Ulubaba, Hilal ErDogan, Gulec MertSaglik, Semih2024-08-042024-08-0420191307-10681308-5271https://doi.org/10.5578/ced.68506https://search.trdizin.gov.tr/yayin/detay/376641https://hdl.handle.net/11616/92556Objective: Early diagnosis and treatment of urinary tract infections (UTI) in children has clinical importance since the signs and symptoms can be nonspecific. The aim of this study was to investigate the association between bladder debris which is commonly seen at the process of ultrasonography (USG) and positive urine culture in pediatric patients that will alert the clinicians in the diagnosis of UTI when the signs and symptoms are nonspecific. Material and Methods: A retrospective analysis of pediatric patients who underwent USG examination between February 2017 and February 2018 was conducted. USG reports were analyzed from the aspects of layering and floating debris. Patients who were formerly diagnosed and treated for urinary tract infection (UTI) and patients who had genitourinary system abnormalities (Hydronephrosis, Vesicoureteral Reflux, neurogenic bladder etc.) was excluded from the study. In the 0-11 age group, we detected 93 patients suffering from debris, who also had urine culture. These patients were compared with 50 patients in the control group in the same age group, who had normal USG and urine culture. Results: Ninety-three patients with bladder debris were classified under two groups as layering and floating debris. In Group 1, there were 21 patients with layering debris and there were 72 patients with floating debris in Group 2. Control patients group consisting of 50 patients was referred to as Group 3. According to multiple logistic regression analysis, a statistically significant increase was detected at the rate of positive urine culture in patients with layering debris (Group 1) and patients with floating debris (Group 2) compared to control patients (Group 3). However, increase at the rate of positive urine culture (UC) was higher in patients with layering debris. Conclusion: Statistically significant increase at the rate of positive urine culture (UC) was seen in the pediatric patients who had bladder debris at ultrasonography. The increase in patients with layering debris is higher. In the pediatric patients group, bladder debris should be an alerting finding for the diagnosis of urinary tract infection (UTI).eninfo:eu-repo/semantics/openAccessUrinary tract infectionurine culturebladder debrisultrasonographyArticle134E153E15710.5578/ced.685062-s2.0-85078225033Q4376641WOS:000510640400003N/A