지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 74 - 78 (5page)
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Purpose: Early diagnosis and treatment of urinary tract infection have been em phasized to prevent renal scarring. If untreated, acute pyelonephritis could cause renal injury, which leads to renal scarring, hypertension, proteinuria, and chronic renal failure. The purpose of this study was to assess risk factors of renal scarring after treatment of acute pyelonephritis (APN).
Methods: The medical records of 59 patients admitted at Daegu Fatima Hospital because of APN between March 2008 and April 2015 whose renal cortical defects were confirmed by using initial technetium-99m dimercaptosuccinic acid (DMSA) scans were reviewed retrospectively. We divided 59 patients into 2 groups accor ding to the presence of renal scar and assessed risk factors of renal scar, including sex, age at diagnosis, feeding method, hydronephrosis, bacterial species, vesi coureteral reflux, and vesicoureteral reflux grade.
Results: Of 59 patients (41%), 24 showed renal scar on follow-up DMSA scan. No significant differences in sex, hydronephrosis, bacterial species, and fever duration were found between the renal-scarred and non-scarred groups. As for age at diag nosis, age of >12 months had 5.8 times higher incidence rate of renal scarring.
Vesicoureteral reflux (VUR) affected renal scar formation. VUR grade III or IV had 14.7 times greater influence on renal scar formation than VUR grade I or II.
Conclusion: Our data suggest that the presence of VUR and its grade and age at diagnosis are risk factors of renal scar on follow-up DMSA scan after APN.
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등록된 정보가 없습니다.
참고문헌 (18)
참고문헌 신청
Hoberman A / 1993 / Prevalence of urinary tract infection in febrile infants / J Pediatr 123:17~23
Jacobson SH / 1989 / Development of hypertension and uraemia after pyelonephritis in childhood : 27 year follow up / BMJ 299:703~706
American Academy of Pediatrics / 1999 / Practice parameter : The diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children / Pediatrics 103:843~852
Smellie JM / 1994 / Retrospective study of children with renal scarring with reflu and urinary infection / BMJ 308:1193~1196
Melis K / 1992 / Involvement of the renal parenchyma in acute urinary tract infection : the contribution of 99mTc dimercaptosuccinic acid scan / Eur J Pediatr 151:536~539
Jacobson SH / 1989 / Development of hypertension and uraemia after pyelonephritis in childhood : 27 year follow up / BMJ 299:703~706
American Academy of Pediatrics / 1999 / Practice parameter : The diagnosis, treatment and evaluation of the initial urinary tract infection in febrile infants and young children / Pediatrics 103:843~852
Smellie JM / 1994 / Retrospective study of children with renal scarring with reflu and urinary infection / BMJ 308:1193~1196
Melis K / 1992 / Involvement of the renal parenchyma in acute urinary tract infection : the contribution of 99mTc dimercaptosuccinic acid scan / Eur J Pediatr 151:536~539
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