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Prevalence of Urinary Tract Infection in Children with Febrile Convulsion: A Systematic Review and Meta-Analysis

Document Type : systematic review

Authors

1 Assistant Professor of Internal Medicine, Department of Internal Medicine, School of Medicine, Shahid Mostafa Khomaeini Hospital, Ilam University of Medical sciences, Ilam, Iran

2 Assistant Professor of Pulmonary Diseases, Department of Internal Medicine, School of Medicine, Shahid Mostafa Khomaeini Hospital, Ilam University of Medical sciences, Ilam, Iran

3 Assistant Professor of Neurology, School of Medicine, Ilam University of Medical Sciences, Ilam, Iran

Abstract

Background: Urinary tract infections (UTIs) are classified as upper or lower and can be asymptomatic or manifest fever, abdominal pain, sepsis, hematuria, and typical renal colic. Therefore, this study was to determine the prevalence of UTIs in patients with febrile seizure (FS).
Method: The studies published between 2010 and 2022 and indexed in Web of Science (ISI), Scopus, PubMed, EBSCO, SID, and Magiran databases were searched for the purpose of this meta-analysis and systematic review. The study checklist included the author's name, year of publication, location and prevalence of UTI. Prevalence of UTI was analyzed using the RANDOM model after entering the CMA3 software.
Results: Six articles, with the total sample size of 1480 people (778 boys and 702 girls), were selected for the final analysis. They were published between 2011 and 2018; the lowest prevalence rate (11.1%) was reported in a study by Akbar et al., in Golestan city, and the highest prevalence (15.2%) was related to a study by Mahyar et al., in the city of Qazvin. In general, the prevalence of UTI was found to be 3.7 (95% CI: 1.3-10.4), and in boys, 15 (95% CI: 12.2-18.2) in girls with FS; and the overall rate was equal to 9.8 (95% CI: 7.6-12.6).
Conclusions: Considering the overall prevalence of UTIs (9.8%) and its high rate in girls (15%), preventive interventions are suggested.

Keywords

References
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International Journal of Pediatrics
Volume 11, Issue 6
June 2023
Pages 17971-17978
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