Nasaif Majida Noori, Alghamdi Ahmed Hassan, Ghamdi Jameel Al, Al-Dammas Ali
Department of Pediatrics , King Fahad Hospital, Al-Baha , Saudi Arabia.
College of Medicine, Albaha University , Saudi Arabia.
Sudan J Paediatr. 2015;15(1):27-36.
Urinary tract infections (UTI) can cause significant renal scarring, which can be complicated by hypertension and renal impairment. This study describes the outcome of different imaging modalities in children with UTI and its relation to age, sex and type of UTI. Our objective was to describe the frequencies of different imaging studies, which were used to investigate children with UTI at King Fahad Hospital (KFH) between the years 2003 and 2008. This is a descriptive study of all children presenting with UTI at KFH from 2003 to 2008. The study population, 100 children , were divided into 3 age groups; first group (> 1 month to 2 years); second group (> 2 to 5 years) , third group (> 5 to 12 years). All enrolled children were confirmed to have had UTI via urinary cultures. Ninety seven (97%) patients underwent renal ultrasonography (US), 77 (77%) had a 99mTc-dimercaptosuccinic acid (DMSA) scan within 2 months of presentation, and 60 (60%) patients underwent micturating cystourethrogram (MCUG), mainly those with an abnormal DMSA scan. A total of 100 patients screened, 10 (10%) were males and 90 (90%) were females, first age group constituted 10%, second age group was 25% , third age groups was 65%. E-coli was isolated in 84% of patients, 60% had recurrent UTI, 45% had pyelonephritis, 48.4% had abnormal renal US, 61% had an abnormal DMSA scan, and 26.6% had abnormal MCUG. UTI can cause significant morbidity in children if not managed properly. Imaging studies are useful in identifying children who require advanced medical intervention; however, such studies should be performed only when indicated.
尿路感染（UTI）可导致严重的肾瘢痕形成，进而可能并发高血压和肾功能损害。本研究描述了UTI患儿不同影像学检查方法的结果及其与年龄、性别和UTI类型的关系。我们的目的是描述2003年至2008年间在法赫德国王医院（KFH）用于检查UTI患儿的不同影像学检查的频率。这是一项对2003年至2008年在KFH出现UTI的所有患儿的描述性研究。研究对象为100名儿童，分为3个年龄组：第一组（>1个月至2岁）；第二组（>2至5岁），第三组（>5至12岁）。所有入选儿童均通过尿培养确诊患有UTI。97例（97%）患者接受了肾脏超声检查（US），77例（77%）在就诊后2个月内进行了99mTc-二巯基丁二酸（DMSA）扫描，60例（60%）患者接受了排尿性膀胱尿道造影（MCUG），主要是那些DMSA扫描异常的患者。总共筛查了100例患者，其中男性10例（10%）为男性，90例（90%）为女性，第一年龄组占10%，第二年龄组占25%，第三年龄组占65%。84%的患者分离出大肠杆菌，60%有复发性UTI，45%有肾盂肾炎，48.4%肾脏超声检查异常，61%DMSA扫描异常，26.6%MCUG异常。如果处理不当，UTI可导致儿童出现严重疾病。影像学检查有助于识别需要进一步医学干预的儿童；然而，此类检查应仅在有指征时进行。
