Nomogram for diagnosing acute pyelonephritis in pediatric urinary tract infection

Autor: Nai-Wen Fang, Yee-Hsuan Chiou, Yao-Shen Chen, Chi-Wen Hung, Chun-Hao Yin, Jin-Shuen Chen
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Pediatrics and Neonatology, Vol 63, Iss 4, Pp 380-387 (2022)
Druh dokumentu: article
ISSN: 1875-9572
DOI: 10.1016/j.pedneo.2022.03.006
Popis: Background: For risk stratification and individualized treatment for children with urinary tract infection (UTI), they must be assessed for the presence of acute pyelonephritis (APN). Our study aimed to combine variables that can predict APN and establish a nomogram for clinical use. Methods: In total, 111 children 39 °C, serum procalcitonin (PCT) ≥ 0.52 pg/mL, C-reactive protein (CRP) ≥ 2.86 mg/dL, and abnormal RUBS findings were independent variables for predicting APN in children. The nomogram established using the aforementioned variables had an area under the receiver operating characteristic curve (AUC) of 0.89, which was higher than those of PCT and CRP alone (0.776 and 0.774, respectively). Conclusion: The combination of four variables had the highest power in predicting APN in children with UTI. The established nomogram is practical for clinical use.
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