E-ISSN 1858-8360 | ISSN 0256-4408
 

Original Research (Original Article) 


Renal scarring following urinary tract infections in children.

Balakrishna Bandari, Seema Pavaman Sindgikar, Soma Santosh Kumar, Mangalpady Shenoy Vijaya, Raghu Shankar.

Abstract
Urinary tract infection (UTI) is the most common bacterial infection seen in younger age group children. The most common risk factor for renal scarring in children with post-UTI is vesicoureteric reflux (VUR). This study looked at renal scarring following UTI in children by Dimercaptosuccinic acid (DMSA) scan. It is a cross-sectional time bound study done among 40 infants and children with UTI for a period of 18 months. Their clinical presentation and laboratory data including micturating cystourethrogram (MCUG) were documented. DMSA scan were done during the follow up, established the presence of renal scars if any. UTI was more common in males. Children with history of recurrent UTI had renal scarring. Statistical significance was noted when first and recurrent attacks of UTI were compared for clinical and diagnostic characteristics like E.coli UTI (p=0.007), increasing grades of VUR (p=0.006), and renal scar formation (p=0.041). The study concluded that high grades of antenatal hydroureteronephrosis (100%), febrile UTI (34%), younger age group (67.5%), E.coli UTI (86%) were more associated with recurrent attacks of UTI and renal scarring. DMSA, being the non-invasive test is better proven to be an investigation of choice than other invasive modalities for follow-up of children with recurrent attacks of UTI.

Key words: Renal scar; Dimercaptosuccinic acid scan; Escherichia coli; Hydroureteronephrosis; Vesicoureteric reflux.


 
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How to Cite this Article
Pubmed Style

Bandari B, Sindgikar SP, Kumar SS, Vijaya MS, Shankar R. Renal scarring following urinary tract infections in children.. Sudan J Paed. 2019; 19(1): 25-30. doi:10.24911/SJP.106-1554791193


Web Style

Bandari B, Sindgikar SP, Kumar SS, Vijaya MS, Shankar R. Renal scarring following urinary tract infections in children.. http://www.sudanjp.com/?mno=42568 [Access: October 17, 2019]. doi:10.24911/SJP.106-1554791193


AMA (American Medical Association) Style

Bandari B, Sindgikar SP, Kumar SS, Vijaya MS, Shankar R. Renal scarring following urinary tract infections in children.. Sudan J Paed. 2019; 19(1): 25-30. doi:10.24911/SJP.106-1554791193



Vancouver/ICMJE Style

Bandari B, Sindgikar SP, Kumar SS, Vijaya MS, Shankar R. Renal scarring following urinary tract infections in children.. Sudan J Paed. (2019), [cited October 17, 2019]; 19(1): 25-30. doi:10.24911/SJP.106-1554791193



Harvard Style

Bandari, B., Sindgikar, . S. P., Kumar, S. S., Vijaya, . M. S. & Shankar, . R. (2019) Renal scarring following urinary tract infections in children.. Sudan J Paed, 19 (1), 25-30. doi:10.24911/SJP.106-1554791193



Turabian Style

Bandari, Balakrishna, Seema Pavaman Sindgikar, Soma Santosh Kumar, Mangalpady Shenoy Vijaya, and Raghu Shankar. 2019. Renal scarring following urinary tract infections in children.. Sudanese Journal of Paediatrics, 19 (1), 25-30. doi:10.24911/SJP.106-1554791193



Chicago Style

Bandari, Balakrishna, Seema Pavaman Sindgikar, Soma Santosh Kumar, Mangalpady Shenoy Vijaya, and Raghu Shankar. "Renal scarring following urinary tract infections in children.." Sudanese Journal of Paediatrics 19 (2019), 25-30. doi:10.24911/SJP.106-1554791193



MLA (The Modern Language Association) Style

Bandari, Balakrishna, Seema Pavaman Sindgikar, Soma Santosh Kumar, Mangalpady Shenoy Vijaya, and Raghu Shankar. "Renal scarring following urinary tract infections in children.." Sudanese Journal of Paediatrics 19.1 (2019), 25-30. Print. doi:10.24911/SJP.106-1554791193



APA (American Psychological Association) Style

Bandari, B., Sindgikar, . S. P., Kumar, S. S., Vijaya, . M. S. & Shankar, . R. (2019) Renal scarring following urinary tract infections in children.. Sudanese Journal of Paediatrics, 19 (1), 25-30. doi:10.24911/SJP.106-1554791193





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