Incidence of Acute Pyelonephritis in Hospitalized Children under 5 Years Old with Positive Urine Culture
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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%.
urinary tract infection; acute pyelonephritis; incidence; urine culture; renal scintigraphy.infección urinaria; pielonefritis aguda; incidencia; urocultivo; gammagrafía renal.
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.