Incomplete bladder emptying is associated with febrile urinary tract infections in infants

Tsai, Jeng-Daw; Chang, Shang‐Jen; Lin, Cheng‐Jui; Yang, StephenShei-Dei

doi:10.1016/j.jpurol.2014.06.013

Cited by 9 publications

(5 citation statements)

References 20 publications

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“…Postvoid residual urine (PVR) >10 ml or 20% bladder capacity may be regarded as elevated PVR which was associated with recurrence of febrile UTI in infants [119]. Based on 1200 healthy children, normal reference values of uroflowmetry and PVR parameters for toilet trained children are summarized in the Table 5 [120][121][122][123][124][125][126][127].…”

Section: Diagnosis Of Lower Urinary Tract Dysfunctionmentioning

confidence: 99%

Asian guidelines for urinary tract infection in children

Yang

Tsai

Kanematsu

et al. 2021

Journal of Infection and Chemotherapy

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Section: Diagnosis Of Lower Urinary Tract Dysfunctionmentioning

confidence: 99%

Asian guidelines for urinary tract infection in children

Yang

Tsai

Kanematsu

et al. 2021

Journal of Infection and Chemotherapy

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“…Although we did not evaluate the VUR incidence after transplantation in the present study, the incidence of VUR was assumed to be similar as we adopted the same extravesical ureterocystoneostomy procedure. Given that asymptomatic bacteriuria occurs in 19–31% of recipients after kidney transplantation ( 26 ) and VUR is associated with increased post-voiding residual urine volume ( 27 , 28 ), this high incidence of VUR can evoke febrile upper UTI. Thus, we included afebrile UTI in the lower urinary tract in the analysis.…”

Section: Discussionmentioning

confidence: 99%

Influence of Graft Ureter Length, a Donor-Related Factor, on Urinary Tract Infections After Living-Donor Kidney Transplantation: A Single-Center Analysis of 211 Cases

Koga¹,

Yamanaga²,

Hidaka³

et al. 2022

Transpl Int

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Urinary tract infection (UTI) occurs in 25% of recipients of living-donor kidney transplantation (LDKT). Female sex, age, and anatomical abnormalities have been reported as recipient-related risk factors for UTI after LDKT; few studies have reported donor-related factors. We retrospectively examined UTI occurrence within 5 years of transplantation in recipients (n = 211) who underwent LDKT at our hospital between April 2011 and April 2021. All nephrectomies were performed using a retroperitoneal pure laparoscopic approach. The ureter was dissected at the lower level of the common iliac artery and trimmed to the shortest length, enough to reach the bladder using extra vesicular ureterocystoneostomy with a 3 cm submucosal tunnel. Twenty-nine recipients (13.7%) developed UTI within 5 years, and the median time to onset was 40.0 days. After adjusting for the well-known factors, including recipient sex, graft ureter length was an independent factor for UTI occurrence (HR 1.25, 95% CI 1.02∼1.53, p = 0.028) in the multivariate Cox regression analysis. The long ureter is usually trimmed, and the widest part is used for anastomosis, which may increase the possibility of reflux from the bladder to the ureter in the standard technique. The ureter length may be associated with the incidence of UTI after LDKT.

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“…moczowego (congenital anomalies of the kidney and urinary tract, CAKUT), mogą prowadzić do rozwoju przewlekłej choroby nerek (PChN) (1)(2)(3)(4)6) . Wczesne leczenie ZUM, właściwa diagnostyka chorych pozostających w grupie ryzyka rozwoju powikłań oraz wdrożenie odpowiedniego postępowania w przypadku współistnienia wad układu moczowego mogą zapobiec rozwojowi zmian przewlekłych (1,3,4,6) . Odpływ pęcherzowo-moczowodowy stanowi najczęstszą wadę układu moczowego towarzyszącą zakażeniom.…”

Section: Tab 3 Występowanie Opm W Badanych Grupachunclassified

An analysis of urinary tract infections in children up to 24 months of age: a 7-year single-centre follow-up

Wachnicka-Bąk¹,

Będzichowska²,

Jobs³

et al. 2020

Pediatr Med Rodz

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Introduction: Urinary tract infections are the second most common type of bacterial infection in children. Atypical infections may be associated with a higher future risk of chronic kidney disease. The current range of diagnostic tests in children with a history of urinary tract infections is still a subject of discussions. Aim of the study: We attempted to determine the indications for renal scintigraphy and develop a nephrological care model for children aged ≤24 months based on the analysis of urinary tract infections in this group of patients. Materials and methods: We included 61 children aged ≤24 months [42 (68%) girls and 19 (32%) boys], hospitalised in the Department of Paediatrics, Paediatric Nephrology and Allergology, Military Institute of Medicine in Warsaw from 2008 to 2015 due to their first episode of urinary tract infection, in our retrospective analysis. Depending on the result of DMSA static renal scintigraphy performed 6 months after completed treatment of urinary tract infection, patients were classified into 3 groups: normal scintigraphy (group I), irregular tracer uptake indicating a suspicion of post-inflammatory renal pole lesions (group II), and signs of hypodysplasia (group III). The following variables were compared: age at first infection, gender, fever, inflammatory markers, aetiology, ultrasonographic findings, and the results of voiding cystourethrography for vesicoureteral reflux. Results: The median age at the time of first infection was 5.5 months in group I, 7 months in group II, and 7.5 months in group III. Febrile urinary infection was reported in 6/21 patients in group I, 4/19 patients in group II, and 6/21 patients in group III. Increased C-reactive protein was observed in 7/21 patients in group I, 6/19 patients in group II, and 6/21 patients in group III. Recurrent infections were reported for 5/21 children in group I, 8/19 in group II, and 12/21 children in group III. Atypical aetiology of urinary infection was reported for 3/21 patients in group I, 2/19 in group II, and 2/21 in group III. Abnormal ultrasonographic findings were observed in 4/21 patients in group I, 1/19 patients in group II, and 4/21 patients in group III. Vesicoureteral reflux in voiding cystourethrography was reported in 5/21 patients in group I, 8/19 patients in group II, and 10/21 patients in group III. The analysis of all the investigated parameters showed no statistically significant differences between the groups. Conclusions: Renal scintigraphy should be performed in the youngest children with a history of urinary tract infection as it was not possible to identify patients with post-inflammatory renal scarring secondary to urinary tract infection based on the course of infection, its aetiology, ultrasound findings and the presence of vesicoureteral reflux. Ultrasonography was not sensitive enough to diagnose renal hypodysplasia in our group of children.

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Incomplete bladder emptying is associated with febrile urinary tract infections in infants

Cited by 9 publications

References 20 publications

Asian guidelines for urinary tract infection in children

Asian guidelines for urinary tract infection in children

Influence of Graft Ureter Length, a Donor-Related Factor, on Urinary Tract Infections After Living-Donor Kidney Transplantation: A Single-Center Analysis of 211 Cases

An analysis of urinary tract infections in children up to 24 months of age: a 7-year single-centre follow-up

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