Evaluation of Knowledge, Attitude, and Practice of Mothers Presenting to Pediatric Clinic Regarding Urinary Tract Infection Prevention in Children

Mojtaba Fazel, Ghazaleh Tefagh, Mohammad-Ali Mohammadi-Vajari, Alipasha Meysamie, Faezeh Javadi Larijani, Seyed MohammadKazem Nourbakhsh, Yalda Ravanshad



Introduction: Urinary tract infection is one of the most common bacterial infections in children. It is preventable in many cases and appropriate health behaviors can protect a child from the disease or minimize its risk. Considering the relatively high prevalence of urinary tract infections in children and with regard to the important role of healthy behaviors in preventing this infection, we decided to evaluate the knowledge, attitude and practice of mothers regarding the prevention of urinary tract infections.

Materials and Methods: This cross-sectional descriptive-analytic study was performed in the Pediatric Clinic of Imam Khomeini Hospital to determine the knowledge, attitude, and practice of mothers about UTI in children and to evaluate its relationships with some demographic features. The data collection tool was a researcher-made questionnaire based on the literature review. The collected data were analyzed using SPSS 22 software and P-values less than 5% were considered significant.

Results: One hundred and fifteen mothers who presented to the Pediatric Clinic of Imam Khomeini Hospital participated in this study. The average knowledge, attitude, and practice score in the first part and the practice score in the second part was 6.21, 47.85, 13.86, and 10.66, respectively.

A statistically significant relationship was found between the score of knowledge and attitude. The knowledge score had a significant relationship between maternal employment status, household income, and household location. There was also a significant relationship between access to information and both the knowledge and attitude scores.

Conclusions: The significant relationship between access to information resources and the maternal knowledge and attitude scores confirms the importance of awareness in improving the knowledge of mothers in preventing urinary tract infection.

Keywords: Knowledge; Attitudes; Practice; Urinary Tract Infections; Pediatrics.

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Shaikh N, Morone NE, Bost JE, Farrell MH. Prevalence of urinary tract infection in childhood: a meta-analysis. The Pediatric infectious disease journal. 2008;27(4):302-8.

Shaw KN, Gorelick MH. Urinary tract infection in the pediatric patient. Pediatric Clinics. 1999;46(6):1111-24.

Rushton HG. Urinary tract infections in children: epidemiology, evaluation, and management. Pediatric Clinics. 1997;44(5):1133-69.

Shaikh N, Craig JC, Rovers MM, Da Dalt L, Gardikis S, Hoberman A, et al. Identification of children and adolescents at risk for renal scarring after a first urinary tract infection: a meta-analysis with individual patient data. JAMA pediatrics. 2014;168(10):893-900.

Keren R, Shaikh N, Pohl H, Gravens-Mueller L, Ivanova A, Zaoutis L, etal. Risk factors for recurrent urinary tract infection and renal scarring. Pediatrics. 2015;136(1):e13-e21.

Harmsen M, Wensing M, van der Wouden JC, Grol RP. Parents’ awareness of and knowledge about young children's urinary tract infections. Patienteducation and counseling. 2007;66(2):250-5.

Hashemi Parast M, Shojaizade D, Dehdari T, Gohari MR. Design and evaluation of educational interventions on the health belief model to promote preventivebehaviors of urinary tract infection in mothers with children less than 6 years. Razi Journal of Medical Sciences. 2013;20(110):22-8.

Meysamie A, Taee F, Mohammadi-Vajari M-A, Yoosefi-Khanghah S, Emamzadeh-Fard S, Abbassi M. Sample size calculation on web, can we rely on the results? Journal of Medical Statistics and Informatics. 2014;2(1):3.

Baghiani MM, Shojaeazadeh D, Mohamadloo A, Fallahzadeh H, Ranjbary M. Evaluation of preventive behaviors of UTI based on health belief model (HBM) in mothers with girls younger than 6 years old. 2013.

Foxman B. Epidemiology of urinary tract infections: incidence, morbidity, and economic costs. The American journal of medicine. 2002;113(1):5-13.

O'Brien K, Stanton N, Edwards A, Hood K, Butler CC. Prevalence of urinary tract infection (UTI) in sequential acutely unwell children presenting in primary care: exploratory study. Scandinavian journal of primary health care. 2011;29(1):19-22.

Mazzola BL, von Vigier RO, Marchand S, Tönz M, Bianchetti MG. Behavioral and functional abnormalities linkedwith recurrent urinary tract infections in girls. Journal of nephrology. 2003;16(1):133-8.

Shim YH, Lee JW, Lee SJ. The risk factors of recurrent urinary tract infection in infants with normal urinary systems. Pediatric Nephrology. 2009;24(2):309-12.


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