Risk of Paediatric Urolithiasis among Children Attending Minia University Hospital for Urology

Abstract

Background: Paediatric urolithiasis is a significant health problem with considerable morbidity. Over the past decades, the prevalence of pediatric nephrolithiasis has increased due to increased sodium intake, decreased calcium intake, low water intake, increased use of antimicrobials, poor nutrition, obesity, sedentary life style. Aims of study: Assessment of prevalence of paediatric urolithiasis among children attending Minia University Hospital for Urology and determine different risk factors related to pediatric urolithiasis. Methods: This study is a cross-sectional study conducted among children < 16 years old attending Minia University Hospital for Urology during the period from January 2023 to October 2023.children and their parents were interviewed and the data was collected through a designed well-structured sheet included socio-demographic data and clinical data of children Results: Total number of children aged <16 years attending Minia University Hospital for Urology during the period from January 2023 to October 2023 was 1200 children from which 85 children diagnosed with urolithiasis and the prevalence was estimated to be 7%. The mean age was 8.3 ± 4 years with 57.5% males and 42.5% females. Positive family history was 70% of children. There are significant differences between various age groups regarding the clinical presentations , the recurrence rate was significantly higher in males (49%) than females (16%) Conclusions: prevalence of pediatric urolithiasis is estimated 7% in children attending Minia University hospital with positive family history in 70% and rate of recurrence 35% so children with a positive family history should be followed up cautiously to avoid stone recurrence.