Pinto Kirk J
Pediatric Urology Department, Urology Associates of North Texas and Cook Children's Medical Center, Fort Worth, Texas, USA.
J Urol. 2004 Mar;171(3):1266-7. doi: 10.1097/01.ju.0000113002.57543.34.
Hispanic individuals have become the largest minority in the United States. Prior studies of minorities revealed real differences in vesicouretal reflux rates between white and black Americans. We studied the incidence of reflux in the Hispanic population to see if the reflux rate was different from that of the white population.
We reviewed the results of voiding cystourethrograms performed in Hispanic children as our normal screening for reflux and compared them to voiding cystourethrograms results in a group of white children. The children were identified as Hispanic or white by their parents on an intake form.
Of the Hispanic children 27% had vesicoureteral reflux on voiding cystogram, while 32% of the white children had vesicoureteral reflux.
Hispanic patients presenting with the first urinary tract infection seem to be afflicted with vesicoureteral reflux as often as their white contemporaries. Hispanic children should be screened as aggressively as white children when they present with urinary tract infections.
西班牙裔个体已成为美国最大的少数族裔。先前对少数族裔的研究揭示了美国白人和黑人之间膀胱输尿管反流率的实际差异。我们研究了西班牙裔人群中反流的发生率,以确定反流率是否与白人人群不同。
我们回顾了对西班牙裔儿童进行排尿性膀胱尿道造影的结果,作为我们对反流的常规筛查,并将其与一组白人儿童的排尿性膀胱尿道造影结果进行比较。孩子们在入院表格上由他们的父母被认定为西班牙裔或白人。
在西班牙裔儿童中,27%在排尿性膀胱造影时有膀胱输尿管反流,而白人儿童中有32%有膀胱输尿管反流。
首次出现尿路感染的西班牙裔患者似乎与同龄白人一样常患膀胱输尿管反流。当西班牙裔儿童出现尿路感染时,应与白人儿童一样积极进行筛查。