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The relationship between urinary tract infection and calcium excretion in children
Ayça Altıncık1, Ferah Sönmez, Nevin Semerci
1Department of Pediatrics, Adnan Menderes University, Aydin, Turkey. ferahsonmez@yahoo.com
Insights
Children with urinary tract infections (UTI) show higher urinary calcium excretion before treatment compared to healthy children. This elevated calcium level normalized after treatment, suggesting a link between UTI and calcium metabolism in pediatric patients.
Area of Science:
- Pediatric Nephrology
- Urology
- Infectious Diseases
Background:
- Urinary tract infections (UTI) are common in children.
- Altered urinary calcium excretion is a potential factor in pediatric urological conditions.
- Understanding the relationship between UTI and urinary calcium is crucial for diagnosis and management.
Purpose of the Study:
- To investigate the association between urinary tract infection (UTI) and urinary calcium excretion in children.
- To assess changes in urinary calcium levels before, during, and after UTI treatment.
- To explore the influence of infection characteristics on urinary calcium excretion.
Main Methods:
- A case-control study involving 82 children with UTI and 82 matched controls.
- Measurement of 24-hour urinary calcium excretion and urine calcium/creatinine ratio (UCa/cr).
- Evaluation of UCa/cr percentiles and correlation with infection site, symptoms, family history, and imaging.
Main Results:
- Pre-treatment UCa/cr ratios were significantly higher in children with UTI compared to the control group (p=0.04).
- Urinary calcium excretion normalized after UTI treatment.
- No significant correlation was found between pre-treatment UCa/cr and sex, infection location, family history, or radiological findings.
Conclusions:
- Children with UTI exhibit elevated urinary calcium excretion prior to treatment.
- Urinary calcium levels tend to normalize following successful UTI treatment.
- Further research may elucidate the clinical significance of these findings in pediatric UTI management.
Abstract:
The aim of this study was to investigate the relationship between urinary tract infection (UTI) and urinary calcium excretion. A total of 82 children (mean age: 5.41± 4.09 years) with UTI and 82 age- and sex-matched children as a control group were enrolled in the study. Urinary calcium excretion was studied in children with UTI before treatment, three days after treatment and six months after remission of UTI. Urine calcium/ creatinine ratio (UCa/cr) and 24-hour urinary calcium excretions were studied. UCa/cr ratios were also evaluated as percentile rates, which was performed in our previous study. The effects of the location of infection, complaints, family history of urolithiasis, and radiological findings on urinary calcium excretion were also investigated. UCa/cr ratio before treatment was found higher than in the control group (p=0.04). No statistically significant relationship was found between the pretreatment UCa/cr and sex, location of infection, family history, or radiological findings.
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