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Volume 3, Issue 4 (2022)                   J Clinic Care Skill 2022, 3(4): 171-176 | Back to browse issues page


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Farrokhnia F, Ghatee M, Bagheri L. Bladder and Bowel Dysfunction in Children Under 14 Years Old with Urinary Tract Infection. J Clinic Care Skill 2022; 3 (4) :171-176
URL: http://jccs.yums.ac.ir/article-1-156-en.html
1- Pediatric Department, School of Medicine, Yasuj University of Medical Science, Yasuj, Iran
2- Microbiology Department, School of Medicine, Yasuj University of Medical Sciences, Yasuj, Iran
3- Pediatric Department, School of Medicine, Yasuj University of Medical Science, Yasuj, Iran , leyla.bagheri8167@gmail.com
Abstract:   (572 Views)
Aims: Urinary Tract Infection is common in Children. It has reported that Bladder and Bowel Dysfunction lead to progression of urinary tract infection in patients. Thus, early diagnosis and treatment of Bladder and Bowel Dysfunction are essential. Therefore, the present study aimed to investigate the bladder and bowel dysfunction in children less than age 14 with a urinary tract infection admitted to Yasuj hospitals in 2019-2020.
Instrument & Methods: The present study employed a cross-sectional, descriptive-analytical research method. The research population consisted of children under age 14 with a urinary tract infection (UTI) hospitalized in Yasuj hospitals in 2019-2020. Data were extracted from the files of hospitalized patients, and collected using a checklist. The data was analyzed using SPSS 21 software at two descriptive (mean, frequency, and percentage) and inferential (chi-squared test) levels.
Findings: There was significant difference between the girls and boys in, urinary tract infection (53.4% girls VS 46.4% boys; p=0.032). The mean age of participants was 6±2.3 years. The prevalence of Bladder and Bowel Dysfunction was 41%. The most common symptoms of BBD include Constipation & urinary retention 15 (14.6%), Constipation 13 (12.6%), and Constipation & urinary incontinence & fecal incontinence & urinary retention 13 (12.6%). Urinary incontinence was more common in girls comparison to boys (p<0.05). 
Conclusion:  Bladder and Bowel Dysfunction is common in children with urinary tract infection. Due to the relatively high prevalence of asymptomatic UTIs in children, screening of children for Bladder and Bowel Dysfunction symptoms and treatment, and prevention of infection become more significant.

 
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Article Type: Original Research | Subject: General
Received: 2022/09/3 | Accepted: 2022/10/30 | Published: 2022/12/10

References
1. Zilevica A. Hospital-Acquired and community-Acquired uropathogens modeling of infection. Bioautomation. 2005;3:63-7. [link]
2. Okarska-Napierała M, Wasilewska A, Kuchar E. Urinary tract infection in children: Diagnosis, treatment, imaging-comparison of current guidelines. J Pediat Urol. 2017;13(6):567-73. [DOI:10.1016/j.jpurol.2017.07.018] [PMID]
3. Zeevenhooven J, Koppen IJ, Benninga MA. The new Rome IV criteria for functional gastrointestinal disorders in infants and toddlers. Pediatr Gastroenterol Hepatol Nutr. 2017;20(1):1-13. [DOI:10.5223/pghn.2017.20.1.1] [PMID] [PMCID]
4. Alpaslan AH, Koçak U, Avci K, Güzel HI. Association between elimination disorders and abusive maternal attitudes. J Forensic Leg Med. 2016;40:22-7. [DOI:10.1016/j.jflm.2016.02.004] [PMID]
5. Yousefichaijan P, Dorreh F, Shahsavari S, Pakniyat A. Comparing between results and complications of doing voiding cystourethrogram in the first week following urinary tract infection and in 2-6 weeks after urinary tract infection in children referring to a teaching hospital. J Renal Inj Prev. 2016;5(3):144-7. [DOI:10.15171/jrip.2016.30] [PMID] [PMCID]
6. Dos Santos J, Lopes RI, Koyle MA. Bladder and bowel dysfunction in children: An update on the diagnosis and treatment of a common, but underdiagnosed pediatric problem. Can Urol Assoc J. 2017;11(1-2):64-72. [DOI:10.5489/cuaj.4411] [PMID] [PMCID]
7. Yang S, Chua ME, Bauer S, Wright A, Brandström P, Hoebeke P, et al. Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: A position statement from the International Children's Continence Society. Pediatr Nephrol. 2018; 33(12):2207-19. [DOI:10.1007/s00467-017-3799-9] [PMID]
8. Sampaio C, Sousa AS, Fraga LGA, Veiga ML, Bastos Netto JM, Barroso Jr U. Constipation and lower urinary tract dysfunction in children and adolescents: a population-based study. Front Pediatr. 2016;4:101. [DOI:10.3389/fped.2016.00101] [PMID] [PMCID]
9. Meena J, Mathew G, Hari P, Sinha A, Bagga A. Prevalence of bladder and bowel dysfunction in toilet-trained children with urinary tract infection and/or primary vesicoureteral reflux: A systematic review and meta-analysis. Front Pediatr. 2020;8:84. [DOI:10.3389/fped.2020.00084] [PMID] [PMCID]
10. Bauer SB, Austin PF, Rawashdeh YF, de Jong TP, Franco I, Siggard C, Jorgensen TM. International children's continence society's recommendations for initial diagnostic evaluation and follow‐up in congenital neuropathic bladder and bowel dysfunction in children. Neurourol Urodyn. 2012;31(5):610-4. [DOI:10.1002/nau.22247] [PMID]
11. Vaz GT, Vasconcelos MM, Oliveira EA, Ferreira AL, Magalhães PG, Silva FM, et al. Prevalence of lower urinary tract symptoms in school-age children. Pediatr Nephrol. 2012;27(4):597-603. [DOI:10.1007/s00467-011-2028-1] [PMID]
12. Gaither TW, Cooper CS, Kornberg Z, Baskin LS, Copp HL. Risk factors for the development of bladder and bowel dysfunction. Pediatrics. 2018;141(1):e20172797. [DOI:10.1542/peds.2017-2797] [PMID]
13. Swithinbank LV, Carr JC, Abrams PH. Longitudinal study of urinary symptoms in children. Longitudinal study of urinary symptoms and incontinence in local schoolchildren. Scand J Urol Nephrol Suppl. 1994; 163:67-73. [link]
14. Giramonti KM, Kogan BA, Agboola OO, Ribons L, Dangman B. The association of constipation with childhood urinary tract infections. J Pediat Urol. 2005;1(4):273-8. [DOI:10.1016/j.jpurol.2005.01.011] [PMID]
15. Chrzan R, Klijn AJ, Vijverberg MA, Sikkel F, de Jong TP. Colonic washout enemas for persistent constipation in children with recurrent urinary tract infections based on dysfunctional voiding. Urology. 2008;71(4):607-10. [DOI:10.1016/j.urology.2007.11.136] [PMID]
16. Austin P, Bauer S, Bower W, Chase J, Franco I, Hoebeke P, et al. The standardization of terminology of lower urinary tract function in children and adolescents: Update report from the standardization committee of the international children's continence society. Neurourol Urodyn2016;35:471-81. [DOI:10.1002/nau.22751] [PMID]
17. Shaikh N, Hoberman A, Keren R, Gotman N, Docimo SG, Mathews R, et al. Recurrent urinary tract infections in children with bladder and bowel dysfunction. Pediatrics. 2016;137(1):e20152982. [DOI:10.1542/peds.2015-2982] [PMID] [PMCID]
18. Sjöström S, Sillén U, Bachelard M, Johansson E, Brandström P, Hellström AL, et al. Bladder/bowel dysfunction in pre-school children following febrile urinary tract infection in infancy. Pediatr Nephrol. 2021;36(6):1489-97. [DOI:10.1007/s00467-020-04853-4] [PMID] [PMCID]
19. Zivkovic VD, Stankovic I, Dimitrijevic L, Kocic M, Colovic H, Vlajkovic M, et al. Are interferential electrical stimulation and diaphragmatic breathing exercises beneficial in children with bladder and bowel dysfunction? Urology. 2017;102:207-12. [DOI:10.1016/j.urology.2016.12.038] [PMID]
20. Lucanto C, Bauer SB, Hyman PE, Flores AF, Di Lorenzo C. Function of hollow viscera in children with constipation and voiding difficulties. Dig Dis Sci. 2000;45(7):1274-80. [DOI:10.1023/A:1005583315325] [PMID]
21. Sumboonnanonda A, Sawangsuk P, Sungkabuth P, Muangsampao J, Farhat WA, Piyaphanee N. Screening and management of bladder and bowel dysfunction in general pediatric outpatient clinic: A prospective observational study. BMC Pediat. 2022;22(1):1-7. [DOI:10.1186/s12887-022-03360-9] [PMID] [PMCID]
22. Mugie SM, Benninga MA, Di Lorenzo C. Epidemiology of constipation in children and adults: A systematic review. Best Pract Res Clin Gastroenterol. 2011;25(1):3-18. [DOI:10.1016/j.bpg.2010.12.010] [PMID]
23. Axelgaard S, Kristensen R, Kamperis K, Hagstrøm S, Jessen AS, Borch L. Functional constipation as a risk factor for pyelonephritis and recurrent urinary tract infection in children. Acta Paediatr. 2022. [DOI:10.1111/apa.16608] [PMID]
24. Watanabe Y, Ikeda H, Onuki Y, Oyake C, Fuyama M, Honda K, Watanabe T. Fecal impaction detected by imaging predicts recurrent urinary tract infection. Pediatr Int. 2022;64(1):e15171. [DOI:10.1111/ped.15171]
25. Burgers R, de Jong TP, Visser M, Di Lorenzo C, Dijkgraaf MG, Benninga MA. Functional defecation disorders in children with lower urinary tract symptoms. J Urol. 2013;189(5):1886-91. [DOI:10.1016/j.juro.2012.10.064] [PMID]
26. Bhatt NR, Murchison L, Yardy G, Kulkarni M, Mathur AB. Bladder bowel dysfunction in children with Down's syndrome. Pediatr Surg Int. 2020;36(7):763-72. [DOI:10.1007/s00383-020-04682-4] [PMID]

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