Relación entre fimosis e infección de tracto urinario en niños entre 0 a 5 años atendidos en el área de pediatría del Hospital Teodoro Maldonado Carbo durante el periodo 2019 – 2021.

Abstract

Introduction. Phimosis is a condition in which the foreskin cannot retract behind the groove of the glans penis to leave it exposed. Urinary tract infections (UTI) are among the most serious and common bacterial diseases in pediatrics. Phimosis can cause urinary tract obstruction and infection, dilation of the foreskin, and chronic inflammation. Objective. To determine whether urinary tract infection is related to phimosis in children under 0 to 5 years of age at Hospital Teodoro Maldonado Carbo during the period 2019-2021. Methodology. This study has a relational, observational, retrospective and analytical approach; 121 children from Guayaquil were analyzed by means of medical records to be reviewed in order to achieve the research objectives. Results. The total study population was 121 boys with phimosis, of which (n=30) presented pathological phimosis, while (n=91) presented physiological phimosis. Of the population studied (n=121) 30 patients were found to have pathological phimosis, of which 63.3% (n=19) had no urinary tract infection and 36.7% (n=11) had urinary tract infection. The remaining 91 patients presented physiological phimosis, of which 64.8% (n=59) did not present urinary tract infection and 35.2% (n=32) did. Urine culture samples were analyzed and it was identified that 84.1% (n=74) had no bacterial growth or urinary tract infection, 15.9% (n=14) had no bacterial growth, but did present urinary tract infection and 100% (n=33) that had growth, the bacteria found was E. coli, accompanied by urinary tract infection. Conclusions. Urinary tract infection is not related to phimosis in children. Symptomatology is very broad and varies in presentation, since in a large percentage of patients no symptoms were found, although it should be emphasized that within the group that presented clinical manifestations, the most frequent were balanitis, dysuria and pollakiuria, being these very suggestive of infection. Urine culture was the confirmatory test for the diagnosis and it also served as a tool to identify the causal microorganism of the infection, which in our study was E. coli.