Prospective study on urinary tract infections and vesicoureteral reflux in two pediatric offices
Reference of this article: Cano Pérez MD, Contreras Calzada MI, García Sánchez MJ, Doñoro Mazario M, Riquelme Pérez M. Prospective study on urinary tract infections and vesicoureteral reflux in two pediatric offices. Rev Pediatr Aten Primaria. 2000;2:389-398.
Published in Internet: 30-09-2000 - Visits: 4456
Objective: This study aims to determine the incidence of urinary tract infections (UTIs),
as well as the presenting symptoms, the germs involved and possible association with genitourinary
Materials and methods: This is a descriptive study carried out in two paediatric health
care offices which attend a total of 1.771 children. During a period of 16 months all children
who consulted for symptoms suggestive of UTI underwent urine biochemistry test and cultures with antibiotic sensibility test. Those children diagnosed of UTI underwent a renal
ecography and serial cistoureterography.
Results: 33 cases of UTI were diagnosed (20 male and 13 female), the most common
age group being that of children under 6 months of age (45.45%). An incidence of 1.86 was
found. The most common clinical manifestations were anorexia (45.45%), fever (30.30%)
and growth retardation (18.18%). The most frequently isolated germ was Echerichia coli
(69.70%). In 10 cases anomalies were found in the ecography, the most frequent being pielic
ectasy in 6 children (60%). Vesicoureteral reflux was seen, by means of the cistoureterography,
in 10 cases, mainly type II (71.40%).
Conclusions: The primary health paediatrician is the person who should suspect, diagnose
and treat UTIs, as well as begin the study of possible urinary tract anomalies.
Keywords● Renal ecography ● Serial micturition cistoureterography ● Urinary tract infection ● Vesicoureteral reflux