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儿童维生素D与尿路感染之间的关联。

Association between vitamin D and urinary tract infection in children.

作者信息

Mahyar Abolfazl, Ayazi Parviz, Safari Sara, Dalirani Reza, Javadi Amir, Esmaeily Shiva

机构信息

Qazvin Children Hospital, Qazvin University of Medical Sciences, Qazvin, Iran.

Mofid Children Hospital, Pediatric Nephrology Department, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Korean J Pediatr. 2018 Mar;61(3):90-94. doi: 10.3345/kjp.2018.61.3.90. Epub 2018 Mar 19.

DOI:10.3345/kjp.2018.61.3.90
PMID:29628969
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5876510/
Abstract

PURPOSE

The present study aimed to determine the relationship between serum 25-hydroxyvitamin D (25(OH)D) level and Urinary tract infections (UTIs) in children.

METHODS

In this case-control study, 70 children with UTI (case group) were compared with 70 healthy children (control group) in terms of serum 25(OH)D levels. The children were between 1 month and 12 years of age. Serum 25(OH)D levels were measured using enzyme-linked immunosorbent assay (ELISA). The results were analyzed and compared between both groups.

RESULTS

Among 70 children with UTI (case group), 5 children (7.2%) were male and 65 (92.8%) were female. Among the healthy children (control group), 9 (12.8%) and 61 children (87.2%) were male and female, respectively (=0.39). The mean±standard deviation of age in the case and control groups were 53.2±35.6 and 36.1±60.2 months, respectively (=0.24). The mean level of serum 25(OH)D in the case group was significantly higher than that of the control group (20.4±8.6 ng/mL vs. 16.9±7.4 ng/mL, =0.01).

CONCLUSION

This study showed that there was a relationship between serum 25(OH)D levels and UTI in children. It seems that 25(OH)D plays a role in the pathogenesis of UTI.

摘要

目的

本研究旨在确定儿童血清25-羟维生素D(25(OH)D)水平与尿路感染(UTIs)之间的关系。

方法

在这项病例对照研究中,比较了70例尿路感染患儿(病例组)和70例健康儿童(对照组)的血清25(OH)D水平。患儿年龄在1个月至12岁之间。采用酶联免疫吸附测定(ELISA)法检测血清25(OH)D水平。对两组结果进行分析和比较。

结果

70例尿路感染患儿(病例组)中,男性5例(7.2%),女性65例(92.8%)。健康儿童(对照组)中,男性9例(12.8%),女性61例(87.2%)(P=0.39)。病例组和对照组的平均年龄±标准差分别为53.2±35.6个月和36.1±60.2个月(P=0.24)。病例组血清25(OH)D的平均水平显著高于对照组(20.4±8.6 ng/mL对16.9±7.4 ng/mL,P=0.01)。

结论

本研究表明儿童血清25(OH)D水平与尿路感染之间存在关联。25(OH)D似乎在尿路感染的发病机制中起作用。

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本文引用的文献

1
Low serum 25-hydroxyvitamin D level and risk of urinary tract infection in infants.婴儿血清25-羟维生素D水平低与尿路感染风险
Medicine (Baltimore). 2016 Jul;95(27):e4137. doi: 10.1097/MD.0000000000004137.
2
Prevention of urinary tract infections with vitamin D supplementation 20,000 IU per week for five years. Results from an RCT including 511 subjects.每周补充维生素 D 20,000IU 预防尿路感染五年。一项纳入 511 例受试者的 RCT 研究结果。
Infect Dis (Lond). 2016 Nov-Dec;48(11-12):823-8. doi: 10.1080/23744235.2016.1201853. Epub 2016 Jun 30.
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The Association between Serum 25-Hydroxy Vitamin D Level and Urine Cathelicidin in Children with a Urinary Tract Infection.血清25-羟基维生素D水平与尿路感染患儿尿中杀菌肽的相关性
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Vitamin D deficiency is an independent risk factor for urinary tract infections after renal transplants.维生素D缺乏是肾移植后发生尿路感染的一个独立危险因素。
Medicine (Baltimore). 2015 Mar;94(9):e594. doi: 10.1097/MD.0000000000000594.
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The Association between Vitamin D Levels and Urinary Tract Infection in Children.儿童维生素D水平与尿路感染之间的关联
Horm Res Paediatr. 2015;83(3):198-203. doi: 10.1159/000370046. Epub 2015 Jan 28.
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Role of urinary cathelicidin LL-37 and human β-defensin 1 in uncomplicated Escherichia coli urinary tract infections.尿 cathelicidin LL-37 和人 β-防御素 1 在单纯性大肠埃希菌尿路感染中的作用。
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The association between serum levels of vitamin D and recurrent urinary tract infections in premenopausal women.血清维生素 D 水平与绝经前妇女复发性尿路感染的关系。
Int J Infect Dis. 2013 Dec;17(12):e1121-4. doi: 10.1016/j.ijid.2013.06.007. Epub 2013 Aug 2.
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Vitamin D metabolism and innate immunity.维生素 D 代谢与先天免疫。
Mol Cell Endocrinol. 2011 Dec 5;347(1-2):97-105. doi: 10.1016/j.mce.2011.04.015. Epub 2011 Jun 1.
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Antibacterial effects of vitamin D.维生素 D 的抗菌作用。
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Vitamin D and inflammation.维生素 D 与炎症。
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