Background: Urinary tract infection (UTI) is a common bacterial infection in infants and children.The diagnosis of UTI is often missed in infants and young children, as urinary symptoms are minimal and often non-specific. They can be associated with high morbidity and long-term complications like hypertension and renal failure. Methods: This is an 18-month hospital-based observational research that was carried out at the department of paediatrics at Hi Tech Medical College in Odisha. A total of 1200 urine specimens from paediatricpatients (0–14 years old) suspected of having a UTI were collected (midstream, diaper pad, and catheter aspirated). The identification of bacteria and culture were carried out using accepted microbiological methods. As per the proforma, a thorough clinical examination and detailed history were completed. Results: The research examined 1200 paediatric UTI cases, with the age range of 0 to 14year having higher distribution cases in males (56.3%) , while 76.5% of the patients were from lower socioeconomic levels. The majority had a fever as the predominant symptom in age group of zero to 2 year, abdominalpain (34.6%) is the predominant symptom in older children.