| Vesicoureteral reflux in children with suspected and proven urinary tract infection. | |
| | |
MedLine Citation:
|
PMID: 20467791 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
The aim of this study was to estimate the prevalence of vesicoureteral reflux (VUR) and clinically significant ultrasonography (US) abnormalities in a large group of children with proven and suspected urinary tract infection (UTI). The medical reports on renal US and voiding cystouretrographies (VCUG) of 2,036 children were reviewed. Renal US was performed on all children and VCUG on 1,185 children (58%). Based on the urine culture data, the UTI diagnoses were classified into five reliability classes (proven, likely, unlikely, false and no microbial data). The UTI diagnose was considered proven in 583/2036 (28.6%) and false in 145 (7.1%) cases. The prevalence of VUR was similar among those with proven and false UTI [37.4 vs. 34.8%; relative risk (RR) 1.08, 95% confidence intervals (95% CI) 0.7-1.7, P = 0.75] and decreased with increasing age (P = 0.001). Clinically significant US abnormalities occurred in 87/583 (14.9%) cases with proven UTI and significantly less often (11/145, 7.6%) in the false UTI class (RR 1.96, 95% CI 1.1-3.6, P = 0.02). Our finding supports the claim that VUR is not significantly associated to UTI and that its occurrence among children even without UTI is significantly higher than traditional estimates. This challenges the recommendations of routine VCUG after UTI. |
| | |
Authors:
|
Annukka Hannula; Mika Venhola; Marjo Renko; Tytti Pokka; Niilo-Pekka Huttunen; Matti Uhari |
Publication Detail:
|
Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2010-05-14 |
Journal Detail:
|
Title: Pediatric nephrology (Berlin, Germany) Volume: 25 ISSN: 1432-198X ISO Abbreviation: Pediatr. Nephrol. Publication Date: 2010 Aug |
Date Detail:
|
Created Date: 2010-06-18 Completed Date: 2010-10-04 Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 8708728 Medline TA: Pediatr Nephrol Country: Germany |
Other Details:
|
Languages: eng Pagination: 1463-9 Citation Subset: IM |
Affiliation:
|
Department of Paediatrics, University of Oulu, Oulu, Finland. annukka.hannula@oulu.fi |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Child Female Humans Kidney Male Prevalence Urinary Tract Infections / microbiology Urination Vesico-Ureteral Reflux* / diagnosis, epidemiology, ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Masked hypertension and hidden uncontrolled hypertension after renal transplantation.
Next Document: Biodegradation of ethanethiol in aqueous medium by a new Lysinibacillus sphaericus strain RG-1 isola...