| Autor: |
M, Venhola, A, Hannula, N-P, Huttunen, M, Renko, T, Pokka, M, Uhari |
| Rok vydání: |
2010 |
| Předmět: |
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| Zdroj: |
Acta paediatrica (Oslo, Norway : 1992). 99(12) |
| ISSN: |
1651-2227 |
| Popis: |
The reported low occurrence of vesicoureteral reflux in the general population seems implausible. We wanted to test the hypothesis that reflux is more common and more independent of urinary-tract infection than has previously been thought. We tested our hypothesis by analysing the characteristics of 406 consecutive children aged5years who had been referred for consultation because of urinary-tract infection. Using data on their urine samples, we evaluated the reliability of the urinary-tract infection diagnosis and analysed the frequencies of vesicoureteral reflux and abnormal ultrasound findings in three reliability groups (A: certain urinary-tract infection, B: possible and C: improbable). The occurrence of reflux was the same irrespective of the diagnostic reliability of urinary-tract infection (A: 98/276 [36%] versus B: 13/46 [28%] versus C: 9/25 [36%]). Most of the abnormal ultrasound findings (58/71, 80%) were found among patients with a certain diagnosis (Group A).We suggest that vesicoureteral reflux is more common in children even without urinary-tract infection than has been thought previously. The guidelines recommending a search for reflux by means of voiding cystourethrography should be reconsidered. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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