medigraphic.com
ISSN 0035-0052 (Print)

2003, Number 2

<< Back Next >>

Rev Mex Pediatr 2003; 70 (2)

Recurrence urinary infections: Some risk factors

Coronel CC

Language: Spanish
References: 52
Page: 62-67
PDF size: 59.25 Kb.


ABSTRACT

Objective. Identify some of the risk factors of the recurrent urinary tract infection.
Material and methods. An study case control study was performed, matched 1:1, in 41 children that suffered from recurrent urinary tract infection smaller that 15 years. The data was obtained from the registry of the patients seen and clinical history and recorded in a survey. The variable study were: kind of recurrence, age, sex, nutritional evaluation, clinical form, obstructive factor, etiologic agent, antibiotic prescript, place and via, duration of the treatment, quality of the followed.
Results. The 63.4% were relapse. The results that showed a higher grade of association were: the presence of predispose factors (RM = 3.36), the treatment with cotrimoxazole (RM = 3.34) the age smaller of a year (RM = 3.08) and the female sex (RM = 1.89). Others variables no were considered as risk factors.
Conclusions: The age smaller of a year, the female sex, the presence of predispose factors and the treatment with cotrimoxazole were considered as risk factors for the recurrence of the urinary tract infection.


REFERENCES

  1. Contreras DM, Valverde M, Cruz M, González T, Ares N. Aspectos de la infección urinaria en el adulto. Rev Cubana Med Gen Integr 1998; 14(1): 67-73.

  2. González OM, López J, Baños D, Otis MA, Delgado OL. Evolución de la infección urinaria en el menor de un año. Acta Pediatr Méx 2001; 22(5): 344-7.

  3. Almaguer LM. Temas de Nefrología. La Habana: Ciencias médicas 1991.

  4. González R. Trastornos urológicos en los lactantes y niños. En: Berhman RE, Kilegman RM, Arvin AM, eds. Nelson. Tratado de pediatría. 15 ed. Habana: Editorial Ciencias Médicas. 1998; 1903-30.

  5. Kennedy TL. Renal diseases. In: Dworkin PH. Pediatrics. 3ra edición. Connecticut: Williams & Wilkins. 1996: 430-2.

  6. Jentaush EA. Escherichia coli virulence factor and 99 mts dimercaptosuccinic acid renal scar in the children with febrile urinary tract infection. Pediatr Infect Dis J 1992; 11(5): 343-9

  7. Abrahamson E. Staphylococcus saprophyticus urinary tract infection in children. Eur J Pediatr 1993; 152(1): 69-71.

  8. Talayman A, Payousim M. Staphylococcus saprophyticus urinary tract infection in male children. Child Children Nephol Urol 1991; 11(12): 1000-2.

  9. Abu Daia JM, Al-Aaly MA, De Castro R. Urinary tract infection in childhood. A practical approach and pediatric urologists point of view. Saudi Med J 2000; 21(8): 711-4.

  10. Butan N. The important of 99 DMSA scarning in the localization of childhood urinary tract infection. Int Urol Nephrol 1993; 25(1): 11-7.

  11. Heldrich IJ. 99mtechnetium dimecaptosuccinid acid scar in evaluating patients with urinary tract infection. Urol J 1992; 41(3): 215-7.

  12. Kumar RK. Urinary tract infections in children. Tips for a family physician. Aust Fam Physician 2001; 30(6): 551-5.

  13. Kala UK, Jecobs DW. Evaluation of urinary tract infection in malnourish black children. Ann Trop Pediatr 1992; 12(1): 75-81.

  14. Gordillo GP, Hernández EM, Jones LV. Nefrología pediatrica. 1ra Ed. México; Ediciones Médicas del Hospital Infantil de México. 1980: 496-501.

  15. Winberg J, Ingela B. Pielonefritis crónica y cicatrización renal focal. Pediatr Clin North Am 1982; 29(4): 777-80.

  16. Beety R. How dangerous is a urinary tract infection? N Engl J Med 1992; 140(12): 847-50.

  17. OPS: Manual sobre el enfoque de riesgo en la atención infantil. Washington DC. 1986. Service Daltay para ejecutores de programa de salud # 8.

  18. Evaluación del crecimiento en niños cubanos. En: Colectivo de autores. Pediatría: Manual de procedimientos de diagnóstico y tratamiento. La Habana: Editorial Pueblo y Educación. 1990: 155-76.

  19. Williams GJ, Lee A, Craig JC. Long-term antibiotics for preventing recurrent urinary tract infection in children. Cochrane Database Syst Rev 2001; (4): CD001534.

  20. Zajaczkowska M, Zinkiewicz Z, Duda B, Kolacz A, Szajner-Milart I. Anatomic and functional disorders of the urinary tract in children with urinary tract infections. Pol Merkuriusz Lek 2001; 10(58): 213-5.

  21. Mahant S, To T, Friedman J. Timing of voiding cystourethrogram in the investigation of urinary tract infections in children. J Pediatr 2001; 139(4): 568-71.

  22. Lawrenson RA, Logie JW. Antibiotic failure in the treatment of urinary tract infections in young women. J Antimicrob Chemother 2001; 48(6): 895-901.

  23. Lundbergh P. Urinary tract infections in primary health care. Lakartidningen 2001; 26; 98(39): 4198-201.

  24. Thompson RH, Chen JJ, Pugach J, Naseer S, Steinhardt GF. Cessation of prophylactic antibiotics for managing persistent vesicoureteral reflux. J Urol 2001; 166(4): 1465-9.

  25. Bochniewska V, Goszczyk A, Jung A, Muszynska J. Reasons for urinary tract infections in children based on personal observations. Pol Merkuriusz Lek 2001; 10(58): 281-3.

  26. Anoukom T, Agbodjan-Djossou O, Atakouma YD, Bakonde B, Folligan K, Boukari B, Kessie K. Epidemiologic and etiologic features of urinary infections in children. Ann Urol (Paris) 2001; 35(3): 178-84.

  27. Cascio S, Colhoun E, Puri P. Bacterial colonization of the prepuce in boys with vesicoureteral reflux who receive antibiotic prophylaxis. J Pediatr 2001; 139(1): 160-2.

  28. Lerman SE, Liao JC. Neonatal circumcision. Pediatr Clin North Am 2001; 48(6): 1539-57.

  29. Pulliam PN, Attia MW, Cronan KM. C-reactive protein in febrile children 1 to 36 months of age with clinically undetectable serious bacterial infection. Pediatrics 2001; 108(6): 1275-9.

  30. Rutka J, Jung A. Ultrasonographic examination in urinary tract infections. Pol Merkuriusz Lek 2001; 10(58): 279-80.

  31. Herr SM, Wald ER, Pitetti RD, Choi SS. Enhanced urianalysis improves identification of febrile infants ages 60 days and younger at low risk for serious bacterial illness. Pedatrics 2001; 108(4): 866-71.

  32. Sharma RK, Sharma AP, Kapoor R, Gupta A. Prognostic significance of distal renal tubular acidosis in posterior urethral valve. Pediatr Nephrol 2001; 16(7): 581-5.

  33. Greenwell TJ, Woodhams SD, Smalley T, Mundy AR. Effect of antibiotics on enterocystoplasty urinary nitrosamine levels. Urology 2001; 58(5): 660-4.

  34. Bonadio M, Meini M, Spitaleri P, Gigli C. Current microbiological and clinical aspects of urinary tract infections. Eur Urol 2001; 40(4): 439-44.

  35. Prado V, Trucco O, Duran C, Mamani R, Royer M. Profile of antimicrobial resistance of agents causing urinary tract infections in Chilean children. Rev Med Chil 2001; 129(8): 877-85.

  36. Manges AR, Johnson JR, Foxman B, O’Bryan TT, Fullerton KE, Riley LW. Widespread distribution of urinary tract infections caused by a multidrug-resistant Escherichia coli clonal group. N Engl J Med 2001; 345(14): 1007-13.

  37. Gok F, Duzova A, Baskin E, Ozen S, Besbas N, Bakkaloglu A. Comparative study of cefixime alone versus intramuscular ceftizoxime followed by cefixime in the treatment of urinary tract infections in children. J Chemother 2001; 13(3): 277-80.

  38. Mathai D, Jones RN, Pfaller MA. Epidemiology and frequency of resistance among pathogens causing urinary. Diagn Microbiol Infect Dis 2001; 40(3): 129-36.

  39. Karlowsky JA, Jones ME, Thornsberry C, Critchley I, Kelly LJ, Sahm DF. Prevalence of antimicrobial resistance among urinary tract pathogens isolated from female outpatients across the US in 1999. Int J Antimicrob Agents 2001; 18(2): 121-7.

  40. Dajani A. Use of ampicillin/sulbactam and sultamicillin in pediatric infections: a re-evaluation. J Int Med Res 2001; 29(4): 257-69.

  41. Lee SS, Liu YC, Wann SR, Lin WR, Tsai TH, Lin HH, Chen YS, Yen MY. Once daily isepamicin treatment in complicated urinary tract infections. J Microbiol Immunol Infect 1999; 32(2): 105-10.

  42. Bagga A, Babu K, Kanitkar M, Srivastra RN. Consensus statement on management of urinary tract infections. Indian Pediatr 2001; 38(10): 1106-15.

  43. White CT, Matsell DG. Children’s UTIs in the new millennium. Diagnosis, investigation, and treatment of childhood urinary tract infections in the year 2001. Can Fam Physician 2001; 47: 1603-8.

  44. Villani P, Demet D, Ambrosi P, Brondino-Riquier R, Bouvenot G. Diagnostic and therapeutic management of urinary infections. Presse Med 2001; 30: 1204-8.

  45. Garcia-Rodriguez JA, Muñoz BJL. Oral cephalosporins in uncomplicated urinary tract infections. Clin Microbiol Infect 2000; 6 Suppl 3: 73-5.

  46. Levtchenko E, Lahy C, Levy J, Ham H, Piepsz A. Treatment of children with acute pyelonephritis: a prospective randomized study. Pediatr Nephrol 2001; 16(11): 878-84.

  47. Tran D, Muchant DG, Aronoff SC. Short-course versus conventional length antimicrobial therapy for uncomplicated lower urinary tract infections in children. J Pediatr 2001; 139(1): 93-9.

  48. Biggi A, Dardanelli L, Pomero G, Cussino P, Noello C, Sernia O, Spada A, Camuzzini G. Acute renal cortical scintigraphy in children with a first urinary tract infection. Pediatr Nephrol 2001; 16(9): 733-8.

  49. Sweeney B, Cascio S, Velayudham M, Puri P. Reflux nephropathy in infancy: a comparison of infants presenting with and without urinary tract infection. J Urol 2001; 166(2): 648-50.

  50. Kumamoto Y, Tsukamoto T, Hirose T, Matsukawa M, Takahashi S, Kunishima Y, Fujime M, Fujita K. Comparative studies on activities of antimicrobial agents against causative organisms isolated from patients with urinary tract infections. Jpn J Antibiot 2001; 54(5): 217-29.

  51. Kniazewska M, Zmudzinska-Kitczak J, Skalba-Skrabska M, Jonczyk K, Koszutski T, Wojtynek G. Evaluation of health status in children, in whom vesicoureteral reflux was confirmed during infancy. Pol Merkuriusz Lek 2001; 10(58): 224-6.

  52. Roseau E. Vesico-ureteral reflux and nephropathy in the child: medical or surgical treatment? Presse Med 2001; 30(23): 1157-8.




2020     |     www.medigraphic.com