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[Pyelonephritis in children--a retrospective study].

H C Fjell1, L Sletner, A Bjerre

  • 1Det medisinske fakultet Universitetet i Oslo Postboks 1078 Blindern 0316 Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|March 13, 2001
PubMed
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Urinary tract infections (UTIs) in children are frequently linked to urological abnormalities, particularly in boys during their first year. Improved urine sample collection and long-term complication monitoring are recommended.

Area of Science:

  • Pediatric infectious diseases
  • Urology
  • Nephrology

Context:

  • Urinary tract infection (UTI) is a prevalent childhood bacterial infection.
  • UTIs can be associated with congenital urological malformations.
  • Severe UTIs may lead to permanent kidney damage.

Purpose:

  • To analyze the characteristics of children with first-time UTI admitted to Ullevål Hospital between 1988-1997.
  • To evaluate patient demographics, symptoms, diagnostic methods, and identified abnormalities.
  • To identify potential areas for improving diagnostic and management protocols.

Summary:

  • A retrospective study included 180 children with first-time UTI.
  • Boys constituted 38% of cases, with 87% referred in their first year.

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  • Over half of the children had urological abnormalities, most commonly vesicoureteric reflux; fever was the sole symptom in only 16%.
  • Urine sampling methods were suboptimal in many cases.

    • Impact:

    • Highlights a high prevalence of urological malformations in pediatric UTI cases.
    • Underscores the need for enhanced urine sampling techniques.
    • Emphasizes the importance of evaluating long-term complications in children with UTI.