ESPN 51th Annual Meeting

ESPN 2018


 
Evaluation of Dietary Fiber Content among Children with Urinary Tract Infection
ZEKIYE KÜPÇÜ 1 GAMZE ÖZGÜRHAN 1 DILEM ERIS 1 SERDAR CÖMERT 1 DUYGU ÖVÜNÇ HACIHAMDIOĞLU 2

1- SÜLEYMANIYE MATERNITY AND CHILD HEALTH TRAINING HOSPITAL
2- BAHÇEŞEHIR UNIVERSITY MEDICINE FACULTY, MEDICAL PARK GÖZTEPE HOSPITAL
 
Introduction:

In this study our aim was to compare the dietary fiber content of children with UTI (Urinary Tract Infection) and the healthy group.

Material and methods:

 The study population was composed of three groups; Group I, children with UTI caused by ESBL(+) E.coli; Group II, children with UTI caused by ESBL(-) E.coli; Group III, healthy children  without any history of UTI. The parents recorded the children’s ordinary diet for three days. The average daily amount of fiber was calculated using the BeBİS program. 

Results:

 Thirty one (37.8%) children were included in ESBL(+) group, 27(32.9%) were in the ESBL(-) group and the control group included 24 (29.3%) children. Among the children included 71 (86.6%) were female and 11 (13.4%) male with a median age of 5.22 years

The median daily dietary fiber content was found to be 10.00 g. The dietary fiber intake of children in ESBL(+) group was less than the control group with a median value of 3.10 g (Z=3.909; p<0.001). It was found that daily average dietary fiber was related to urinary ESBL culture positivity (p=0.002, AUC=0.704 [%95 CI: 0.589 – 0.818]). For the cut-off point of 10.27 g, the sensitivity and specificity were found to be 77.4% and 52.9%, respectively. Among the children who had a daily intake of fiber less than 10.27 g, the risk of UTI with ESBL(+) E.coli was found to increase 4.1 times (OR=4.1) (%95 CI: 1.5 – 11.1).

Conclusions:

 Lower dietary fiber content could be a another risk factor for the UTI caused by ESBL(+) E.coli. Intake of dietary fiber with an amount recommended according to the age of the infant may be a protective dietary intervention for UTI caused by ESBL(+) E.coli.