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Procalcitonin: A Key Marker in Children with Urinary Tract Infection
Urinary tract infections (UTIs) are the most common source of bacterial infections among young febrile children. Accurate diagnosis of acute pyelonephritis (APN) and vesicoureteral reflux (VUR) is important because of their association with renal scarring, leading in the cases to long-term complicat...
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Formato: | Texto |
Lenguaje: | English |
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Hindawi Publishing Corporation
2011
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3026964/ https://www.ncbi.nlm.nih.gov/pubmed/21274426 http://dx.doi.org/10.1155/2011/397618 |
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author | Leroy, Sandrine Gervaix, Alain |
author_facet | Leroy, Sandrine Gervaix, Alain |
author_sort | Leroy, Sandrine |
collection | PubMed |
description | Urinary tract infections (UTIs) are the most common source of bacterial infections among young febrile children. Accurate diagnosis of acute pyelonephritis (APN) and vesicoureteral reflux (VUR) is important because of their association with renal scarring, leading in the cases to long-term complications. However, the gold standard examinations for both are either DMSA scan (for APN and scar) or cystography (for VUR) and present limitations (feasibility, pain, cost, etc.). Procalcitonin, a reliable marker of bacterial infections, was demonstrated to be a good predictor of both renal parenchymal involvement in the acute phase and late renal scars. Furthermore, it was also found to be associated with high-grade VUR and was the key tool of a clinical decision rule to predict high-grade VUR in children with a first UTI. Therefore, procalcitonin may certainly be found playing a role in the complex and still debated picture of which examination should be performed after UTI in children. |
format | Text |
id | pubmed-3026964 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-30269642011-01-27 Procalcitonin: A Key Marker in Children with Urinary Tract Infection Leroy, Sandrine Gervaix, Alain Adv Urol Research Article Urinary tract infections (UTIs) are the most common source of bacterial infections among young febrile children. Accurate diagnosis of acute pyelonephritis (APN) and vesicoureteral reflux (VUR) is important because of their association with renal scarring, leading in the cases to long-term complications. However, the gold standard examinations for both are either DMSA scan (for APN and scar) or cystography (for VUR) and present limitations (feasibility, pain, cost, etc.). Procalcitonin, a reliable marker of bacterial infections, was demonstrated to be a good predictor of both renal parenchymal involvement in the acute phase and late renal scars. Furthermore, it was also found to be associated with high-grade VUR and was the key tool of a clinical decision rule to predict high-grade VUR in children with a first UTI. Therefore, procalcitonin may certainly be found playing a role in the complex and still debated picture of which examination should be performed after UTI in children. Hindawi Publishing Corporation 2011 2011-01-17 /pmc/articles/PMC3026964/ /pubmed/21274426 http://dx.doi.org/10.1155/2011/397618 Text en Copyright © 2011 S. Leroy and A. Gervaix. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Leroy, Sandrine Gervaix, Alain Procalcitonin: A Key Marker in Children with Urinary Tract Infection |
title | Procalcitonin: A Key Marker in Children with Urinary Tract Infection |
title_full | Procalcitonin: A Key Marker in Children with Urinary Tract Infection |
title_fullStr | Procalcitonin: A Key Marker in Children with Urinary Tract Infection |
title_full_unstemmed | Procalcitonin: A Key Marker in Children with Urinary Tract Infection |
title_short | Procalcitonin: A Key Marker in Children with Urinary Tract Infection |
title_sort | procalcitonin: a key marker in children with urinary tract infection |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3026964/ https://www.ncbi.nlm.nih.gov/pubmed/21274426 http://dx.doi.org/10.1155/2011/397618 |
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