Urinary Tract Infection in Children

Cw, Yen; Dh, Chen

doi:10.5772/24595

Cited by 6 publications

(4 citation statements)

References 62 publications

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“…Infectious complications (IC) were defined as the presence of clinical infection with proven organisms in cultures, positive pathogenic organisms by polymerase chain reaction (PCR) in sterile body fluids, or positive serology for bacteria and viruses requiring treatment. Standard definitions were used to describe types of infection (7–10). Bloodstream infection is defined as presence of pathogenic organisms in at least 1 positive blood culture obtained from a peripheral vein or catheter plus features of sepsis (eg, fever or hypothermia, and/or hypotension, raised white cell count, response to treatment) (8).…”

Section: Methodsmentioning

confidence: 99%

“…Lower respiratory tract infection (LRTI) was defined on the basis of increased production of purulent sputum, fever, an increased respiratory rate, raised white cell count, and radiographic changes (10). Urinary tract infection (UTI) was defined as presence of symptoms with or without pyuria and >10 5 colonies per milliliter of urine of a single type of organism in pure culture (7). All of the patients with ALF were commenced on antimicrobials when admitted to our unit, or in some patients as soon as diagnosis was confirmed at referring centers, where appropriate advice was given at first contact with our unit.…”

Section: Methodsmentioning

confidence: 99%

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Infectious Complications in Pediatric Acute Liver Failure

Godbole

Shanmugam

Dhawan

et al. 2011

J. pediatr. gastroenterol. nutr.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Infectious Complications in Pediatric Acute Liver Failure

Godbole

Shanmugam

Dhawan

et al. 2011

J. pediatr. gastroenterol. nutr.

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“…Среди детей с ПМР у 31 (51,7%) рефлюкс диагностирован с одной стороны и у 29 (48,3%) -с двух сторон. При одностороннем ПМР чаще преобладал заброс мочи в левый мочеточник в сравнении с правым (21 против 10), а распределение по степени ПМР было следующим: I (2), II (9), III (7), IV (7), V (6). У пациентов с двусторонним ПМР чаще диагностирована III степень рефлюкса: I (5), II (8), III (23), IV (11), V (11).…”

Section:  рез ультатыunclassified

“…Вторичным рефлюксом считают его проявление при других аномалиях развития или нарушениях мочевых путей, с дисфункцией пузырно-мочеточникового соустья. ПМР разделяют на пассивный, возникающий в покое, активный -во время мочеиспускания и пассивно-активный (смешанный) [1][2][3][5][6][7][8].…”

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Renal Prognosis of Vesicoureteral Reflux with Congenital Anomalies of the Kidney and Urinary Tract in Children

Кутырло¹,

Савенкова²,

Левиашвили³

2023

Педиатрия. Восточная Европа

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Цель. Оценить почечный прогноз при пузырно-мочеточниковом рефлюксе в структуре врожденных аномалий почек и мочевыводящих путей (ВАПМП/CAKUT). Материалы и методы. Обследовано 113 детей с врожденными аномалиями почек и мочевыводящих путей, не имеющих редких наследственных синдромов, у 60 (53,1%) из которых выявлен пузырно-мочеточниковый рефлюкс (ПМР) I–V степени. Степень ПМР определена согласно международной радиологической классификации R.L. Lebowitz et al. (1985). Оценка типа рефлюкс-нефропатии (РН) проведена по классификации I. Goldraich (1983), стадии хронической болезни почек (ХБП) – по NKF-K/DOQI (2002), National Kidney Foundation’s Kidney Disease и R. Hogg и соавт. (2003). Результаты. Установлена частота встречаемости одностороннего и двустороннего ПМР, РН и ХБП у пациентов с ВАПМП. Из 60 (53,1%) детей с ВАПМП и ПМР у 31 (51,7%) выявлен односторонний, а у 29 (48,3%) – двусторонний рефлюкс. ПМР чаще диагностировался у детей на первом году жизни (у 63,3% пациентов) с одинаковой частотой у мальчиков и девочек. Из 60 детей у 45 (75%) установлена III–V степень ПМР. Формирование РН 1–4-го типа выявлено у 25 (41,7%) детей с ПМР. Из 60 детей с ПМР и ВАПМП у 43 (71,7%) старше 2 лет проведена градация по стадиям ХБП и у 11 (25,6%) пациентов с РН 3–4-го типа к возрасту 12–16 лет имела место ХБП С4–5. Заключение. Фенотип ПМР и аномалий почек установлен у 93,3% детей, РН 1–4-го типа – в 41,7% случаев. Наличие ПМР и РН являются неблагоприятными факторами прогрессирования ХБП. Purpose. To evaluate the renal prognosis for vesicoureteral reflux in the structure of congenital anomalies of the kidneys and urinary tract. Materials and methods. 113 children with congenital anomalies of the kidneys and urinary tract, without rare hereditary syndromes, were examined, 60 (53.1%) of whom were diagnosed with vesicoureteral reflux (VUR) grades I–V. The degree of VUR was determined according to the international radiological classification R.L. Lebowitz et al. (1985). Assessment of the type of reflux nephropathy (RN) was carried out according to the classification I. Goldraich (1983), NKF-K/DOQI stages of chronic kidney disease (CKD) (2002), National Kidney Foundation’s Kidney Disease (2003) and R. Hogg et al. (2003). Results. The frequency of occurrence of unilateral and bilateral VUR, RN and CKD in patients with CAKUT was established. Of the 60 (53.1%) children with CAKUT and VUR, 31 (51.7%) had unilateral, and 29 (48.3%) had bilateral reflux. VUR was more often diagnosed in children in the first year of life (in 63.3% of patients) with the same frequency in boys and girls. Of the 60 children, 45 (75%) were diagnosed with grade III–V VUR. The formation of RN types 1–4 was detected in 25 (41.7%) children with VUR. Of 60 children with VUR and CAKUT, 43 (71.7%) older than 2 years were graded according to the stages of CKD and 11 (25.6%) patients with RN types 3–4 had CKD C4–5 by the age of 12–16 years. Conclusion. The phenotype of VUR and kidney anomalies was detected in children in 93.3%, RN type 1–4 in 41.7%. The presence of VUR and RN are unfavorable factors in the progression of CKD.

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