The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital: A 10-Year Report
Background and purpose: Urinary tract anomalies are responsible for urinary tract infection (UTI) in more than 30% of children. The present study was carried out to determine the prevalence of urinary tract anomalies in children with pyelonephritis referred to Amirkola Children Hospital during 2010-...
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| Format: | Article |
| Language: | English |
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Mazandaran University of Medical Sciences
2023-12-01
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| Series: | Journal of Mazandaran University of Medical Sciences |
| Subjects: | |
| Online Access: | http://jmums.mazums.ac.ir/article-1-19966-en.pdf |
| _version_ | 1797359804755214336 |
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| author | Atefeh Haghpanah Hadi Sorkhi Mohsen Mohammadi Hoda Shirafkan |
| author_facet | Atefeh Haghpanah Hadi Sorkhi Mohsen Mohammadi Hoda Shirafkan |
| author_sort | Atefeh Haghpanah |
| collection | DOAJ |
| description | Background and purpose: Urinary tract anomalies are responsible for urinary tract infection (UTI) in more than 30% of children. The present study was carried out to determine the prevalence of urinary tract anomalies in children with pyelonephritis referred to Amirkola Children Hospital during 2010-2020.
Materials and methods: In this cross-sectional study, all children with UTI admitted to Amirkola Children Hospital during 2010-2020 were enrolled. The inclusion criteria were children aged between 2 months and 18 years, positive signs and symptoms of UTI, and positive urine culture with reliable sampling. Children with a positive history of surgery on the urinary tract were excluded. Imaging studies included ultrasonography, DMSA, DTPA, VCUG, RNC, and IVP for the diagnosis of anomalies in the urinary tract.
Results: Among 381 children with pyelonephritis, the mean age was 37.1+41.3 months, and 337 (88.5%) children were girls. One hundred forty-nine (39.1%) children had urinary anomalies. The most anomalies were VUR, ureterovesical junction obstruction, Ureterocele, and ureteral duplication in 112(75.16%), 11(7.38%), 9(6.04%), and 8(5.36%) of children, respectively. A significant difference was observed between age and anomaly prevalence (P=0.04), but there was no significant difference between sex and prevalence of anomaly (P=0.3).
Conclusion: The results of the study showed that about 39% of children with UTI had urological anomalies, the most common cause of which was VUR, and other urological anomalies (about a quarter) such as ureterovesical junction obstruction, Ureterocele. In addition to vesicoureteral reflux, paying attention to other urological anomalies in these children is recommended |
| first_indexed | 2024-03-08T15:29:04Z |
| format | Article |
| id | doaj.art-01bb5c4d528042b39c042c4f2a34a9dd |
| institution | Directory Open Access Journal |
| issn | 1735-9260 1735-9279 |
| language | English |
| last_indexed | 2024-03-08T15:29:04Z |
| publishDate | 2023-12-01 |
| publisher | Mazandaran University of Medical Sciences |
| record_format | Article |
| series | Journal of Mazandaran University of Medical Sciences |
| spelling | doaj.art-01bb5c4d528042b39c042c4f2a34a9dd2024-01-10T06:52:06ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92601735-92792023-12-01332286875The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital: A 10-Year ReportAtefeh Haghpanah0Hadi Sorkhi1Mohsen Mohammadi2Hoda Shirafkan3 Medical Student, Student Research Committee, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Professor, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Associate Professor, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Assistant Professor, Non-Communicable Pediatric Diseases Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran Background and purpose: Urinary tract anomalies are responsible for urinary tract infection (UTI) in more than 30% of children. The present study was carried out to determine the prevalence of urinary tract anomalies in children with pyelonephritis referred to Amirkola Children Hospital during 2010-2020. Materials and methods: In this cross-sectional study, all children with UTI admitted to Amirkola Children Hospital during 2010-2020 were enrolled. The inclusion criteria were children aged between 2 months and 18 years, positive signs and symptoms of UTI, and positive urine culture with reliable sampling. Children with a positive history of surgery on the urinary tract were excluded. Imaging studies included ultrasonography, DMSA, DTPA, VCUG, RNC, and IVP for the diagnosis of anomalies in the urinary tract. Results: Among 381 children with pyelonephritis, the mean age was 37.1+41.3 months, and 337 (88.5%) children were girls. One hundred forty-nine (39.1%) children had urinary anomalies. The most anomalies were VUR, ureterovesical junction obstruction, Ureterocele, and ureteral duplication in 112(75.16%), 11(7.38%), 9(6.04%), and 8(5.36%) of children, respectively. A significant difference was observed between age and anomaly prevalence (P=0.04), but there was no significant difference between sex and prevalence of anomaly (P=0.3). Conclusion: The results of the study showed that about 39% of children with UTI had urological anomalies, the most common cause of which was VUR, and other urological anomalies (about a quarter) such as ureterovesical junction obstruction, Ureterocele. In addition to vesicoureteral reflux, paying attention to other urological anomalies in these children is recommendedhttp://jmums.mazums.ac.ir/article-1-19966-en.pdfvesicoureteral refluxurinary tract anomalypyelonephritischildren |
| spellingShingle | Atefeh Haghpanah Hadi Sorkhi Mohsen Mohammadi Hoda Shirafkan The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital: A 10-Year Report Journal of Mazandaran University of Medical Sciences vesicoureteral reflux urinary tract anomaly pyelonephritis children |
| title | The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital:
A 10-Year Report |
| title_full | The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital:
A 10-Year Report |
| title_fullStr | The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital:
A 10-Year Report |
| title_full_unstemmed | The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital:
A 10-Year Report |
| title_short | The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital:
A 10-Year Report |
| title_sort | assessment urinary system anomalies in children with pyelonephritis referred to amirkola children hospital a 10 year report |
| topic | vesicoureteral reflux urinary tract anomaly pyelonephritis children |
| url | http://jmums.mazums.ac.ir/article-1-19966-en.pdf |
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