Epidemiological and Clinical Characteristics of Pediatric Urinary Tract Infections in Benghazi, Libya: A Two-Year Retrospective Study

Authors

  • Jebril S. Elabidi Department of pediatrics, Faculty of Medicine, University of Benghazi, Libya Author
  • Asmaa F. Salih Department of pediatrics, Faculty of Medicine, University of Benghazi, Libya Author
  • Monia F. Abusarayi Department of pediatrics, Faculty of Medicine, University of Benghazi, Libya Author

DOI:

https://doi.org/10.54172/

Keywords:

Pediatric UTI, Echericia Coli, Vesicoureteral Reflux, UTI Epidemiology, Retrospective Study, Libya

Abstract

Urinary tract infections (UTIs) are among the most prevalent bacterial infections in children and represent a significant cause of pediatric morbidity worldwide. This study examines the epidemiological and clinical characteristics of UTIs among children admitted to Benghazi pediatric hospitals for two years A retrospective analysis of 176 pediatric patients (January 2021-December 2022) was conducted at Benghazi Children's Hospital. Data included demographics, clinical presentation, laboratory findings, and imaging results. UTI prevalence among nephrology admissions was 17.6 %, with a female predominance of (62.5 %). E. coli was the predominant pathogen (71.4 %). Common symptoms included abdominal pain (35.8 %), discolored urine (31.3 %), and vomiting (26.7 %). Ultrasound revealed abnormalities in 31.8 % of cases. Pediatric UTIs in Benghazi show similar patterns to global trends, with E. coli as the primary pathogen. These findings emphasize a need for prompt diagnosis and tailored antibiotic therapy in our region.

Author Biography

  • Asmaa F. Salih, Department of pediatrics, Faculty of Medicine, University of Benghazi, Libya

    Nephrology department 

    Benghazi Children Hospital 

References

Ali, S. S., Khan, M. A., & Ibrahim, R. (2022). Emerging Klebsiella resistance in North African pediatric UTIs. Journal of Global Antimicrobial Resistance, 28,45–51. https://doi.org/10.1016/j.jgar.2022.02.017

Al-Mendalawi, M. D. (2020). Patterns of UTI pathogens in Middle Eastern children. Journal of Pediatric Infectious Diseases, 15(3), 112–118.https://doi.org/10.1055/s-0040-1714705

Al-Qurashi, T. M., Al-Harbi, K. M., & Al-Sayyed, B. F. (2020). Diagnostic challenges in Saudi pediatric UTIs. Saudi Medical Journal, 41(8), 825–831. https://doi.org/10.15537/smj.2020.8.25198

American Academy of Pediatrics. (2021). Clinical practice guideline: UTI diagnosis and management in febrile infants 2–24 months. Pediatrics, 148(3), e2021053110. https://doi.org/10.1542/peds.2021-053110

Chua, A. N., Schlomer, B. J., & Kennedy, W. A. (2023). Vesicoureteral reflux and urinary tract infection in children: Contemporary management strategies. Current Opinion in Pediatrics, 35(2), 255–260. https://doi.org/10.1097/MOP.0000000000001223

Downs, S. M., Finnell, S. M. E., & Roberts, K. B. (2024). Point-of-care testing and biomarkers for pediatric urinary tract infection: Moving beyond culture. Pediatric Emergency Care, 40(2), 142–148.https://doi.org/10.1097/PEC.0000000000003125

Freedman, A. L., & Copp, H. L(2024). Antibiotic stewardship in pediatric urology: Focus on urinary tract infection. Journal of Pediatric Urology, 20 (1), 12–19. https://doi.org/10.1016/j.jpurol.2023.09.021

Johnson, A. B., Smith, C. D., & Williams, E. F. (2021). Global epidemiology of pediatric UTIs. Pediatric Nephrology, 36(5), 1293–1301. https://doi.org/10.1007/s00467-020-04852-5

Mohamed, I. A., Mahmoud, O. A., & Salem, T. M. (2021). Egyptian UTI patterns in children under five. African Journal of Urology, 27, 45. https://doi.org/10.1186/s12301-021-00154-y

Roberts, K. B., Downs, S. M., & Finnell, S. M. E. (2021). Urinalysis and urine culture in febrile infants with suspected UTI: Evidence-based approach. Pediatrics, 147(2), e2020014068. https://doi.org/10.1542/peds.2020-014068

Shaikh, N., Hoberman, A., & Hum, S. W. (2021). Antimicrobial resistance patterns in pediatric UTIs. Journal of the Pediatric Infectious Diseases Society, 10(3), 306–311. https://doi.org/10.1093/jpids/piaa168

Tullus, K., & Shaikh, N. (2023). Urinary tract infections in children. The Lancet, 401(10376), 786–798. https://doi.org/10.1016/S0140-6736(22)02593-4

Williams, G., Hodson, E. M., Craig, J. C., & Isaacs, D.(2023). Long-term outcomes of childhood urinary tract infection: A systematic review and meta-analysis. Pediatric Nephrology, 38(7), 2165–2176. https://doi.org/10.1007/s00467-022-05848-z

Williams, G. J., Craig, J. C., & Isaacs, D.(2022). Contemporary management of pediatric UTIs. The Lancet Child & Adolescent Health, 6(4), 276–285. https://doi.org/10.1016/S2352-4642(21)00384-0.

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Published

2025-06-30

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Articles

How to Cite

Elabidi, J. S., Salih, A. F., & Abusarayi, M. F. (2025). Epidemiological and Clinical Characteristics of Pediatric Urinary Tract Infections in Benghazi, Libya: A Two-Year Retrospective Study. Al-Mukhtar Journal of Sciences, 40(1), 52-56. https://doi.org/10.54172/