Risk Factors for Vesicoureteral Reflux in Children with Upper and Lower Urinary Tract Infections
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2014, Vol 4, Issue 9
Abstract
Objective: Urinary tract infections (UTIs) are common in children and may signal vesicoureteral reflux (VUR). This study aimed to identify the risk factors associated with VUR and to emphasize value of diagnostic imaging studies in children. Methods: This study was assessed 173 medical records of children who had first-time UTI in Ege University Pediatric Nephrology Department between January 2008 and January 2010. Patients were divided into 2 groups according to localization of UTI infections. Patients with fever, elevated acute phase reactants, low urine osmolarity and positive urinary culture were defined as having an upper UTI (Group I). Patients without systemic symptoms were defined as having a lower UTI (Group II). Results: Ultrasonography (US) findings were abnormal in 43.4% patients. Abnormal dimercaptosuccinic acid (DMSA) was detected in 45% of patients and VUR was found in 41%. US had 52.4% sensitivity and 64.4% specificity for cortical defects in DMSA, and 52.4% sensitivity and 46.4% specificity for VUR. In Group I, DMSA had 70% sensitivity and 70% specificity for reflux in voiding cystourethrography. In Group II, US had 53% sensitivity and 48% specificity for cortical defects in DMSA, and 50% sensitivity and 41% specificity for VUR. DMSA had 62.5% sensitivity and 54.5% specificity for VUR. Conclusions: Patients with UTIs should not be evaluated according to age and localization, only but rather according to all risk factors.
Authors and Affiliations
Ipek Kaplan Bulut, Nida Dincel, Mustafa Orhan Bulut, Betul Sozeri, Sema Rala, Gokben Kayacan, Zubeyir Hasan Gun, Sevgi Mir
Keywords
Related Articles
- EP ID EP348763
- DOI 10.9734/BJMMR/2014/7628
- Views 65
- Downloads 0
MRI versus CT Machine of the Quality of Brain Image
The aim of our study was to compare the imaging quality of the two machines in order to find out which of them produces more quality brain images that the other. A qualitative study was employed and data was collected, t...
Tight Hamstring Syndrome Related Lumbar Disc Herniation and Its Rehabilitation Program to Two Case Reports
Tight hamstring syndrome (THS) is a symptom complex which has a varied pathogenesis. The syndrome usually occurs in childhood and adolescent period. It is characterized by tightness of lumbar, ischial and crural muscles....
Static Magnetic Field Effect on Cardiovascular Regulation: A Review
Mounting evidence suggests that environmental and occupational magnetic fields affect cardiovascular system. In this review, supported by original hemodynamic recordings - direct experimental evidence of the effect - sta...
Hepatoid Carcinoma of Adrenal Gland: A Case Report
Aims: Hepatoid carcinoma is a rare tumor that mimics the morphologic and immunohistochemical features of hepatocellular carcinoma. An exceptional occurrence in adrenal gland has been recorded in the literature. The aim o...
Endothelial Dysfunction and Cardiovascular Disease: Critical Target for Cell-Based Therapies
This review briefly summarizes how cell-based therapeutic interventions are being developed and applied to treat endothelial dysfunction (ED) as a critical clinical target. ED directly contributes to the onset and progno...