Is vaginal reflux associated with urinary tract infection in female children under the age of 36 months? / 소아과
Korean Journal of Pediatrics
;
: 17-23, 2018.
Article
Dans Anglais
| WPRIM
| ID: wpr-741352
ABSTRACT
PURPOSE:
To determine the relationship between vaginal reflux (VR) and urinary tract infection (UTI) in female children aged < 36 months.METHODS:
A single center retrospective study was performed for 191 girls aged < 36 months, with a diagnosis of febrile UTI, who underwent a voiding cystourethrography (VCUG) for assessment of vesicoureteral reflux (VUR) at Sanggye Paik Hospital. Fifty-one girls, who underwent VCUG for assessment of congenital hydronephrosis or renal pelvis dilatation, without a UTI, formed the control group. The correlation between the presence and grade of VR and UTI was evaluated.RESULTS:
The prevalence rate of VR was higher in the UTI (42.9%) than control (13.7%) group (P < 0.05), with a higher VR severity grade in the UTI (mean, 0.64) than control (mean, 0.18) group (P < 0.05). On subanalysis with age-matching (UTI group n=126, age, 5.28±2.13 months; control group n=22, age, 4.79±2.40 months; P=0.33), both VR prevalence (43.65% vs. 18.18%, P < 0.05) and grade (0.65 vs. 0.22, P < 0.05) remained higher in the UTI than control group. Presence and higher grade of VR were associated with UTI recurrence (P < 0.05). VR was correlated to urosepsis (P < 0.05). The renal defect rate of patients with VR (VR [+]/VUR [+]) was not different from that of patients without VR (74% vs. 52%, P=0.143) in the VUR group; however, it was higher than that of VR (+)/VUR (−) patients (74% vs. 32%, P=0.001). If a child with VR (+)/VUR (+) is exposed to a UTI, the risk of renal defect increases.CONCLUSION:
Occurrence of VR is associated with UTI recurrence and urosepsis in pediatric female patients.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Récidive
/
Voies urinaires
/
Infections urinaires
/
Reflux vésico-urétéral
/
Prévalence
/
Études rétrospectives
/
Diagnostic
/
Dilatation
/
Hydronéphrose
/
Pelvis rénal
Type d'étude:
Etude diagnostique
/
Étude observationnelle
/
Étude de prévalence
/
Facteurs de risque
Limites du sujet:
Enfant
/
Femelle
/
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Pediatrics
Année:
2018
Type:
Article
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