTeX

(Bib Format - Win & Mac)

Bookends Bookends

(Ris Format - Mac only)

EasyBib EasyBib

(Ris Format - Win & Mac)

Medlars Medlars

(Txt Format - Win & Mac)

Mendeley Web Mendeley Web
Mendeley Mendeley

(Ris Format - Win & Mac)

Papers Papers

(Ris Format - Win & Mac)

ProCite ProCite

(Ris Format - Win & Mac)

Reference Manager Reference Manager

(Ris Format - Win only)

Refworks Refworks

(Refworks Format - Win & Mac)

Zotero Zotero

(Ris Format - Firefox Plugin)