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尿路感染患儿的血清维生素D水平:一项病例对照研究。

The serum vitamin D levels in children with urinary tract infection: a case-control study.

作者信息

Sadeghzadeh M, Khoshnevisasl P, Motamed N, Faghfouri L

机构信息

Zanjan Metabolic Disease Research Center, Department of Pediatrics, Zanjan University of Medical Sciences, Zanjan, Iran.

Zanjan Social Determinants of Health Research Center, Department of Pediatrics, Zanjan University of Medical Sciences, Zanjan, Iran.

出版信息

New Microbes New Infect. 2021 Jul 5;43:100911. doi: 10.1016/j.nmni.2021.100911. eCollection 2021 Sep.

Abstract

Urinary tract infection (UTI) is one of the most common infections in infants and children. The aim of this study is to evaluate the association between vitamin D levels and urinary tract infections in children. This case-control study was performed on 80 children aged 1-12 years with urinary tract infection referred to the pediatric clinic of Mousavi Hospital in Zanjan, Iran. For each patient in the case group, an individual of the same age and sex was selected in the control group. Vitamin D was measured by the ELISA method. Statistical analysis was performed by SPSS V22 software. In this study, 80 children were divided into two groups of 40 cases (UTI) and control. Serum levels of vitamin D in the case group were significantly lower than in the control group [OR (95%CI) = 3.316 (1.286-8.550),( p = 0.013)]. In females, serum levels of vitamin D in cases were significantly lower than for controls [OR (95%CI) = (5.417 (1.685-17.417), P-value = 0.005)]. No significant relationship was found between serum levels of vitamin D in cases and controls regarding male gender, age and weight. Conclusions: This study showed that vitamin D deficiency has a significant relationship with the prevalence of UTI in children. Vitamin D deficiency and female gender are more frequent risk factors for UTI.

摘要

尿路感染(UTI)是婴幼儿和儿童中最常见的感染之一。本研究的目的是评估儿童维生素D水平与尿路感染之间的关联。这项病例对照研究对80名年龄在1至12岁、因尿路感染转诊至伊朗赞詹穆萨维医院儿科门诊的儿童进行。对于病例组中的每一位患者,在对照组中选择一名年龄和性别相同的个体。采用酶联免疫吸附测定(ELISA)法测定维生素D。使用SPSS V22软件进行统计分析。在本研究中,80名儿童被分为两组,40例为病例组(UTI),40例为对照组。病例组的血清维生素D水平显著低于对照组[比值比(95%置信区间)= 3.316(1.286 - 8.550),(p = 0.013)]。在女性中,病例组的血清维生素D水平显著低于对照组[比值比(95%置信区间)= 5.417(1.685 - 17.417),P值 = 0.005]。在男性、年龄和体重方面,病例组与对照组的血清维生素D水平未发现显著关系。结论:本研究表明维生素D缺乏与儿童尿路感染的患病率有显著关系。维生素D缺乏和女性性别是更常见的尿路感染危险因素。

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本文引用的文献

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Evaluation of the relationship between vitamin D levels and prevalence of urinary tract infections in children.
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