Supplementary Files
Keywords
How to Cite
Abstract
Introduction: Urinary tract infection is a major cause of child morbidity. The diagnosis of acute pyelonephritis is important to decide the treatment. Methods: Retrospective observational study. We collected information of urinalysis, urine Gram and urine culture of hospitalized children between 3 months and 5 years old, with suspected urinary tract infection between January 2008 and December 2010. In patients with positive urine culture, the results of renal scintigraphy (Gamma scan) were evaluated to estimate the incidence of acute pyelonephritis. Results: We identified 1,463 medical records. Urinary culture was obtained in 237 patients, of whom 54.4% were positive. Renal scintigraphy was obtained in 93 of these patients and 59.1% were positive. Conclusions: The incidence of acute pyelonephritis in patients with confirmed urinary tract infection was 59.1%.
2. Zorc J, Kiddoo D, Shaw K. Diagnosis and management of pediatric urinary tract infections. Clin Microbiol Rev. 2005;18(2):417-22.
3. Shaik N, Morone N, López J, Chianese J, Sangvai S, D'Amico F, et al. Does this child have a urinary tract infection? JAMA. 2007;298(24):2895-904.
4. American Academy of Pediatrics, Committee on Quality Improvement, Subcommittee on Urinary Tract Infection. Practice parameter: The diagnosis, treatment, and evaluation of the initial urinary tract infection in febrile infants and young children. Pediatrics. 1999;103(4):843-52.
5. Quigley R. Diagnosis of urinary tract infections in children. Curr Opin Pediatr. 2009;21:194-8.
6. Chishti A, Maul E, Nazario R, Bennett J, Kiessling S. A guideline for the inpatient care of children with pyelonephritis. Ann Saudi Med. 2010;30(5):341-9.
7. Chiou YY, Wang ST, Tang MJ, Lee BF, Chiu NT. Renal fibrosis: Prediction from acute pyelonephritis focus volume measured at 99mTc Dimercaptosuccinic Acid SPECT1. Radiology. 2001;221:366-70.
8. Mohkan M, Maham S, Rahmani A, Naghi I, Otokesh B, Raiiati H, et al. Technetium Tc 99m dimercaptosuccinic acid renal scintigraphy in children with acute pyelonephritis correlation with other imaging tests. Iran J Kidney Dis. 2010;5(4):297-301.
9. Ghasemi K, Montarezi S, Pashazadeh AM, Javadahi H, Assadi M. Correlation of 99mTc-DMSA scan with radiological and laboratory examinations in childhood acute pyelonephritis: A time-series study. Int Urol Nephrol. 2013;45:925.
10. Koufadaki AM, Karavanaki KA, Soldatou A, Tsentidis Ch, Sourani MP, Sdogou T, et al. Clinical and laboratory indices of severe renal lesions in children with febrile urinary tract infection. Acta Paediatr. 2014 Sep;103(9):e404-9.
11. Shaikh N, Borrel JL, Evron J, Leeflang MM. Procalcitonin, C-reactive protein, and erythrocyte sedimentation rate for the diagnosis of acutepyelonephritis in children. Cochrane Database Syst Rev. 2015 Jan 20;1:CD009185.
12. Ayazi P, Mahyar A, Noroozian E, Esmailzadehha N, Barikani A. Comparison of renal ultrasonography and dimercaptosuccinic acid renal scintigraphy in febrile urinary tract infection. Infez Med. 2015 Dec;23(4):323-9.
This journal is registered under a Creative Commons Attribution 4.0 International Public License. Thus, this work may be reproduced, distributed, and publicly shared in digital format, as long as the names of the authors and Pontificia Universidad Javeriana are acknowledged. Others are allowed to quote, adapt, transform, auto-archive, republish, and create based on this material, for any purpose (even commercial ones), provided the authorship is duly acknowledged, a link to the original work is provided, and it is specified if changes have been made. Pontificia Universidad Javeriana does not hold the rights of published works and the authors are solely responsible for the contents of their works; they keep the moral, intellectual, privacy, and publicity rights.
Approving the intervention of the work (review, copy-editing, translation, layout) and the following outreach, are granted through an use license and not through an assignment of rights. This means the journal and Pontificia Universidad Javeriana cannot be held responsible for any ethical malpractice by the authors. As a consequence of the protection granted by the use license, the journal is not required to publish recantations or modify information already published, unless the errata stems from the editorial management process. Publishing contents in this journal does not generate royalties for contributors.