scholarly journals Urinary Tract Infection in Children after Voiding Cystourethrogram

2020 ◽  
Vol 5 (4) ◽  
pp. p18
Author(s):  
Raed Al-Taher ◽  
Mohamad Mahseeri ◽  
Doa'a Abu Jame' ◽  
Jamel Sahouri ◽  
Hiba Hudali ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Urine Analysis ◽  
Significant Risk ◽  
University Hospital ◽  
Voiding Cystourethrogram ◽  
Urinary Tract Abnormality ◽  
Ascending Infection

Objective: Voiding cystourethrogram is a minimally invasive diagnostic procedure used to visualize the urinary tract and bladder and diagnose vesicoureteral reflux disease. We aim to determine the likelihood of developing a UTI after the VCUG.Study design: A total sample of 125 children from the Jordan University Hospital who underwent 191 voiding cystourethrogram (VCUG) were retrospectively studied between 2002 and 2018, ages four days till 13 years old. Urine analysis and Culture were sent from selected patients, for post-VCUG-UTI.Methodology: Electronic records were retrospectively reviewed in 125 pediatric patients at Jordan University Hospital.Results: 60.7% of VCUG’s were abnormal (i.e., vesicoureteral reflux (VUR) or hydronephrosis). 5.24% had a negative urine analysis, 4.71% had a negative culture; 6.28% had a positive urine analysis, post-procedural urinary tract infection (ppUTI) was documented in 5.76% of the patients. The most common organism was Escherichia coli.Conclusions: Voiding cystourethrogram is a significant risk factor for urinary tract infection in the pediatric age group; it is still debated whether ascending infection due to catheterization or the presence of a urinary tract abnormality is the cause of infection. Further studies on a larger scale must be considered to study other contributing factors.

scholarly journals Congenital bilateral hydronephrosis diagnosed before birth, associated with vesicoureteral reflux, highlighted by urinary tract infection at the he age of 2 months - case presentation

2013 ◽  
Vol 19 (1) ◽  
pp. 39-45
Author(s):  
Anca Gabriela Bădescu ◽  
C. Tica ◽  
Larisia Mihai
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Renal Pelvis ◽  
Kidney Development ◽  
Urine Analysis ◽  
Voiding Cystourethrography ◽  
Fetal Ultrasonography ◽  
Bilateral Hydronephrosis

Abstract Vesicoureteral reflux is characterized by the retrograde flow of urine from the bladder to the kidneys. Vesicoureteral reflux may be associated with urinary tract infection, hydronephrosis, and abnormal kidney development (renal dysplasia). Hydronephrosis - literally “water inside the kidney” - refers to distension and dilatation of the renal pelvis and calyces, usually caused by obstruction of the free flow of urine from the kidney. Untreated, it leads to progressive atrophy of the kidney. In cases of hydroureteronephrosis, there is distention of both the ureter and the renal pelvis and ureteres. However, in the current era, hydronephrosis that is evident on fetal ultrasonography often heralds a ureteral abnormality. Hydronephrosis is defined as dilatation of the renal pelvis and/or calyces. Vesicoureteral reflux may present before birth as prenatal hydronephrosis, an abnormal widening of the ureter or with a urinary tract infection or acute pyelonephritis. The authors present a case of bilateral VUR of IVth grade associated with congenital hydronephrosis of IIIrd grade, diagnosed before birth with bilateral hydronephrosis, and taken into evidence at 2 months when he was first diagnosed with urinary tract infection. Positive diagnosis was facilitated by laboratory investigations (urine analysis, urine culture, voiding cystourethrography, static renal scintigraphy).

scholarly journals Epidemiological, bacteriological profile and bacterial resistance of urinary tract infections at pregnant woman in prenatal consultation in African setting

2020 ◽  
Vol 9 (2) ◽  
pp. 461
Author(s):  
Koffi Abdoul Koffi ◽  
Edèle Kacou Aka ◽  
Horo Apollinaire ◽  
Alice Mlan Britoh ◽  
Jean Marie Perel Konan
Keyword(s):  
Escherichia Coli ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Pregnant Women ◽  
Urinary Tract Infections ◽  
Significant Risk ◽  
University Hospital ◽  
First Choice ◽  
Tract Infections

Background: Urinary tract infection is a common pathology during pregnancy due to hormonal and morphological changes. Objective of this study was to improve management of urinary tract infection during prenatal care.Methods: A total of 987 pregnant women who have been in prenatal care have freely accepted to participate in cross-sectional study carried out from 1st May 2016 to 30th April 2017 at Yopougon University Hospital (Abidjan Côte d’Ivoire) were included. Patients were submitted to questionnaire by one of investigators for epidemiological component and then physical examination was carried out by her attending physician for clinical component. Then at laboratory urine was taken for culture after dipstick test.Results: Of the 987 patients included 9.4% had a urinary tract infection of which 81.7% were asymptomatic. Significant risk factors retained were existence of a history of urinary tract infection (OR=0.46; p=0,038) and gestational age of pregnancy (OR=0.44; p=0.05). Urine culture isolated germs were mainly Escherichia Coli (51.6%) and Klebsiella pneumoniaie (23.6%). These germs were all susceptible to cephalosporins. They had resistances of more than 50% to penicillins.Conclusions: Escherichia coli and Klebsiella pneumoniae are most common germs of urinary tract infections in pregnant women. Escherichia coli is not susceptible to penicillins with a resistance of 70% for penicillins except for clavulanic acid amoxicillin. It appears as first choice antibiotic for our prescriptions in case of probabilistic antibiotic therapy.

scholarly journals Prevalence of Vesicoureteral Reflux and Urinary Tract Infection in Children with and without Urolithiasis

2020 ◽  
Vol 12 (4) ◽  
Author(s):  
Parsa Yousefichaijan ◽  
Fatemeh Safi ◽  
Masoud Rezagholizamenjany ◽  
Mino Safari ◽  
Fakhreddin Shariatmadari
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Vesicoureteral Reflux ◽  
Clinical Status ◽  
Voiding Cystourethrogram ◽  
Group 12 ◽  
Urinary Tract Stones ◽  
Group 2 ◽  
Tract Infections

Background: Vesicourethral reflux (VUR) is a common urinary tract disorder in children, which may be associated with urolithiasis. Objectives: The current study aimed to investigate vesicoureteral reflux in children with and without urolithiasis. Methods: In this case-control study, 130 children younger than 10 years, with a confirmed diagnosis of urinary tract infection (UTI) are investigated. The demographic information and clinical status of all participants were recorded. Ultrasonography was performed for all children, and they were divided into two groups of 65 subjects based on the results: group 1, children with UTI+stone; and group 2, children with UTI+ non-stone. All children received Voiding Cystourethrogram to evaluate Vesicourethral reflux. Results: The mean age of participants was 7.48 ± 3.2 years, and 68 (52.7%) of them were male. Also, VUR was observed in 33 (25.38%) cases. The frequency of reflux in the UTI + stone group was 21 (32.3%), which was significantly higher than the other group (12 cases, or 18.46%) (P = 0.011). However, the association between UTI and stone (P = 0.3, CC = -0.01) was not significant. Conclusions: This study demonstrated a significant correlation between urinary tract stones and VUR in children with urinary tract infections. It is recommended to investigate the presence of stone or VUR in children suffering from any of the described disorders.

URINARY INFECTION AT DEPARTMENT OF UROLOGY OF HUE UNIVERSITY OF MEDICINE AND PHARMACY HOSPITAL

2018 ◽  
pp. 100-108
Author(s):  
Dinh Khanh Le ◽  
Dinh Dam Le ◽  
Khoa Hung Nguyen ◽  
Xuan My Nguyen ◽  
Minh Nhat Vo ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Urine Culture ◽  
Clinical Manifestations ◽  
University Hospital ◽  
E Coli ◽  
Positive Urine ◽  
Tract Infections

Objectives: To investigate clinical characteristics, bacterial characteristics, drug resistance status in patients with urinary tract infections treated at Department of Urology, Hue University Hospital. Materials and Method: The study was conducted in 474 patients with urological disease treated at Department of Urology, Hue Universiry Hospital from July 2017 to April 2018. Urine culture was done in the patients with urine > 25 Leu/ul who have symptoms of urinary tract disease or infection symptoms. Patients with positive urine cultures were analyzed for clinical and bacterial characteristics. Results: 187/474 (39.5%) patients had symptoms associated with urinary tract infections. 85/474 (17.9%) patients were diagnosed with urinary tract infection. The positive urine culture rate was 45.5%. Symptoms of UTI were varied, and no prominent symptoms. E. coli accounts for the highest proportion (46.67%), followed by, Staphycoccus aureus (10.67%), Pseudomonas aeruginsa (8,0%), Streptococcus faecali and Proteus (2.67%). ESBL - producing E. coli was 69.23%, ESBL producing Enterobacter spp was 33.33%. Gram-negative bacteria are susceptible to meropenem, imipenem, amikacin while gram positive are vancomycin-sensitive. Conclusions: Clinical manifestations of urinary tract infections varied and its typical symptoms are unclear. E.coli is a common bacterium (46.67%). Isolated bacteria have a high rate of resistance to some common antibiotics especially the third generation cephalosporins and quinolones. Most bacteria are resistant to multiple antibiotics at the same time. Gram (+) bacteria are susceptible to vancomycin, and gram (-) bacteria are susceptible to cefoxitin, amikacin, and carbapenem. Key words: urinary tract infection

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