scholarly journals Association Between Duration of Constipation and Frequency of Urinary Tract Infection in Children

2020 ◽  
Vol 11 (3) ◽  
Author(s):  
Pedram Ataee ◽  
Bahare Taleshi ◽  
Alireza Eskandarifar ◽  
Bijan Nuri ◽  
Rama Naghshizadian ◽  
...  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Gastrointestinal Tract ◽  
Tract Infection ◽  
Chronic Constipation ◽  
Analytical Study ◽  
Urine Analysis ◽  
Pediatric Gastroenterology ◽  
Urinary System ◽  
Common Problems

Background: Constipation and Urinary Tract Infection (UTI) are common problems in children. The gastrointestinal tract and the urinary system are related together anatomically and functionally. Constipation is one of the possible causes of UTI and its recurrence. Objectives: The purpose of this study was to evaluate the association between the duration of constipation and the frequency of upper and lower UTI in children in Sanandaj. Methods: A descriptive-analytical study was performed on children with chronic constipation aged less than 12 years, referring to the Pediatric Gastroenterology Clinic of Besat Hospital in Sanandaj in 2018-2019. Urine analysis and culture were performed for all the patients. Data were recorded in separate questionnaires. Results: There were 220 children in this study. Most cases of constipation and UTI belonged to the group of 3-6 years. Constipation was more common in boys and UTI in girls. Lower UTI was more common than upper UTI. Besides, 45% of the patients had constipation for less than a year. There was no significant relationship between the duration of constipation and the prevalence and type of UTI (upper or lower) (P = 0.405, P = 0.911). Conclusions: Urinary tract infection was common in children with chronic constipation. There was no relationship between the duration of constipation and the frequency and type of UTI.

scholarly journals Clinical and laboratory features of the course of the urinary tract infection among children in the first three years of life at the current stage

2022 ◽  
pp. 41-45
Author(s):  
A. Nее ◽  
E. V. Sergeeva ◽  
O. G. Bykova ◽  
O. V. Semeshina
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
System Development ◽  
Urinary System ◽  
Urinary Tract Abnormality ◽  
Second Child ◽  
Tract Disease ◽  
Renal Infection ◽  
Current Stage

Objective: To study main clinical and laboratory peculiarities of the course of urinary tract disease among children aged from newborns to 3 years old.Methods: Research design is a prospective controlled clinical research. 102 (60.71±3.77 %) children having urinary tract infection without accompanying abnormalities of the urinary system development were included in the first group. 66 (39.29±3.77 %) children having infection of the urinary tract amid congenital kidney defect.Results: Comparative evaluation of the results of complex examination of both groups showed that urinary tract infection is characterized by intoxication, pain and dysuric syndroms. The presence of accompanying kidneys and urinary tract abnormality development defined the latent course of the disease in every second child (59.09%) and supports the early development of renal infection (during first six months after birth).Conclusions: It’s necessary to conduct the search of diagnostics markers and predictors of the infection of the urinary tract among children of the first years of life, especially if there is an abnormality of the organs of urinary system.

Hyperammonemia in a patient with obstructive urinary tract infection due to Corynebacterium urealyticum

Open Medicine ◽  
2013 ◽  
Vol 8 (5) ◽  
pp. 597-599 ◽  
Author(s):  
Tsuneaki Kenzaka ◽  
Ayako Kumabe ◽  
Yuka Urushibara ◽  
Kensuke Minami ◽  
Takeshi Ishida
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Analysis ◽  
Urine Culture ◽  
Impaired Consciousness ◽  
Rapid Improvement ◽  
Urease Test ◽  
Tract Infections ◽  
Corynebacterium Urealyticum

AbstractA 93-year-old woman with neurogenic bladder was admitted to our hospital because of impaired consciousness. Her urine culture revealed urease-test-positive Corynebacterium urealyticum. She was diagnosed with hyperammonemia due to an obstructive urinary tract infection that was caused by urease-producing bacteria. The patient showed rapid improvement of impaired consciousness and hyperammonemia after urine analysis. It is necessary to consider obstructive urinary tract infection as a differential diagnosis of hyperammonemia, which commonly occurs in urinary tract infections owing to the presence of urease-producing bacteria. Relief from obstruction is the most important treatment for hyperammonemia caused by this mechanism.

Ultrasonography in the Radiologic Evaluation of Children With Urinary Tract Infection

PEDIATRICS ◽  
1986 ◽  
Vol 78 (1) ◽  
pp. 58-64 ◽  
Author(s):  
Uri Alon ◽  
Menucha Pery ◽  
Giora Davidai ◽  
Moshe Berant
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Hospitalized Patients ◽  
Voiding Cystourethrography ◽  
Urinary System ◽  
Intravenous Pyelography ◽  
Early Screening ◽  
Radiologic Evaluation ◽  
Radiologic Workup

A prospective blind study comparing the findings of ultrasonography, intravenous pyelography, and voiding cystourethrography was conducted on 81 patients to examine the place of ultrasonography in the initial radiologic evaluation of children with urinary tract infection. The patients' mean age was 4.8 years; 15 were male. Forty-eight were inpatients (mean age, 3.2 years) and 33 were outpatients (mean age, 7.2 years). In 29 patients (35.8%) abnormality of the urinary system was detected by one or more of the three imaging procedures; 21 were inpatients and eight were outpatients. The most frequent finding was vesicoureteral reflux, occurring in 62.1% of the pathologic cases. The findings at ultrasonography correlated well with those of intravenous pyelography in 73 of the 81 studies (90.1%), but they failed to demonstrate double collecting systems and several of the minor changes. However, ultrasonography in combination with cystourethrography identified all patients who had abnormal urinary systems, except for two children with negligible findings. Moreover, ultrasonography and cystourethrography together identified all 11 patients, nine of them inpatients, in whom surgical treatment was indicated. It is concluded that ultrasonography can successfully replace intravenous pyelography as a screening imaging procedure for the urinary system, but because of the superiority of intravenous pyelography in the detection of some types of lesions, intravenous pyelography will be required whenever ultrasonography or cystourethrography results are abnormal. Accordingly, and in view of the differences in the frequency and severity of pathologic findings between outpatients and hospitalized patients, the following protocol is suggested for the radiologic evaluation of children with urinary tract infection: For outpatients, cystourethrography can be performed 4 to 6 weeks after cessation of antibiotic therapy. If the study is normal, ultrasonography can be done; if this is also normal, no further radiologic workup is needed. Only when cystourethrography or ultrasonography findings are abnormal is intravenous pyelography also indicated. For hospitalized patients, especially young children, ultrasonography can be used as the early screening procedure, within two to four days after the diagnosis of urinary tract infection. If the results are normal, cystourethrography can follow after 4 to 6 weeks; if abnormal, cystourethrography can be performed after ten to 14 days. Here, too, intravenous pyelography is needed only when ultrasonography and/or cystourethrography results are abnormal.

scholarly journals Evaluation of Urinary Tract Infection following Corticosteroid Therapy in Patients with Multiple Sclerosis Exacerbation

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Aliyeh Bazi ◽  
Seyed Mohammad Baghbanian ◽  
Monireh Ghazaeian ◽  
Sahar Fallah ◽  
Narjes Hendoiee
Keyword(s):  
Multiple Sclerosis ◽  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urine Analysis ◽  
Demographic Data ◽  
Oral Prednisone ◽  
Intervention Group ◽  
Control Group ◽  
Urinary Tract Symptoms

The first treatment for multiple sclerosis exacerbation is usually short-term intravenous methylprednisolone (IVMP), with or without a regimen of oral prednisone taper (OPT). This study aims to evaluate the effects of IVMP and OPT in comparison with IVMP alone in raising the risk of urinary tract infection (UTI) and posttreatment improvement of urinary tract symptoms in patients with relapsing-remitting multiple sclerosis. This double-blind randomized clinical trial was conducted on 56 people with multiple sclerosis relapse who had undergone methylprednisolone for 5 days. Patients were randomly split into two groups: oral prednisolone and placebo (tapering for 20 days). Demographic data, duration of multiple sclerosis, urinary tract symptoms, the Expanded Disability Status Scale (EDSS) score, and urine data were analyzed. The incidence of UTI in the intervention and control groups did not differ significantly ( p = 560 ). However, the improvement of urinary tract symptoms in the intervention group was significantly more favorable than in the control group ( p ≤ 0.001 ). Furthermore, administering OPT after IVMP did not increase the risk of UTI occurrence in patients with multiple sclerosis exacerbation. The urine analysis results did not show any differences at baseline and after the corticosteroid tapering regimen. Due to the risk of infection by corticosteroids, it is no longer necessary to do further urinary screening in this group of patients.

Phytotherapy is a component of the clinical decision in the tactics of delayed administration of antibacterial therapy to children with urological symptoms at the outpatient stage

2020 ◽  
pp. 30-37
Author(s):  
T.V. Budnik ◽  
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Antibacterial Therapy ◽  
Urine Analysis ◽  
Herbal Remedy ◽  
Dipstick Test ◽  
Early Date ◽  
Number Of Patients ◽  
Urological Symptoms

Prevalence of a patient with urologic symptoms at an outpatient doctor, pediatric nephrologist contributes to the hyperdiagnosis of urinary tract infection in children (UTI). At the same time, the lack of a clear patient stratification algorithm for the use of antibacterial drugs (ABD) leads to abuse and serious consequences. The objective: study of the efficacy and safety of the use of standardized herbal medicine Canephron® N in children with urological symptoms without signs of systemic inflammatory reaction with the possibility of delayed administration of antibacterial therapy at the outpatient stage. Materials and methods. The study included 50 children aged 12 to 18 years with characteristic urological symptoms without any signs of systemic inflammation (lack of hyperthermia and/or leukocytosis). The study was conducted with the informed consent of children and parents in accordance with the Declaration of Human Rights in Helsinki. Verification of diagnoses was performed according to the unified clinical protocol of the Ministry of Health of Ukraine No. 627 dated November 3, 2008. The delayed tactics for the appointment of ABD are based on the provisions of the national British guidance NICE, 2018 by urine analysis using a dipstick test. Results. In 97% ± 2.8 (35/36) cases, the clinical and laboratory efficacy of the herbal remedy Canephron® N was confirmed. On the 7th day of therapy, 100% of patients (p<0.05) showed a regression of dysuria, pain, and leukocyturia. The number of patients with bacteriuria was reduced by 1.8 times (40% ± 20.77 (14/36) vs 22% ± 30.99 (8/36); p<0.05). The powerful crystallolytic action of the drug was noted at an early date (the crystalluria level increased by 2.8 times at day 7 of therapy, p<0.05), however, it required the prolongation of the use of the drug Canephron® N under the control of saline and ultrasound indicators. The likelihood of delayed involvement in ABD phytotherapy was low and was OR=0.049±0.553 [0.017; 0.146]; p<0.05. The likelihood of recurrent UTI in the next 3 months after the 7-day course with Canephron® N was minimal and was OR=0.001±1.434 at 95% CI [0.000; 0.014]; p<0.05. Conclusions. The delayed tactics of ABD under the guise of the herbal remedy Canephron® N was justified for girls aged 12–18 years with the stratification of the patient by dipstick test (88% ± 5.17 (44/50) showed negative nitrite test). The further prospect of such research in children is urgent and valid. Key words: urological symptoms, urinary tract infection, children, phytotherapy, Canephron® N.

scholarly journals Research Concerning the Correlations Between Urinary Tract Infections and Congenital Malformations of the Renourinary System

2013 ◽  
Vol 59 (1) ◽  
pp. 28-30
Author(s):  
Zsuzsanna Moréh ◽  
Lucia Sanda Voicu
Keyword(s):  
Urinary Tract Infection ◽  
Urinary Tract ◽  
Tract Infection ◽  
Urinary Tract Infections ◽  
Congenital Malformations ◽  
Urinary Infection ◽  
Pediatric Nephrology ◽  
Ultrasound Screening ◽  
Urinary System ◽  
Tract Infections

Abstract Introduction: Congenital malformations of the urinary system are risk factors for the development of urinary tract infections (UTI). Besides the severity of the malformation, urinary infection is always associated with poor prognosis for these patients. Late discovery of the malformation background, after several urinary tract infection episodes, contributes to the development of chronic pyelonephritis that may lead to chronic renal failure. Material and method: The study involved patients with renal and urinary tract congenital malformations treated at the Pediatric Nephrology Department from Tîrgu Mureș over a period of 6 years, who associated urinary tract infection. Results: Out of the total of 432 patients with congenital malformations of the urinary system, 270 had had at least one or several episode(s) of urinary tract infections in their medical history. Vesico-ureteral reflux and obstructive lesions of the urinary tract were most frequently associated with urinary infections. During the time when no ultrasound screening had been performed, the malformation background was usually diagnosed at the time of the first urinary infection episodes. Conclusions: The incidence of urinary tract infections in patients with renal and urinary tract congenital malformations depends on the type of the underlying malformation, and the time of diagnosis of the malformation background. Prevention of irreversible complications requires early diagnosis of the urinary system malformations that can be performed through ultrasound screening in the neonatal period.

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