Renal scan in children with vesicoureteral reflux and urinary tract infection

Background and purpose : Regarding the importance of diagnosis and proper time of treatment in patients with urinary tract infection (UTI) and vesicoureteral reflux as risk factors for scar, this study was performed to detect the probability of scars appearance in children.Materials and methods : Th...

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Main Authors: H. Sorkhi, M. Hashemi
Format: Article
Language:English
Published: Mazandaran University of Medical Sciences 2005-01-01
Series:Journal of Mazandaran University of Medical Sciences
Subjects:
Online Access:http://www.mazums.ac.ir/files/onlineJournals_3014612=Sorkhi.pdf
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author H. Sorkhi
M. Hashemi
author_facet H. Sorkhi
M. Hashemi
author_sort H. Sorkhi
collection DOAJ
description Background and purpose : Regarding the importance of diagnosis and proper time of treatment in patients with urinary tract infection (UTI) and vesicoureteral reflux as risk factors for scar, this study was performed to detect the probability of scars appearance in children.Materials and methods : This study was performed on 42 children with urinary tract infection and vesicoureteral reflux (detected by VCUG), referred to pediatric nephrology units (clinic and ward) of Amirkola children hospital and evaluation of scar was done by DMSA at least 4-6 month after the last UTI.Results : Of 42 patients, 29 (69%) were female and 13 (31%) were male. Among 84 checked renal units, 64 had reflux and 20 had no reflux with 62.5% and 15% of the cases with scars. In males 21 units and in females 43 units had reflux.2.8 of renal units with reflex grade I, 13.24 with grade II, 17.23 with grade III, both renal units with grade IV and 6.7 with grade V had scar (P=0.001).Conclusion : The results of this study showed that males and age group of 1 month to 2 years have higher risk for VUR and scar. In spite no correlation was found between age of children and scar. However, prompt evaluation and proper time of treatment are very important.
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spelling doaj.art-ed64145e7bf1413da24cc1b408cbd60e2022-12-22T01:39:30ZengMazandaran University of Medical SciencesJournal of Mazandaran University of Medical Sciences1735-92602005-01-011547Renal scan in children with vesicoureteral reflux and urinary tract infectionH. SorkhiM. HashemiBackground and purpose : Regarding the importance of diagnosis and proper time of treatment in patients with urinary tract infection (UTI) and vesicoureteral reflux as risk factors for scar, this study was performed to detect the probability of scars appearance in children.Materials and methods : This study was performed on 42 children with urinary tract infection and vesicoureteral reflux (detected by VCUG), referred to pediatric nephrology units (clinic and ward) of Amirkola children hospital and evaluation of scar was done by DMSA at least 4-6 month after the last UTI.Results : Of 42 patients, 29 (69%) were female and 13 (31%) were male. Among 84 checked renal units, 64 had reflux and 20 had no reflux with 62.5% and 15% of the cases with scars. In males 21 units and in females 43 units had reflux.2.8 of renal units with reflex grade I, 13.24 with grade II, 17.23 with grade III, both renal units with grade IV and 6.7 with grade V had scar (P=0.001).Conclusion : The results of this study showed that males and age group of 1 month to 2 years have higher risk for VUR and scar. In spite no correlation was found between age of children and scar. However, prompt evaluation and proper time of treatment are very important.http://www.mazums.ac.ir/files/onlineJournals_3014612=Sorkhi.pdfPediatricurinary tract infection (UTI)vesicoureteral reflux (VUR) DMSA scan.
spellingShingle H. Sorkhi
M. Hashemi
Renal scan in children with vesicoureteral reflux and urinary tract infection
Journal of Mazandaran University of Medical Sciences
Pediatric
urinary tract infection (UTI)
vesicoureteral reflux (VUR) DMSA scan.
title Renal scan in children with vesicoureteral reflux and urinary tract infection
title_full Renal scan in children with vesicoureteral reflux and urinary tract infection
title_fullStr Renal scan in children with vesicoureteral reflux and urinary tract infection
title_full_unstemmed Renal scan in children with vesicoureteral reflux and urinary tract infection
title_short Renal scan in children with vesicoureteral reflux and urinary tract infection
title_sort renal scan in children with vesicoureteral reflux and urinary tract infection
topic Pediatric
urinary tract infection (UTI)
vesicoureteral reflux (VUR) DMSA scan.
url http://www.mazums.ac.ir/files/onlineJournals_3014612=Sorkhi.pdf
work_keys_str_mv AT hsorkhi renalscaninchildrenwithvesicoureteralrefluxandurinarytractinfection
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