Abstract
PM is an unusual cause of UTI. A prospective comparison was made of clinical and laboratory findings in PM and E. coli (EC) patients. Twenty five consecutive cases of eacn representing the first known UTI were followed for an average of 2 ½ years. Both initial and subsequent episodes were treated for 10-14 days. Mean ages of PM and EC cases were 3 1/3 and 4 1/4 years respectively. The following differences were revealed.
PM UTI is therefore characterized by a relative paucity of clinical signs, urinary abnormalities and structural defects of GU tract and occurs predominantly in males. The proportion of PM patients developing recurrent infection within 1 year are somewhat less compared to EC patients. Moreover the number of recurrences per PM patient is significantly less and are extremely rare after one year (P < 0.01). Antimicrobial therapy of initial UTI in boys (pending culture results) should be planned to include the possibility of Proteus mirabilis.
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Khan, A., Ubriani, R., Bombach, E. et al. NATURAL HISTORY OF PROTEUS MIRABILIS (PH) URINARY TRACT INFECTION (UTI) IN INFANCY AND CHILDHOOD. Pediatr Res 11, 437 (1977). https://doi.org/10.1203/00006450-197704000-00405
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DOI: https://doi.org/10.1203/00006450-197704000-00405