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Title

RESULTS OF VOIDING CYSTOURETHROGRAPHY IN THE FIRST WEEK AND SECOND TO SIXTH WEEKS AFTER URINARY TRACT INFECTION IN CHILDREN REFERRING TO AMIRKABIR HOSPITAL OF ARAK (POSTER PRESENTATIONS: P304)

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YOUSEFI P. | DORREH F.

Pages

 Start Page 71 | End Page 71

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Abstract

 Introduction. Urinary tract infection (UTI) is the most prevalent genitourinary disease in children. About 40% of the children with UTI suffer from reflux accompanied by some consequences such as pyelonephritis and kidney paranchymal injury. Since the diagnostic method for reflux is voiding cystourethrography (VCUG), and there is controversial idea about its timing, the present research was conducted to compare the timing of VCUG in children with UTI in the first week and after the first week of urinary tract infection.Methods. In this case-control study, 104 cases and 104 controls between 1 month and 12 years of age with the complain of urinary tract infection who had referred to the clinic of Arak Amirkabir hospital in 2006 were enrolled in the study. VCUG was performed at the first week of infection in the case group, and in the control group, VCUG was performed after the first week of infection. The results were analyzed and compared using Mann-Whitney-U, Chi square, and N par tests and SPSS software. Results. The case group consisted of 17 boys and 87 girls with average age of 46 months. The control group consisted of 21 boys and 83 girls with average age of 41 months, and there was no meaningful difference between the age and sex of the two groups. Overall, the incidence of reflux was 49.5% and 50% in the case and control groups, respectively. The incidence of reflux in the left kidney 36.5% in both case and control groups, and in right kidney, these measures were 31.1% and 41.5% with no meaningful difference between the two groups. Also, 2/3 of the children had VCUG complications in the first week after UTI including dysuria. The other group, there was no complication. Conclusion. Performing VCUG in first week of UTI does not increase pseudo incidency and grade of reflux in these patients.

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