Risk factors for urinary tract infection in children with urinary urgency
| Autor: | Ubirajara Barroso, Ana Aparecida Nascimento Martinelli Braga, Rhaiana Gondim, Roberta Alvares Azevedo, Maria Luiza Veiga |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Urinary urgency Adolescent Urology Urinary system 030232 urology & nephrology Urinary incontinence lcsh:RC870-923 urologic and male genital diseases Frequent urination 03 medical and health sciences 0302 clinical medicine Lower Urinary Tract Symptoms Lower urinary tract symptoms Enuresis Risk Factors 030225 pediatrics Internal medicine medicine Nocturia Humans Child business.industry Urinary Bladder Overactive medicine.disease lcsh:Diseases of the genitourinary system. Urology female genital diseases and pregnancy complications Cross-Sectional Studies Urinary Incontinence Overactive bladder Child Preschool Urinary Tract Infections Female Original Article medicine.symptom business |
| Zdroj: | International Brazilian Journal of Urology : official journal of the Brazilian Society of Urology International braz j urol v.44 n.2 2018 International Braz J Urol Sociedade Brasileira de Urologia (SBU) instacron:SBU International braz j urol, Volume: 44, Issue: 2, Pages: 378-383, Published: APR 2018 International Brazilian Journal of Urology, Vol 44, Iss 2, Pp 378-383 |
| ISSN: | 1677-6119 |
| Popis: | Purpose To identify which independent variable would be strong predictor of febrile urinary tract infection (UTI) in children and adolescents with overactive bladder. Materials and Methods A search was made of the institute's database for all patients diagnosed with overactive bladder over the preceding four years. Children and adolescents under 18 years of age with overactive bladder and no neurological or anatomical alterations of the lower urinary tract were included in the study. The independent variables were: sex, age, ethnicity (Brazilians of African descendence/others), the presence of urinary urgency, daytime incontinence, enuresis, frequent urination, infrequent voiding (≤3 voids/day), nocturia, holding maneuvers, straining to void, intermittent urinary flow, constipation and encopresis. An analysis was conducted to identify patients with febrile UTI and subsequently determine predictors of this condition. Univariate and multivariate analyses were performed. Results Overall, 326 patients (214 girls/112 boys) were evaluated. The mean age of the patients was 7.7±3.19 years (± standard deviation). The incidence of febrile UTI was 39.2%. Being female and infrequent voiding were factors significantly associated with febrile UTI, both in the univariate and multivariate analyses. Conclusions These results show that being female and infrequent voiding constituted significant risk factors for a diagnosis of febrile UTI in these children. |
| Databáze: | OpenAIRE |
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