Araştırma Makalesi
Yıl 2018,
Cilt: 1 Sayı: 3, 50 - 54, 31.12.2018
Öz
Introduction:Urinary tract infections (UTIs) are common infections in all childhood including the newborn period, and it causes considerable mortality and morbidity. Our aim in this study is to emphasize the importance of UTIs that even if there are other diseases that may explain the present complaints and findings.
Methods:The study was carried out with 100 patients who were hospitalized between May 2003 and May 2005. A detailed physical examination, Gastric microscopy and gaita cultures, PA lung graphy, Anthropometric measurements, CRP, serum leukocyte levels, ultrasound, Scintigraphy and VCUG was performed in order to investigate the accompanying disease.
Results:While urinary system complaints are seen in 29% of cases, non-Urinary symptoms are seen in 15% of the cases, and in 50 % of cases had both complaint types were together. In urinary system symptoms were 32% disuria, 19% polyuria, 63% abdominal pain and pollakiuria 13%. Non-Urinary symptoms were diarrhea (10%), cough (24%), hypertension (10%), CVD (27%) and fever (53%). 14% Protein energy malnutrition, 19%acute gastroenteritis, 22% lower respiratory tract infection and 13% central nervous system (CNS) anomaly were found. Of the 90 patients who had USG results, 53.3% were evaluated as normal; Grade 1 + 2 pelvicalectasis in 16,7%; grade 3 + 4 pelvicalectasis in 18,9%. The distributions of 51 cases with voiding results were as follows; 60.8% were normal, 3.9% grade 1, 5.9% grade 2, 7.8% grade 3, 7.8% grade 4, 9.8% Grade 5 Vesicoureteral reflux was detected. Scintigraphic examination revealed 40.0% normal, 22.5% scar and 47.5% loss of activity. Ampicillin and TMP SMX did not show any statistically significant difference between microorganisms cultured in resistance culture (p> 0,05).
Discussion:Urinary system infections did still maintain their significance for causing chronic diseases and serious complications. This study shows that even if the patient has a disease that will explain the complaints of the patient, the urinary system infection may also be accompanied by the appropriate treatment of the detected UTI and that further tests (radiology, nuclear medicine ) may be life saving for the patient if necessary.
Anahtar Kelimeler
Kaynakça
- 1-)McKerrow W, Davidson-Lamb N, Jones PF Urinary tract infection in children. Br Med J (Clin Res Educ). 1984; 289:299-3032-)Downs MS.Urinary tract ınfections in febrile infants and young children, Pediatrics, 1999; 103:54-95 3-)Jeena PM,Coovadia HM,Adhikari M.Probable Association Between Urinary Tract Infections and Common Disease of Infancy and Childhood Journal of Tropical Pediatrics1996;42:112-4 4-)Karaaslan Bıyıklı N, Uyan ZS, Turan S, Baysoy G, Alpay H.Solunum Yolu Semptomları ile Başvuran Hastalarda İdrar Yolu Enfeksiyonu Sıklığı, Ege Pediatri Bülteni.2003;10(1):7-95-)Roberts K, Charney E, Sweren RJ, Urinary tract infection in infants with unexplained fever: a collaborative study. J Pediatr. 1983; 103:864-8676-)Hoberman A, Wald ER, Reynolds EA, Penchansky L, Charron M Pyuria and bacteriuria in urine specimens obtained by catheter from young children with fever. J Pediatr. 1994; 124:513-5197-)Wu CY,Chiu PC, Hsieh KS.Childhood UTI :a clinical analysis of 597 cases. Acta Paediatrics Taiwan .2004Nov-Dec ;45(6):313-4 8-)Hoekelman RA Is screening urinalysis worthwhile in asymptomatic pediatric patients? Pediatr Ann. 1994; 23:459-4609-)Wiswell TE, Smith FR, Bass JW Decreased incidence of urinary tract infections in circumcised male infants. Pediatrics. 1985; 75:901-903 10-)Wiswell TE, Hachey WE Urinary tract infections and the uncircumcised state: an update. Clin Pediatr (Phila). 1993; 32:130-134 29-)Lerner GR. Urinary tract infections in children. Pediatr Ann. 1994;23:463, 466-47311-)Ginsberg CM, McCracken GH Jr Urinary tract infections in young infants. Pediatrics. 1982; 69:409-412 12-)Hoberman A, Wald ER, Penchansky L, Reynolds EA, Young S Enhanced urinalysis as a screening test for urinary tract infection. Pediatrics. 1993; 91:1196-1199 13-)Pfaller M, Ringenberg B, Rames L, Hegeman J, Koontz F The usefulness of screening tests for pyuria in combination with culture in the diagnosis of urinary tract infection. Microbiol Infect Dis. 1987; 6:207-215 14-)Weinberg AG, Gan VN Urine screen for bacteriuria in symptomatic pediatric outpatients. Pediatr Infect Dis J. 1991; 10:651-654 15-)Lohr JA, Portilla MG, Geuder TG, Dunn ML, Dudley SM Making a presumptive diagnosis of urinary tract infection by using a urinalysis performed in an on-site laboratory. J Pediatr. 1993; 122:22-2516-)Kunin CM, DeGroot JE Sensitivity of a nitrite indicator strip method in detecting bacteriuria in preschool girls. Pediatrics. 1977; 60:24417-) Lowe PA Chemical screening and prediction of bacteriuria: a new approach. Med Lab Sci. 1985; 42:28-33 18-)Ellerstein NS, Sullivan TD, Baliah T, Neter E Trimethoprim/sulfamethoxazole and ampicillin in the treatment of acute urinary tract infections in children: a double blind study. Pediatrics. 1977; 60:245-24719-)Tahirovic H, Pasic M A modified nitrite test as a screening test for significant bacteriuria. Eur J Pediatr. 1988; 147:632-633 20-)Corman LI, Foshee WS, Kotchmar GS, Harbison RW Simplified urinary microscopy to detect significant bacteriuria. Pediatrics. 1982; 70:133-135 21-) Lin DS. UTI in febril infants younger than eight weeks of age J.Pediatr. 2000;105:448-5222-) Hoberman A, Chao HP, Keller DM, Hickey R, Davis HW, Ellis D Prevalence of urinary tract infection in febrile infants. J Pediatr. 1993; 123:17-23 23-) Bulloch B.et al Can urine clarity exclude the diagnosis of UTI J.Pediatr.2000;106:310-1623-) Ayata A ve ark. Çocukluk çağı ÜSE lerde izole edilen bakteriler ve antibiyotik duyarlılığı İnfeksiyon dergisi 1998;12:9-1124-) Haller M,Brandis M,Berner R.Antibiotic resistance of urinary tract pathogens and rationale for empirical inreavenous therapy Pediatr Nephrol.2004 Sep ;19(9):982-6 25-)Bonadio WA, Smith DS, Madagame E, Machi J, Kini N Escherichia coli bacteremia in children: a review of 91 cases in 10 years. Am J Dis Child. 1991; 145:671-67426-)Lebowitz RL, Olbing H, Parkkulainen KV, Smellie JM, Tamminen-Mobius TE International system of radiographic grading of vesicoureteric reflux: international reflux study in children. Pediatr Radiol. 1985; 15:105-10927-) Buys H,Pead L,Hallet R,Maskell R. Suprapubic aspirationunder ultrasound guidance in children with fever of undiagnosed cause.Br Med J.1994;308:690-692 28-) Farnsworth RH, Rossleigh MA, Leighton DM, Bass SJ, Rosenberg AR The detection of reflux nephropathy in infants by 99 m technetium dimercaptosuccinic acid studies. J Urol. 1991; 145:542-54629-) Jodal U The natural history of bacteriuria in childhood. Infect Dis Clin North Am. 1987; 1:713-729 30-) Bisset GS III, Strife JL, Dunbar JS Urography and voiding cystourethrography: findings in girls with urinary tract infection. AJR Am J Roentgenol. 1987; 148:479-482 31-) Rickwood A, Carty HM, McKendrick T, Current imaging of childhood urinary infections: prospective survey. Br Med J. 1992; 304:663-66532-) Honkinen O, Ruuskanen O, Rikalainen H, Makinen EO, Valimaki I Ultrasonography as a screening procedure in children with urinary tract infection. Pediatr Infect Dis. 1986; 5:633- 635 33-) Stokland E, Hellstrom M, Hansson S, Jodal U, Oden A, Jacobsson B Reliability of ultrasonography in the identification of reflux nephropathy in children. Br Med J. 1994; 309:235-239 34-) Alon U, Berant M, Pery M Intravenous pyelography in children with urinary tract infection and vesicoureteral reflux. Pediatrics. 1989; 83:332-336 35-) Ataei N, Madani A,Habibi R.Evaluation of acute pyelonephritis with DMSA scans in children presenting after the age of 5 years. Pediatric nephrology .2005 Aug; 5 36-) Goldman M,Lahat E,Straus S. İmaging after UTI in neonatal period. J.Pediatr. 2000 ;: 105(6): 1232-1235 37-) Dagan R, Phillip M, Watemberg NM, Kassis I Outpatient treatment of serious community-acquired pediatric infections using once daily intramuscular ceftriaxone. Pediatr Infect Dis J. 1987; 6:1080-1084 38-) Principi N, Gervasoni A, Reali E, Tagliabue P Treatment of urinary tract infections in children with a single daily dose of gentamicin. Helv Paediatr Acta 1977; 32:343-35039-) Guven A intramusculer antibiotic treatment uf UTI Indian J pediatr. 2004; 71(11): 979- 81 40-) Alos JI ,Serrano MG Perianes J Antibiotic resistance of E Coli in UTI Clin Microbiol Infect. 2005 Mar; 11(3):199-20341-) Kurutepe S,Surucuoglu S,Sezgin C.Antimicrobial resistance in E Coli isolate from UTI Jpn J Infect Dis.2005 Jun ;58(3):159-61 42-) Mohanna MA,Raja’a YA Treatment of UTI in children J Ayub Med Coll Abbotabad 2005 Apr – Jun ; 17 (2) : 20-2 43-) Pape L,Gunzer F,Ziesing S.Bacterial pathogens ,resistance patterns and treatment options in community acquired pediatric urinary tract infections Klin Padiatr.2004 Mar-Apr;216(2): 83-6
Yıl 2018,
Cilt: 1 Sayı: 3, 50 - 54, 31.12.2018
Öz
Kaynakça
- 1-)McKerrow W, Davidson-Lamb N, Jones PF Urinary tract infection in children. Br Med J (Clin Res Educ). 1984; 289:299-3032-)Downs MS.Urinary tract ınfections in febrile infants and young children, Pediatrics, 1999; 103:54-95 3-)Jeena PM,Coovadia HM,Adhikari M.Probable Association Between Urinary Tract Infections and Common Disease of Infancy and Childhood Journal of Tropical Pediatrics1996;42:112-4 4-)Karaaslan Bıyıklı N, Uyan ZS, Turan S, Baysoy G, Alpay H.Solunum Yolu Semptomları ile Başvuran Hastalarda İdrar Yolu Enfeksiyonu Sıklığı, Ege Pediatri Bülteni.2003;10(1):7-95-)Roberts K, Charney E, Sweren RJ, Urinary tract infection in infants with unexplained fever: a collaborative study. J Pediatr. 1983; 103:864-8676-)Hoberman A, Wald ER, Reynolds EA, Penchansky L, Charron M Pyuria and bacteriuria in urine specimens obtained by catheter from young children with fever. J Pediatr. 1994; 124:513-5197-)Wu CY,Chiu PC, Hsieh KS.Childhood UTI :a clinical analysis of 597 cases. Acta Paediatrics Taiwan .2004Nov-Dec ;45(6):313-4 8-)Hoekelman RA Is screening urinalysis worthwhile in asymptomatic pediatric patients? Pediatr Ann. 1994; 23:459-4609-)Wiswell TE, Smith FR, Bass JW Decreased incidence of urinary tract infections in circumcised male infants. Pediatrics. 1985; 75:901-903 10-)Wiswell TE, Hachey WE Urinary tract infections and the uncircumcised state: an update. Clin Pediatr (Phila). 1993; 32:130-134 29-)Lerner GR. Urinary tract infections in children. Pediatr Ann. 1994;23:463, 466-47311-)Ginsberg CM, McCracken GH Jr Urinary tract infections in young infants. Pediatrics. 1982; 69:409-412 12-)Hoberman A, Wald ER, Penchansky L, Reynolds EA, Young S Enhanced urinalysis as a screening test for urinary tract infection. Pediatrics. 1993; 91:1196-1199 13-)Pfaller M, Ringenberg B, Rames L, Hegeman J, Koontz F The usefulness of screening tests for pyuria in combination with culture in the diagnosis of urinary tract infection. Microbiol Infect Dis. 1987; 6:207-215 14-)Weinberg AG, Gan VN Urine screen for bacteriuria in symptomatic pediatric outpatients. Pediatr Infect Dis J. 1991; 10:651-654 15-)Lohr JA, Portilla MG, Geuder TG, Dunn ML, Dudley SM Making a presumptive diagnosis of urinary tract infection by using a urinalysis performed in an on-site laboratory. J Pediatr. 1993; 122:22-2516-)Kunin CM, DeGroot JE Sensitivity of a nitrite indicator strip method in detecting bacteriuria in preschool girls. Pediatrics. 1977; 60:24417-) Lowe PA Chemical screening and prediction of bacteriuria: a new approach. Med Lab Sci. 1985; 42:28-33 18-)Ellerstein NS, Sullivan TD, Baliah T, Neter E Trimethoprim/sulfamethoxazole and ampicillin in the treatment of acute urinary tract infections in children: a double blind study. Pediatrics. 1977; 60:245-24719-)Tahirovic H, Pasic M A modified nitrite test as a screening test for significant bacteriuria. Eur J Pediatr. 1988; 147:632-633 20-)Corman LI, Foshee WS, Kotchmar GS, Harbison RW Simplified urinary microscopy to detect significant bacteriuria. Pediatrics. 1982; 70:133-135 21-) Lin DS. UTI in febril infants younger than eight weeks of age J.Pediatr. 2000;105:448-5222-) Hoberman A, Chao HP, Keller DM, Hickey R, Davis HW, Ellis D Prevalence of urinary tract infection in febrile infants. J Pediatr. 1993; 123:17-23 23-) Bulloch B.et al Can urine clarity exclude the diagnosis of UTI J.Pediatr.2000;106:310-1623-) Ayata A ve ark. Çocukluk çağı ÜSE lerde izole edilen bakteriler ve antibiyotik duyarlılığı İnfeksiyon dergisi 1998;12:9-1124-) Haller M,Brandis M,Berner R.Antibiotic resistance of urinary tract pathogens and rationale for empirical inreavenous therapy Pediatr Nephrol.2004 Sep ;19(9):982-6 25-)Bonadio WA, Smith DS, Madagame E, Machi J, Kini N Escherichia coli bacteremia in children: a review of 91 cases in 10 years. Am J Dis Child. 1991; 145:671-67426-)Lebowitz RL, Olbing H, Parkkulainen KV, Smellie JM, Tamminen-Mobius TE International system of radiographic grading of vesicoureteric reflux: international reflux study in children. Pediatr Radiol. 1985; 15:105-10927-) Buys H,Pead L,Hallet R,Maskell R. Suprapubic aspirationunder ultrasound guidance in children with fever of undiagnosed cause.Br Med J.1994;308:690-692 28-) Farnsworth RH, Rossleigh MA, Leighton DM, Bass SJ, Rosenberg AR The detection of reflux nephropathy in infants by 99 m technetium dimercaptosuccinic acid studies. J Urol. 1991; 145:542-54629-) Jodal U The natural history of bacteriuria in childhood. Infect Dis Clin North Am. 1987; 1:713-729 30-) Bisset GS III, Strife JL, Dunbar JS Urography and voiding cystourethrography: findings in girls with urinary tract infection. AJR Am J Roentgenol. 1987; 148:479-482 31-) Rickwood A, Carty HM, McKendrick T, Current imaging of childhood urinary infections: prospective survey. Br Med J. 1992; 304:663-66532-) Honkinen O, Ruuskanen O, Rikalainen H, Makinen EO, Valimaki I Ultrasonography as a screening procedure in children with urinary tract infection. Pediatr Infect Dis. 1986; 5:633- 635 33-) Stokland E, Hellstrom M, Hansson S, Jodal U, Oden A, Jacobsson B Reliability of ultrasonography in the identification of reflux nephropathy in children. Br Med J. 1994; 309:235-239 34-) Alon U, Berant M, Pery M Intravenous pyelography in children with urinary tract infection and vesicoureteral reflux. Pediatrics. 1989; 83:332-336 35-) Ataei N, Madani A,Habibi R.Evaluation of acute pyelonephritis with DMSA scans in children presenting after the age of 5 years. Pediatric nephrology .2005 Aug; 5 36-) Goldman M,Lahat E,Straus S. İmaging after UTI in neonatal period. J.Pediatr. 2000 ;: 105(6): 1232-1235 37-) Dagan R, Phillip M, Watemberg NM, Kassis I Outpatient treatment of serious community-acquired pediatric infections using once daily intramuscular ceftriaxone. Pediatr Infect Dis J. 1987; 6:1080-1084 38-) Principi N, Gervasoni A, Reali E, Tagliabue P Treatment of urinary tract infections in children with a single daily dose of gentamicin. Helv Paediatr Acta 1977; 32:343-35039-) Guven A intramusculer antibiotic treatment uf UTI Indian J pediatr. 2004; 71(11): 979- 81 40-) Alos JI ,Serrano MG Perianes J Antibiotic resistance of E Coli in UTI Clin Microbiol Infect. 2005 Mar; 11(3):199-20341-) Kurutepe S,Surucuoglu S,Sezgin C.Antimicrobial resistance in E Coli isolate from UTI Jpn J Infect Dis.2005 Jun ;58(3):159-61 42-) Mohanna MA,Raja’a YA Treatment of UTI in children J Ayub Med Coll Abbotabad 2005 Apr – Jun ; 17 (2) : 20-2 43-) Pape L,Gunzer F,Ziesing S.Bacterial pathogens ,resistance patterns and treatment options in community acquired pediatric urinary tract infections Klin Padiatr.2004 Mar-Apr;216(2): 83-6
Toplam 1 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Klinik Tıp Bilimleri |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 31 Aralık 2018 |
| Gönderilme Tarihi | 17 Temmuz 2018 |
| Yayımlandığı Sayı | Yıl 2018 Cilt: 1 Sayı: 3 |