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Published on: June 23, 2015
The association between urinary tract infection and idiopathic hypercalciuria in children
Hikmet Tekin Nacaroglu1, Gülay Demircin, Mehmet Bülbül
1Department of Pediatric Nephrology, Dr. Sami Ulus Children's Hospital, Ankara, Turkey. tekin212@gmail.com
Insights
Idiopathic hypercalciuria (IHC) is a risk factor for urinary tract infections (UTIs) in children. Investigating IHC is crucial, especially in children with a family history of kidney stones and related symptoms.
Area of Science:
- Pediatric Nephrology
- Urology
- Clinical Research
Background:
- Urinary tract infections (UTIs) are common in children.
- Identifying risk factors is key for UTI prevention.
- The association between UTIs and idiopathic hypercalciuria (IHC) requires further investigation.
Purpose of the Study:
- To evaluate the association between urinary tract infections (UTIs) and idiopathic hypercalciuria (IHC) in pediatric patients.
- To determine if IHC is a significant risk factor for UTIs in children.
Main Methods:
- A cohort of 224 children (1 month to 16 years) diagnosed with UTI was assessed.
- Urinary calcium excretion was measured using calcium/creatinine ratios and daily calcium excretion.
- Diagnostic criteria for IHC included specific urinary calcium/creatinine ratios or daily calcium excretion levels.
Main Results:
- Idiopathic hypercalciuria (IHC) was identified in 16.7% of children with UTIs.
- Children with IHC and UTI were more likely to have a family history of urolithiasis, parental consanguinity, abdominal pain, loss of appetite, and discomfort.
- No significant association was found between IHC and UTI recurrence, vesicoureteral reflux, renal scarring, or overall prognosis.
Conclusions:
- Idiopathic hypercalciuria (IHC) should be considered a potential risk factor for pediatric urinary tract infections (UTIs).
- Investigation for IHC is recommended in children with a family history of urinary stones or suggestive clinical symptoms.
- Early identification and management of IHC may aid in UTI prevention strategies for children.
Background:
Identifying the risk factors is important in prevention of urinary tract infections (UTIs) in children. The aim of this study is to evaluate the association of UTI and idiopathic hypercalciuria (IHC).
Methods:
Two hundred and twenty-four children aged between 1 month and 16 years and diagnosed to have UTI were evaluated for urinary calcium excretion. The children were diagnosed to have IHC if their urinary calcium/creatinine ratios in at least two different spot urine samples were >0.6 between 0-1 year old and ≥0.21 over 1 year or daily calcium excretion >4 mg/kg.
Results:
The frequency of IHC was found to be 16.7%. Family history of urolithiasis, parental consanguinity, presentation with abdominal pain, loss of appetite, and discomfort were found to be significantly higher in the IHC group. No association was found between IHC and the recurrence of UTI, presence of vesicoureteral reflux, renal scar formation, and the prognosis.
Conclusions:
IHC should be considered among the risk factors for UTI and should be investigated particularly in patients with family history of urinary stones and suggestive complaints of IHC.
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Urinary Tract Infection II: Pathophysiology

