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- Title
The frequency of urinary tract infections in children with antenatal hydronephrosis.
- Authors
Bizim, Delia Andreia; Munteanu, Mihaela; Russu, Radu V.; Brumariu, Ovidiu; Miron, Ingrith C.
- Abstract
Infants with antenatal hydronephrosis are at risk 12 times greater of developing acute pyelonephritis. We evaluated the frequency of urinary tract infections (UTI) in a group of 87 patients with congenital hydronephrosis (HN) detected antenatally (ratio B: F = 2,95:1). The average follow-up was 20.22 months. 49.42% of children had UTI, the recurrence rate (≥ 2 episodes) was 53.8%. Depending on the degree of hydronephrosis, urinary infection rate was between 37.5 to 41.37% for grade I-II HN and between 57-71% for grade III-V HN (p = 0.0402, 95% CI grade I-II HN compared with grade III-V). We found a weak positive correlation between the degree HN and the number of UTI (rs = 0.224, p = 0.036, 95% CI) significant statistic.60, 52 % of patients with a history of UTI had urinary infections on uroprophylaxis. Cefaclor was the most common used antibiotic. E coli was involved in 36.35% of UTI, and Klebsiella pn. 25%. Given the high frequency of urinary infections in this group it is necessary a longer follow-up of these children for early detection of kidney damage.
- Subjects
INFANT diseases; HYDRONEPHROSIS in children; URINARY tract infections; CEFACLOR; KIDNEY diseases
- Publication
Romanian Journal of Pediatrics / Revista Romana de Pediatrie, 2011, Vol 60, Issue 4, p352
- ISSN
1454-0398
- Publication type
Article