Erkenntnis
- Constipation appears to increase the risk of first-time pyelonephritis and recurrent urinary tract infections (UTIs) in children without obvious abnormalities of the kidneys or urinary tract.
Why this matters
- For all children aged> 4 Years after the first episode of pyelonephritis, a systematic assessment of bowel and bladder function undertakes.
Key results
- There were 105 Patients of whom 93 % (n = 98/105) were female, included, the median time from diagnosis to outpatient follow-up was 167 Days.
- At follow-up, 47 % (n = 49/105) of patients were diagnosed with constipation.
- 67 % (n = 70/105) of patients with ≥ 1 bowel or bladder symptoms were noted for further examination/treatment or follow-up.
- 41 % (n = 43/105) had recurrent UTIs.
- 63 % (n = 27/43) were also diagnosed with constipation.
- The median time from first episode of pyelonephritis to first recurrent urinary tract infection was 132 Days.
- The uroflowmetry pattern or an increased residual urine volume after emptying the bladder did not affect the recurrences.
- At follow-up, 47 % (n = 49/105) of patients were diagnosed with constipation.
- 63 % (n = 27/43) were also diagnosed with constipation.
Study design
- Retrospective observational cohort analysis to investigate risk factors for first-time pyelonephritis and recurrent _- UTIs in Danish children aged> 4 years without obvious abnormalities of the kidneys or urinary tract.
- Funding: None
Restrictions
- Missing or insufficient follow-up data
- Possible overestimation of the relationship between abnormalities of the intestinal or bladder system and the Pyelonephritis
- Due to ultrasound limitations, abnormalities of the kidneys and urinary tract may have been missed.
This full text is unfortunately reserved for medical professionals
You have reached the maximum number of articles for unregistered visitors
Source — https://www.univadis.de/viewarticle/obstipation-bei-kindern-mit-pyelonephritis-und-rezidivierenden-harnwegsinfekten-verknupft
Comments are closed.