The Report of Clinical Overview of Upper Urinary Tract Infection (UTI) in Children in Japanese single center

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  • 沖縄県立中部病院における上部尿路感染症　　１施設における統一された診断からフォローアップまでの臨床的検討
  • —1施設における統一された診断からフォローアップまでの臨床的検討—

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  The report of clinical overview of UTI in children is rare in Japan. Single center experience with regard to culture-documented UTI in children is analized for searching future diretction of optimal care.<br>  Between Jan. 1995 and Dec. 1999, 427 children with culture-documented UTI are reviewed retrospectively about age, sex, symptoms, causative organisms, and subsequent radiographic studies.<br>  Characteristic findings include nonspecifics synptoms (apnea, grunting, and cyanosis) common in neonates, lack of pyuria in 21%, Eshericia coli as a most common agent (73.8%), vesicoureteric reflux (VUR) in 31%, and distinct correlation inbetween the degree of VUR and renal scarring.<br>  Diagnosis of UTI must be confirmed by the culture of clean-catched urine and radiographic study is to be followed consecutively. A controlled, prospective multicenter study for management of primary VUR is readily needed.

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