ABSTRACT
BACKGROUND: To determine urodynamic, behavioral and functional abnormalities predisposing to recurrent urinary tract infection in 5- to 17-year-old girls. METHODS: A prospective case-control study was carried out. A total of 148 girls met inclusion criteria. They received a careful evaluation including complete history, voiding-drinking diary, bowel questionnaire, physical investigation, sonography, voiding cystourethrogram and urodynamic investigation. RESULTS: In a multivariate model, independent risk factors for recurrent urinary tract infection included age Subject(s)
Adolescent Behavior
, Child Behavior
, Cystitis/therapy
, Drinking Behavior
, Pyelonephritis/therapy
, Urinary Tract Infections/therapy
, Urodynamics
, Adolescent
, Age Factors
, Case-Control Studies
, Child
, Child, Preschool
, Cystitis/diagnosis
, Cystitis/physiopathology
, Cystitis/psychology
, Diagnostic Techniques, Urological
, Female
, Humans
, Logistic Models
, Odds Ratio
, Prospective Studies
, Pyelonephritis/diagnosis
, Pyelonephritis/physiopathology
, Pyelonephritis/psychology
, Recurrence
, Risk Assessment
, Risk Factors
, Surveys and Questionnaires
, Treatment Outcome
, Urinary Incontinence/physiopathology
, Urinary Incontinence/therapy
, Urinary Tract Infections/diagnosis
, Urinary Tract Infections/physiopathology
, Urinary Tract Infections/psychology
ABSTRACT
Psychosomatic status was investigated in 104 patients with essential hypertension (EH) and 111 patients with secondary arterial hypertension (AH) of renal origin in the presence of chronic pyelonephritis. A significant heterogeneity of psychological characteristics was established in patients with these two clinical forms of AH. In EH patients psychological deviations were detected since very early stages of the disease, but they did not become more profound with stabilisation of blood pressure. At the same time the progress of secondary AH was accompanied by obvious deterioration of initially little-changed psychological status, which correlated with the gravity of somatic status, in particular, with the severity of left ventricular hypertrophy.
