Cargando…
Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection
PURPOSE: To evaluate the practical applications of the diagnosis algorithms recommended by the American Academy of Pediatrics urinary tract infection (UTI) guideline. METHODS: We retrospectively reviewed the medical records of febrile UTI patients aged between 2 and 24 months. The patients were divi...
Autores principales: | , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Pediatric Society
2015
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623453/ https://www.ncbi.nlm.nih.gov/pubmed/26512260 http://dx.doi.org/10.3345/kjp.2015.58.9.341 |
_version_ | 1782397685888712704 |
---|---|
author | Choi, Da Min Heo, Tae Hoon Yim, Hyung Eun Yoo, Kee Hwan |
author_facet | Choi, Da Min Heo, Tae Hoon Yim, Hyung Eun Yoo, Kee Hwan |
author_sort | Choi, Da Min |
collection | PubMed |
description | PURPOSE: To evaluate the practical applications of the diagnosis algorithms recommended by the American Academy of Pediatrics urinary tract infection (UTI) guideline. METHODS: We retrospectively reviewed the medical records of febrile UTI patients aged between 2 and 24 months. The patients were divided into 3 groups: group I (patients with positive urine culture and urinalysis findings), group II (those with positive urine culture but negative urinalysis findings), and group III (those with negative urine culture but positive urinalysis findings). Clinical, laboratory, and imaging results were analyzed and compared between the groups. RESULTS: A total of 300 children were enrolled. The serum C-reactive protein level was lower in children in group II than in those in groups I and III (P<0.05). Children in group I showed a higher frequency of hydronephrosis than those in groups II and III (P<0.05). However, the frequencies of acute pyelonephritis (APN), vesicoureteral reflux (VUR), renal scar, and UTI recurrence were not different between the groups. In group I, recurrence of UTI and presence of APN were associated with the incidence of VUR (recurrence vs. no recurrence: 40% vs.11.4%; APN vs. no APN: 23.3% vs. 9.2%; P<0.05). The incidence of VUR and APN was not related to the presence of hydronephrosis. CONCLUSION: UTI in febrile children cannot be ruled out solely on the basis of positive urinalysis or urine culture findings. Recurrence of UTI and presence of APN may be reasonable indicators of the presence of VUR. |
format | Online Article Text |
id | pubmed-4623453 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | The Korean Pediatric Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-46234532015-10-28 Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection Choi, Da Min Heo, Tae Hoon Yim, Hyung Eun Yoo, Kee Hwan Korean J Pediatr Original Article PURPOSE: To evaluate the practical applications of the diagnosis algorithms recommended by the American Academy of Pediatrics urinary tract infection (UTI) guideline. METHODS: We retrospectively reviewed the medical records of febrile UTI patients aged between 2 and 24 months. The patients were divided into 3 groups: group I (patients with positive urine culture and urinalysis findings), group II (those with positive urine culture but negative urinalysis findings), and group III (those with negative urine culture but positive urinalysis findings). Clinical, laboratory, and imaging results were analyzed and compared between the groups. RESULTS: A total of 300 children were enrolled. The serum C-reactive protein level was lower in children in group II than in those in groups I and III (P<0.05). Children in group I showed a higher frequency of hydronephrosis than those in groups II and III (P<0.05). However, the frequencies of acute pyelonephritis (APN), vesicoureteral reflux (VUR), renal scar, and UTI recurrence were not different between the groups. In group I, recurrence of UTI and presence of APN were associated with the incidence of VUR (recurrence vs. no recurrence: 40% vs.11.4%; APN vs. no APN: 23.3% vs. 9.2%; P<0.05). The incidence of VUR and APN was not related to the presence of hydronephrosis. CONCLUSION: UTI in febrile children cannot be ruled out solely on the basis of positive urinalysis or urine culture findings. Recurrence of UTI and presence of APN may be reasonable indicators of the presence of VUR. The Korean Pediatric Society 2015-09 2015-09-21 /pmc/articles/PMC4623453/ /pubmed/26512260 http://dx.doi.org/10.3345/kjp.2015.58.9.341 Text en Copyright © 2015 by The Korean Pediatric Society http://creativecommons.org/licenses/by-nc/3.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Choi, Da Min Heo, Tae Hoon Yim, Hyung Eun Yoo, Kee Hwan Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection |
title | Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection |
title_full | Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection |
title_fullStr | Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection |
title_full_unstemmed | Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection |
title_short | Evaluation of new American Academy of Pediatrics guideline for febrile urinary tract infection |
title_sort | evaluation of new american academy of pediatrics guideline for febrile urinary tract infection |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4623453/ https://www.ncbi.nlm.nih.gov/pubmed/26512260 http://dx.doi.org/10.3345/kjp.2015.58.9.341 |
work_keys_str_mv | AT choidamin evaluationofnewamericanacademyofpediatricsguidelineforfebrileurinarytractinfection AT heotaehoon evaluationofnewamericanacademyofpediatricsguidelineforfebrileurinarytractinfection AT yimhyungeun evaluationofnewamericanacademyofpediatricsguidelineforfebrileurinarytractinfection AT yookeehwan evaluationofnewamericanacademyofpediatricsguidelineforfebrileurinarytractinfection |