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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 27 - 35 (9page)
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Purpose: Urinary tract infections (UTIs) are the most common and serious bacterial infections in children. Therefore, early diagnosis of vesicoureteral reflux (VUR) for treatment planning and the identification of noninvasive markers that can predict renal injury are important in patients with UTIs. We analyzed the clinical features of pediatric UTIs commonly encountered by general practitioners and reinterpreted the blood tests and imaging findings to identify the important clinical predictive markers of VUR in order to selectively perform VCUG. Methods: This retrospective study was performed among 183 children diagnosed with a UTI or acute pyelonephritis. Results: The most significant predictor of high grade and bilateral VUR identified using area under the curve analyses was hydronephrosis on kidney ultrasound images with renal cortical defects on dimercaptosuccinic acid (DMSA) kidney scan simultaneously, followed by hydronephrosis only on kidney ultrasound. Conclusion: The presence of hydronephrosis on kidney ultrasound images or cortical defects or asymmetric kidneys on the DMSA kidney scans can be predictive markers of VUR, reducing the need for VCUG. Our study can thus help minimize the exposure to radiation among patients through selective VCUG.
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참고문헌 (42)
참고문헌 신청
Bitsori M / 2012 / Pediatric urinary tract infections : diagnosis and treatment / Expert Rev Anti Infect Ther 10:1153~1164
Peters C / 2010 / Vesicoureteral reflux associated renal damage : congenital reflux nephropathy and acquired renal scarring / J Urol 184:265~273
Elder JS / 1997 / Pediatric vesicoureteral reflux guidelines panel summary report on the management of primary vesicoureteral reflux in children / J Urol 157:1846~1851
Downs SM / 1999 / Technical report: urinary tract infections in febrile infants and young children. The urinary tract subcommittee of the American academy of pediatrics committee on quality improvement / Pediatrics 103:e54
Mattoo TK / 2016 / Pediatric Nephrology / Lippincott Williams &Wilkins :1716~1735
Peters C / 2010 / Vesicoureteral reflux associated renal damage : congenital reflux nephropathy and acquired renal scarring / J Urol 184:265~273
Elder JS / 1997 / Pediatric vesicoureteral reflux guidelines panel summary report on the management of primary vesicoureteral reflux in children / J Urol 157:1846~1851
Downs SM / 1999 / Technical report: urinary tract infections in febrile infants and young children. The urinary tract subcommittee of the American academy of pediatrics committee on quality improvement / Pediatrics 103:e54
Mattoo TK / 2016 / Pediatric Nephrology / Lippincott Williams &Wilkins :1716~1735
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Comparison of 99mTc-DMSA Renal Scan and Power Doppler Ultrasonography for the Detection of Acute Pyelonephritis and Vesicoureteral Reflux
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Which Factors Related to the Renal Cortical Defects in Infants Under 3 Months of Age with Urinary Tract Infections?
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