Childhood Recurrent Urinary Tract Infection in Southern Thailand

Vachvanichsanong, Prayong; Dissaneewate, Pornsak; McNeil, Edward

doi:10.3109/0886022x.2012.741647

Cited by 6 publications

(6 citation statements)

References 24 publications

(29 reference statements)

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“…Any detected CAKUT had similar proportions for the ESBL and non-ESBL groups. Although our previous study found CAKUT to be a risk factor for recurrent UTI [21], in this current study recurrent UTI was a risk factor for ESBL UTI, but CAKUT was not an independent risk factor for ESBL UTI. Almost half of our UTI patients were aged more than 2 years, which, in our setting, may be due to the fact that parents of children with symptoms of UTI tend to delay seeking medical care for their children.…”

Section: Discussioncontrasting

confidence: 96%

Extended - spectrum beta - lactamase E. coli and K. pneumoniae urinary tract infections

Vachvanichsanong

McNeil

Dissaneewate

2020

Preprint

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Background: The prevalences of extended - spectrum beta - lactamase (ESBL) Escherichia coli ( E . coli ) and Klebsiella pneumoniae ( K . pneumoniae ) urinary tract infections (UTI) in children are increasing worldwide. We aimed to investigate the prevalence, clinical findings, impact and risk factors of ESBL E . coli / K . pneumoniae UTI.Methods: The medical records of children with UTI aged <15 years admitted to Prince of Songkla University Hospital were reviewed. Results: Theirty-seven boys and 46 girls had ESBL in 102 UTI episodes; 85 boys and 103 girls had non-ESBL in all of their 222 UTI episodes. The median age at presentation was 1.5 (0.7 - 4.8) years for the ESBL group and 1.3 (0.6 - 3.9) for the non-ESBL group (p=0.2). Age and gender were not significantly different between the two groups. The prevalence of ESBL rose between 2004 and 2008 before plateauing at around 30-40% per year. The prevalences in first and recurrent UTI were 27.3% and 46.5%, respectively (p=0.003). Fever prior to UTI diagnosis was found in 78.4% of episodes in the non-ESBL group and 61.8% of episodes in the ESBL group (p=0.003). Multivariate analysis, children without fever (OR=2.14, 95% CI: 1.23-3.74) and those with recurrent UTI (OR=2.67, 95% CI: 1.37 – 5.19) were more likely to have ESBL UTI. The presence of CAKUT had no effect on ESBL UTI. Conclusions: ESBL was found in one-third of E . coli / K . pneumoniae UTI episodes. No clinical condition nor imaging study could predict ESBL. Recurrent UTI was the only independent risk factor.

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Section: Discussioncontrasting

confidence: 96%

Extended - spectrum beta - lactamase E. coli and K. pneumoniae urinary tract infections

Vachvanichsanong

McNeil

Dissaneewate

2020

Preprint

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“…With regard to the recurrence of febrile UTI, a significant association was observed between the presence of VUR and UTI recurrence in this study. In line with our findings, a study involving 307 UTI patients showed that the recurrence was related to reflux 25) . Another study involving children aged <6 years showed a correlation between UTI recurrence and VUR grades 4 and 5 26) .…”

Section: Discussionsupporting

confidence: 92%

Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection

et al. 2015

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PurposeTo evaluate the practical applications of the diagnosis algorithms recommended by the American Academy of Pediatrics urinary tract infection (UTI) guideline.MethodsWe retrospectively reviewed the medical records of febrile UTI patients aged between 2 and 24 months. The patients were divided into 3 groups: group I (patients with positive urine culture and urinalysis findings), group II (those with positive urine culture but negative urinalysis findings), and group III (those with negative urine culture but positive urinalysis findings). Clinical, laboratory, and imaging results were analyzed and compared between the groups.ResultsA total of 300 children were enrolled. The serum C-reactive protein level was lower in children in group II than in those in groups I and III (P<0.05). Children in group I showed a higher frequency of hydronephrosis than those in groups II and III (P<0.05). However, the frequencies of acute pyelonephritis (APN), vesicoureteral reflux (VUR), renal scar, and UTI recurrence were not different between the groups. In group I, recurrence of UTI and presence of APN were associated with the incidence of VUR (recurrence vs. no recurrence: 40% vs.11.4%; APN vs. no APN: 23.3% vs. 9.2%; P<0.05). The incidence of VUR and APN was not related to the presence of hydronephrosis.ConclusionUTI in febrile children cannot be ruled out solely on the basis of positive urinalysis or urine culture findings. Recurrence of UTI and presence of APN may be reasonable indicators of the presence of VUR.

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“…Vachvanichsanong et al (15) conducted a follow up study for one year to evaluate the prevalence and to determine the risk factors of recurrent UTI in children. In their study, which included all UTI children aged less than 15 years old, over a ten-year period at hospitals, they found that recurrent UTI in normal children was low; while in children with a genitourinary (GU) anomaly or other underlying disease indicating an immune compromised host, the recurrence rates were significantly higher.…”

Section: Discussionmentioning

confidence: 99%

“…Urinary Tract Infection accrues in males more than females in the first month of life (13)(14)(15) and is more common in females from the second month to adulthood. Furthermore, UTI relapse is two or more episodes of infection in a six-month period (16).…”

Section: Introductionmentioning

confidence: 99%

Urinary Infection Recurrence and Its Related Factors in Urinary Tract Infection

et al. 2018

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Background: Recurrent urinary tract infection (UTI) is one of the major health problems in children because of its high rate of occurrence. This study aimed at evaluating the frequency of recurrent urinary tract infection and related factors in children aged two months to 15 years old, refereed to the pediatric nephrology clinic of Zahedan city. Methods: In this descriptive study, 270 children with urinary tract infection were studied. The sampling method was convenient. Information was gathered from patients and their files. Data was analyzed by the SPSS version 18 software, using Chi Square and T-test. Results: The mean age of the children was 4.3 ± 3.7 years old. Thirty-four children (12.6%) were male and 236 (87.4%) female (P > 0.05). Overall, 109 children (73.6%) with recurrent UTI and 53 children (44.2%) without recurrent UTI had abnormal ultrasonography (P = 0.001). Furthermore, 115 children (76.7%) with recurrent UTI and 100 children (83.3%) with first UTI had positive results for E. coli culture (P = 0.177). Seventy-nine children (54.5%) with recurrent UTI and 61 children (39%) with first UTI were diagnosed to have elimination syndrome (P = 0.067). Abnormal VCUG was found in 39 children (47.6%) of 82 children with recurrent UTI yet children with first UTI had normal VCUG (P = 0.001). Conclusions: There was no difference regarding age, gender, dysfunctional elimination syndrome, and urine culture in children with recurrent UTI compared to those with first UTI, yet abnormal VCUG, kidney, and urinary tract ultrasonography were much more common in children with recurrent UTI.

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Childhood Recurrent Urinary Tract Infection in Southern Thailand

Cited by 6 publications

References 24 publications

Extended - spectrum beta - lactamase E. coli and K. pneumoniae urinary tract infections

Extended - spectrum beta - lactamase E. coli and K. pneumoniae urinary tract infections

Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection

Urinary Infection Recurrence and Its Related Factors in Urinary Tract Infection

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