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.

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