DMSAs after UTI---scan more children, not less

Coulthard, M G

doi:10.1136/adc.85.4.348a

Cited by 2 publications

(5 citation statements)

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“…In our study, the prevalence of renal scarring was 9.4% (55/583) in all age groups and 5.8% (26/452) in the group of patients younger than 2 years ( Table 5). The latter figure is in line with the commonly quoted 4% prevalence of renal parenchyma defects in the literature [4,5].…”

Section: Resultssupporting

confidence: 90%

“…We did not classify the UTI cases into upper UTI or lower UTI because the distinction between the two is not always easy in young children [4]. Clinical presentations are often vague, and there is usually no definite confirmatory test.…”

Section: Dmsa Scintigraphy Ultrasound and Mcu Of Pediatric Utimentioning

confidence: 99%

“…With regard to urologic imaging in particular, the RCP recommended that ultrasound be considered in all cases and that it should be supplemented with a late DMSA scintigraphy in children up to the age of 7 years and with MCU in those younger than 1 year. Nevertheless, the adoption of these recommendations remains variable, and implementation is complicated by regional variations in local policies and practices [3].Although UTI is a common childhood occurrence that affects up to 10% of children by the teenage years [4,5], only approximately 4% will have renal parenchyma defects as a result of UTI that are visible on DMSA scintigraphy scans. An even smaller proportion will develop the feared long-term sequelae of hypertension, renal impairment, and end-stage renal failure [6].…”

mentioning

confidence: 99%

“…Although UTI is a common childhood occurrence that affects up to 10% of children by the teenage years [4,5], only approximately 4% will have renal parenchyma defects as a result of UTI that are visible on DMSA scintigraphy scans. An even smaller proportion will develop the feared long-term sequelae of hypertension, renal impairment, and end-stage renal failure [6].…”

mentioning

confidence: 99%

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Imaging in Pediatric Urinary Tract Infection: A 9-Year Local Experience

Luk

Woo

Au-Yeung

et al. 2009

American Journal of Roentgenology

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Section: Resultssupporting

confidence: 90%

Section: Dmsa Scintigraphy Ultrasound and Mcu Of Pediatric Utimentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Imaging in Pediatric Urinary Tract Infection: A 9-Year Local Experience

Luk

Woo

Au-Yeung

et al. 2009

American Journal of Roentgenology

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“…UTI is one of the most common bacterial infections of childhood, affecting up to 10% by the teenage years (Coulthard et al, 2001,Jakobsson et al,1999. The incidence in infants is up to 1%, but as high as 10% in low-birthweight infants.…”

Section: Resultsmentioning

confidence: 99%

Emergence of Multi Drug Resistant Escherichia coli strains Isolated from Urinary Tract Infection in Iranian Children's

Jalalpour¹

2011

Biomed. Pharmacol. J.

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A current phenomenon of great concern in the medical community in developing countries is raising multi drug resistant organisms, and their problems with curing the infections in children. Most urinary tract infection (UTIs) in children are monomicrobic, often caused by Escherichia coli (60 to 80 percent of cases). Infected children need more care because they threaten by death and for treatment of them expensive drugs should be used, so in this study we evaluated the multi drug resistant strains of E. coli isolated from urinary tract infection in Iranian girl childrens. Materials and Methods This laboratory search was performed in DEY laboratory in Isfahan .Totally 1027 samples, collected from urine samples of girl children, aged from 1 month to 10 years. After confirmation of urine culture which is expressive of urinary infection, gram stain and biochemical differential test was done for the isolates and then susceptibility of all of them to 3 different antibiotics was determined by standard disk diffusion method. Results From 1027 study sample, frequency of UTIs in girl children's was 5.35%. Seventy nine percent of the isolates were multi drug resistant strains. Conclusion The antibiogram patterns of isolates showed a high percentage of multi drug resistant phenotype among the E. coli strains. With regard to the present data and high percentage of multi drug resistant strains of E. coli, regular monitoring antimicrobial drug resistance in the different areas is necessary to prevent unsuitable utilization of drugs which is the most important cause of emerging multi drug resistant strains.

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DMSAs after UTI---scan more children, not less

Cited by 2 publications

References 4 publications

Imaging in Pediatric Urinary Tract Infection: A 9-Year Local Experience

Imaging in Pediatric Urinary Tract Infection: A 9-Year Local Experience

Emergence of Multi Drug Resistant Escherichia coli strains Isolated from Urinary Tract Infection in Iranian Children's

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