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[Anatomic and functional disorders of the urinary tract in children with urinary tract infections]

M Zajaczkowska1, Z Zinkiewicz, B Duda

  • 1Klinika Pediatrii i Nefrologii Akademii Medycznej w Lublinie.

Polski Merkuriusz Lekarski : Organ Polskiego Towarzystwa Lekarskiego
|July 4, 2001
PubMed

Insights

Recurrent urinary tract infections (UTIs) are common in children, with many cases linked to anatomical abnormalities and vesico-ureteral reflux. Early detection and intervention are crucial for preventing renal scarring and functional issues.

Area of Science:

  • Pediatric Nephrology
  • Pediatric Urology

Background:

  • Urinary tract infections (UTIs) are a significant health concern in children.
  • Recurrent UTIs and associated complications require thorough investigation.

Purpose of the Study:

  • To analyze clinical data of children hospitalized with UTIs.
  • To identify the prevalence of anatomical abnormalities and vesico-ureteral reflux.
  • To assess the incidence of renal scarring and functional abnormalities.

Main Methods:

  • Clinical analysis of 207 pediatric case recordings (1995-1999).
  • Urinary X-ray examinations for all patients.
  • Radionuclide examinations for children with vesico-ureteral reflux.
  • Urodynamic examinations in a subset of patients.

Main Results:

  • Recurrent UTI observed in 76.8% of children; acute UTI in 20.8%.
  • Anatomical abnormalities detected in 38%; vesico-ureteral reflux in 29.5%.
  • Renal scarring found in 64% of reflux cases; functional abnormalities in all urodynamic studies.

Conclusions:

  • A high percentage of pediatric UTIs are recurrent and associated with structural and functional abnormalities.
  • Vesico-ureteral reflux is a common finding, often leading to renal scarring.
  • Comprehensive diagnostic evaluations are essential for managing pediatric UTIs effectively.

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