Reduced urinary excretion of neutrophil gelatinase-associated lipocalin as a risk factor for recurrence of febrile urinary tract infection in children

Author(s):  
Sohsaku Yamanouchi ◽  
Takahisa Kimata ◽  
Yuko Akagawa ◽  
Shohei Akagawa ◽  
Jiro Kino ◽  
...  
2021 ◽  
Vol 25 (2) ◽  
pp. 84-91
Author(s):  
Min Hwa Son ◽  
Hyung Eun Yim ◽  
Kee Hwan Yoo

Purpose: We aimed to study the association of plasma neutrophil gelatinase-associated lipocalin (pNGAL) and leukocyte differential count in children with febrile urinary tract infection (UTI).Methods: Medical records of 154 children aged 1 month to 13 years with febrile UTI who were hospitalized were retrospectively reviewed. Associations between pNGAL levels and blood leukocyte differential count at admission and after 48 hours of treatment were investigated in children with or without acute pyelonephritis (APN).Results: The APN group (n=82) showed higher pNGAL levels, neutrophil count, monocyte count, and neutrophil-to-lymphocyte ratio (NLR), compared to the non-APN group (n=72) (all P<0.05). After adjustment for age and sex, pNGAL showed positive correlations with neutrophil count and NLR in both groups (all P<0.05). Additionally, it was correlated with the monocyte-to-lymphocyte ratio (MLR) only in the APN group (P<0.05). Before and after treatment, pNGAL was positively correlated with neutrophil count, NLR, and MLR in patients with APN while it was related with neutrophil count and NLR in those without APN (all P<0.05). Areas under the receiver operating curve of pNGAL, neutrophil count, NLR, and MLR for predicting APN were 0.804, 0.760, 0.730, and 0.636, respectively (all P<0.05). Only pNGAL was independently associated with the presence of APN in a multivariable logistic regression analysis (P<0.05).Conclusion: In children with febrile UTIs, pNGAL might be associated with leukocyte differential count and the presence of APN.


2019 ◽  
Vol 44 (1) ◽  
pp. 45-50 ◽  
Author(s):  
Grażyna Krzemień ◽  
Małgorzata Pańczyk-Tomaszewska ◽  
Iwona Kotuła ◽  
Urszula Demkow ◽  
Agnieszka Szmigielska

2009 ◽  
Vol 181 (5) ◽  
pp. 2326-2331 ◽  
Author(s):  
Manabu Ichino ◽  
Yoko Kuroyanagi ◽  
Mamoru Kusaka ◽  
Terumi Mori ◽  
Kiyohito Ishikawa ◽  
...  

2009 ◽  
Vol 105 (12) ◽  
pp. 1689-1695 ◽  
Author(s):  
Cees Van Nieuwkoop ◽  
Petra J. Voorham-van der Zalm ◽  
Anne-Marike Van Laar ◽  
Henk W. Elzevier ◽  
Jeanet W. Blom ◽  
...  

2019 ◽  
Vol 29 (5) ◽  
pp. 340 ◽  
Author(s):  
Indira Agarwal ◽  
Iswarya Jagadesan ◽  
Swasti Chaturvedi ◽  
Arun Jose ◽  
RaniD Sahni ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document