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Clinical Study of Urinary Tract Infection in Children and Infancy and the Significance of IVP.

Journal of the Korean Pediatric Society 1986;29(12):1334-1342.
Published online December 31, 1986.
Clinical Study of Urinary Tract Infection in Children and Infancy and the Significance of IVP.
Jee Sung Kim, Sun Jong Kim, Sang Geel Lee, Im Ju Kang
Department of Pediatrics, Fatima Hospital, Tae Gu,Korea
소아 요로감염증의 임 상적 관찰 및 정맥내 신우조영술의 의의
김지성, 김순종, 이상길, 강임주
대구파티마병원 소아과
Abstract
Of the pediatric patients admitted to Fatima hospital under the diagnosis of urinary tract infection from July 1982 to June 1985,IVP has been performed on the 114 cases of the urinary tract infection. Following results were obtained: 1) Male to female ratio was 1.6 : 1. 54.7% of all cases was included in infantile group. Abnormal IVP findings were noticed in 32 cases. 2) Frequently observed clinical symptoms & signs were spiking fever, vomiting, diarrhea and irritability i i decreasing order. As patients age, such urinary-tract-stimulating symptoms as dysuria, urinary frequency and CVA tenderness were more frequently noticed. 3) Any abnormal laboratory findings in the IVP-abnormal group were not significantly different from that in the IVP-normal group. 4) Both proteinuria and hematuria were more often observed in the IVP-abnormal group. But its significance could not be explained. 5) Of the IVP-abnormal group, 43.8% contains both hydronephrosis and/or hydroureter. And 31.9% of the IVP-abnormal group was allocated to double collecting systems. Such anomalies as calyceal ectasia, poor function of kidney, polycystic kidney, renal scaring, horse-shoe kidney and renal ectopia were occasionally found. 6) Of the etiologic agents, E. coli was the most common strain(62%). In the IVP-abnor-mal group, 55.6% of the etiologic agents was ascribed to E. coli while 64.2% of the IVP normal group was due to E. coli. 7) Clinical symptoms and signs disappeared within 2 weeks in the IVP normal group, but only 68% of the IVP-abnormal group recovered significantly. According to the above mentioned results, urinary tract anomaly was more frequently observed in the patients suffering from urinary tract infection. So routine IVP is recommended on the urinary tract infection patients in order to manage them completely and obtain important information for longterm follow up.
Key Words: I. V .P, Urinary tract infection.


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