Báo cáo nghiên cứu khoa học: Một số yếu tố quyết định của nhiễm trùng đường tiết niệu ở trẻ em từ 2 tháng đến 6 tuổi ở Hải Phòng Việt Nam trong năm 2008

Tuyển tập các nghiên cứu khoa học của trường đại học Huế đề tài: Một số yếu tố quyết định của nhiễm trùng đường tiết niệu ở trẻ em từ 2 tháng đến 6 tuổi ở Hải Phòng Việt Nam trong năm 2008...
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Báo cáo nghiên cứu khoa học: "Một số yếu tố quyết định của nhiễm trùng đường tiết niệu ở trẻ em từ 2 tháng đến 6 tuổi ở Hải Phòng Việt Nam trong năm 2008"JOURNAL OF SCIENCE, Hue University, N0 61, 2010 SOME DETERMINANTS OF URINARY TRACT INFECTION IN CHILDREN FROM 2 MONTHS TO 6 YEARS OLD IN HAI PHONG VIETNAM IN 2008 Dang Van Chuc, Nguyen Ngoc Sang, Dang Viet Linh SUMMARY This research was conducted to establish some determinants of urinary tract infections(UTI) in children from 2 months to 6 years old in some areas of Haiphong in 2008. Method:Cross-sectional study. Results and Conclusions: “Poverty”, “Underweight weightmalnutrition”, “Phimosis” and incorrect washing method after children have passed stoolswere statistically significant with the presence of UTI using a logistic regression analysis. Therewas a relationship between UTI development, poverty and poor knowledge of child hygiene. Keyword: Urinary Tract Infection, Determinant.1. Introduction Urinary Tract Infections (UTI) are of interest to scientists because they can leadto renal scarring, which causes dangerous complications when children grow up suchas: anemia, hypertension (7-17%), preeclampsia, eclampsia, renal failure and end stagenephropathologies. Most research has been conducted in hospitals to determine theincidence of UTI, type of bacteria and treatment effectiveness. In Vietnam, no studieshave been conducted in the community to evaluate the Prevalence rate, In particular, todetermine some risk factors of UTI. Therefore, this study was conducted with thefollowing objectives: Determine some risk factors of UTI in children from 2 months to 6 years old insome areas of Haiphong, Vietnam.2. Methodology 2.1. Population and study time All children from 2 months to 6 years old in some areas of Haiphong. Study duration: 7/2007-10/2007. Criteria of UTI: Leucocyturia ≥ 30/mm3 and bacteriuria ≥ 105/ml urine. 2.2. Method Study location 31 3 districts representative of Haiphong district, which were coastal, rural andurban. Study design Cross-sectional and descriptive study. Sample size was calculated according to the following formula: p 1  p  n  Z 12  /2 d2 n: Sample size Z21-α/2 = (1, 96)2 (confidence 95%) p = 0, 04 (UTI rate in children of Haiphong after Nguyen Ngoc Sang et al in onecommune in 2005) d= (p*) or 20% of p So approximately 4610 children were needed for the study. Sampling process: Multistage sampling was used. The 3 districts chosen were Kien An (urban), Kien Thuy (coastal) and ThuyNguyen (rural). The 9 communes/ quarters selected were Nam son, Trang Minh and VanDau (Kien An), Dai Ha, Tan Trao and Ngu Doan (Kien Thuy), Phuc Le, Lap Le and PhaLe (Thuy Nguyen). Data collection: + Identification of UTI: We carried out screening of midstream urine of children in the morning to detectUTIs. In the previous night and in the morning the child’s genitals were cleaned usingsafe water and soap. The first urine was eliminated and 5 ml of midstream urine wascollected in a neutral tube. If the urine sample has leucocyturia ≥ 30/mm3, it wascultured to identify bacteriuria. A UTI was identified if urine sample had bothleucocyturia ≥ 30/mm3 and bacteriuria ≥105/ml. + Parental interview: Parental interview of socio-economic conditions, and the child’s history ofdisease. + Complete examination: Pediatricians examined children for diseases, particularly genitor-urinarydiseases. Anthropometry was completed to evaluate children’s nutritional status. 32 Data treatment: SPSS version 13.0 was used for entering and analyzing data, determining UTIrate and risk factors. Cases were dependent variables and socio-economic conditions, child’s diseaseswere independent variables. UTI and risk factors were associated when OR>1, p care of paternal child care of child* Direct care 44 1.9 Remarks: Significant factors with asterisk included “maternal education levelless than secondary school”, “poverty”, “indirect paternal care of the child”. Withmultivariable analysis, only “poverty” remained significant . Table 2. The relationship of socio-economic conditions and UTIs (continued). OR OR Bi Risk ...