The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital: A 10-Year Report

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Haghpanah Atefeh; Sorkhi Hadi; Mohammadi Mohsen; Shirafkan Hoda

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Journal Paper

Paper Information

Journal: Journal of Mazandaran University of Medical Sciences Year:2023 | Volume:33 | Issue:228 Page(s): 68-75

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Information Journal Paper

Title

The Assessment Urinary System Anomalies in Children with Pyelonephritis Referred to Amirkola Children Hospital: A 10-Year Report

Author(s)

Haghpanah Atefeh | Sorkhi Hadi | Mohammadi Mohsen | Shirafkan Hoda | Issue Writer Certificate

Keywords

Vesicoureteral refluxQ4

Urinary tract anomalyQ4

pyelonephritisQ4

ChildrenQ4

Abstract

Background and purpose: Urinary tract anomalies are responsible for urinary tract infection (UTI) in more than 30% of Children. The present study was carried out to determine the prevalence of urinary tract anomalies in Children with pyelonephritis referred to Amirkola Children Hospital during 2010-2020. Materials and methods: In this cross-sectional study, all Children with UTI admitted to Amirkola Children Hospital during 2010-2020 were enrolled. The inclusion criteria were Children aged between 2 months and 18 years, positive signs and symptoms of UTI, and positive urine culture with reliable sampling. Children with a positive history of surgery on the urinary tract were excluded. Imaging studies included ultrasonography, DMSA, DTPA, VCUG, RNC, and IVP for the diagnosis of anomalies in the urinary tract. Results: Among 381 Children with pyelonephritis, the mean age was 37. 1+41. 3 months, and 337 (88. 5%) Children were girls. One hundred forty-nine (39. 1%) Children had urinary anomalies. The most anomalies were VUR, ureterovesical junction obstruction, Ureterocele, and ureteral duplication in 112(75. 16%), 11(7. 38%), 9(6. 04%), and 8(5. 36%) of Children, respectively. A significant difference was observed between age and anomaly prevalence (P=0. 04), but there was no significant difference between sex and prevalence of anomaly (P=0. 3). Conclusion: The results of the study showed that about 39% of Children with UTI had urological anomalies, the most common cause of which was VUR, and other urological anomalies (about a quarter) such as ureterovesical junction obstruction, Ureterocele. In addition to Vesicoureteral reflux, paying attention to other urological anomalies in these Children is recommended

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