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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
- 2017.1
- 수록면
- 136 - 141 (6page)
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Purpose: This study aimed to investigate clinical and radiological factors that may predict high-grade vesicoureteral reflux (VUR) in patients with febrile urinary tract infection (UTI).
Methods: We retrospectively analyzed medical records of 446 patients diagnosed with febrile UTI from March 2008 to February 2017. All patients underwent renalbladder ultrasonography (RBUS), 99mTc dimercaptosuccinic acid (DMSA) renal scan, and voiding cystourethrography (VCUG), and were divided in to 3 groups: a high-grade VUR group (n=53), a low-grade VUR group (n=28), and a group without VUR (n=365).
Results: The recurrence and non-Escherichia coli infection rates in febrile UTI were significantly higher in the high-grade VUR group than in the other two groups (P <0.05). RBUS showed that hydronephrosis and ureter dilatation were more frequent in the high-grade VUR group than in the other groups (P <0.05).
In the high-grade VUR group, a renal cortical defect was more likely to appear as multiple defects, and the difference in bilateral renal scan uptake between both kidneys was larger than in the other two groups (P <0.001).
Conclusion: Recurrent UTI, non-E. coli UTI, abnormal findings on RBUS such as hydronephrosis and ureter dilatation, and abnormal findings in the DMSA renal scan such as multiple renal cortical defects and greater uptake difference were associated with high-grade VUR. VCUG should be selectively performed when RBUS and/or DMSA renal scan reveal significant abnormalities.
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참고문헌 (39)
참고문헌 신청
Noor Shafina MN / 2015 / Bacterial pathogens and antibiotic resistance patterns inchildren with urinary tract infection in a Malaysian tertiary hospital / Med J Malaysia 70(3):153~157
Piljic D / 2010 / Clinical and laboratory characteristics of acute community-acquired urinary tract infections in adult hospitalised patients / Bosn J Basic Med Sci 10(1):49~53
Pauchard JY / 2017 / Avoidance of voiding cystourethrography in infants younger than 3 months with Escherichia coli urinary tract infection and normal renal ultrasound / Arch Dis Child 102(9):804~808
Friedman S / 2006 / Clinical and laboratory characteristics of non-E coli urinary tract infections / Arch Dis Child 91:845~846
Honkinen O / 1999 / Cohort study of bacterial species causing urinary tract infection and urinary tract abnormalities in children / BMJ 318:770~771
Piljic D / 2010 / Clinical and laboratory characteristics of acute community-acquired urinary tract infections in adult hospitalised patients / Bosn J Basic Med Sci 10(1):49~53
Pauchard JY / 2017 / Avoidance of voiding cystourethrography in infants younger than 3 months with Escherichia coli urinary tract infection and normal renal ultrasound / Arch Dis Child 102(9):804~808
Friedman S / 2006 / Clinical and laboratory characteristics of non-E coli urinary tract infections / Arch Dis Child 91:845~846
Honkinen O / 1999 / Cohort study of bacterial species causing urinary tract infection and urinary tract abnormalities in children / BMJ 318:770~771
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