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
- 103 - 110 (8page)
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초록· 키워드
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Purpose: We investigated whether C-reactive protein (CRP) levels, urine protein-creatinine ratio (uProt/Cr), and urine electrolytescan be useful for discriminating acute pyelonephritis (APN) from other febrile illnesses or the presence of a cortical defect on 99mTc dimercaptosuccinic acid (DMSA) scanning (true APN) from its absence in infants with febrile urinary tract infection (UTI).
Materials and Methods: We examined 150 infants experiencing their first febrile UTI and 100 controls with other febrile illnesses consecutively admitted to our hospital from January 2010 to December 2012. Blood (CRP, electrolytes, Cr) and urine tests [uProt/Cr, electrolytes, and sodium-potassium ratio (uNa/K)] were performed upon admission. All infants with UTI underwent DMSA scans during admission. All data were compared between infants with UTI and controls and between infants with or without a cortical defect on DMSA scans. Using multiple logistic regression analysis, the ability of the parameters to predict true APN was analyzed.
Results: CRP levels and uProt/Cr were significantly higher in infants with true APN than in controls. uNa levels and uNa/K were significantly lower in infants with true APN than in controls. CRP levels and uNa/K were relevant factors for predicting true APN. The method using CRP levels, u-Prot/Cr, u-Na levels, and uNa/K had a sensitivity of 94%, specificity of 65%, positive predictive value of 60%, and negative predictive value of 95% for predicting true APN.
Conclusion: We conclude that these parameters are useful for discriminating APN from other febrile illnesses or discriminating true APN in infants with febrile UTI.
목차
등록된 정보가 없습니다.
참고문헌 (25)
참고문헌 신청
Lee JH / 2012 / Is a routine voiding cystourethrogram necessary in children after the first febrile urinary tract infection? / Acta Paediatr 101:e105~e109
Ansari Gilani K / 2010 / Predictors of abnormal renal cortical scintigraphy in children with first urinary tract infection:the importance of time factor / Int Urol Nephrol 4
Bagley RS / 1991 / The effect of experimental cystitis and iatrogenic blood contamination on the urine protein/creatine ratio in the dog / J Vet Intern Med 5 : 66 ~ 70
Brewster UC / 2004 / The renin-angiotensin-aldosterone system and the kidney: effects on kidney disease / Am J Med 116 : 263 ~ 272
Busch R / 1984 / Correlation of symptoms and results of direct bacterial localization in patients with urinary tract infections / J Urol 132 : 282 ~ 285
Ansari Gilani K / 2010 / Predictors of abnormal renal cortical scintigraphy in children with first urinary tract infection:the importance of time factor / Int Urol Nephrol 4
Bagley RS / 1991 / The effect of experimental cystitis and iatrogenic blood contamination on the urine protein/creatine ratio in the dog / J Vet Intern Med 5 : 66 ~ 70
Brewster UC / 2004 / The renin-angiotensin-aldosterone system and the kidney: effects on kidney disease / Am J Med 116 : 263 ~ 272
Busch R / 1984 / Correlation of symptoms and results of direct bacterial localization in patients with urinary tract infections / J Urol 132 : 282 ~ 285
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