지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 38 - 42 (5page)
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초록· 키워드
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Purpose: We performed a comparative analysis of the usefulness of top-down and down-top approach in children with febrile urinary tract infection (UTI).
Materials and Methods: Among 79 children, 42 children had undergone voiding cystourethrography (VCUG) and dimercaptosuccinic acid (DMSA) scintigraphy. High grade vesicoureteral reflux (VUR) was defined as grade VI and V. We analyzed the detection rate of VUR between down-top (group I) and top-down approach (group II).
Results: The mean age of 42 children (Boys 25, girls 17) was 30.3±33.2 years. Among 42 children, 22 (52.4%) were diagnosed as VUR. Detection rate of VUR in groups I and II was 52.4% and 33.3%, respectively (p=0.078). Detection rate of VUR according to sex and age was 56.0% and 36.0% in boys (p=0.156), 47.1% and 29.4% in girls (p=0.290), and 38.9% and 16.7% in children younger than one year of age (p=0.041), and 62.5% and 45.8% in children older than one year of age (p=0.247), respectively. In high grade VUR, there was a similar detection rate of VUR, regardless of sex or age. Sensitivity, specificity, and positive prediction rate of DMSA scintigraphy in all patients and children with high grade VUR were 63.6%, 80.0%, 77.8%, and 84.6%, 80.0%, 73.3%, respectively.
Conclusions: In children with febrile UTI who were younger one year of age, down-top approach was more useful for diagnosis of VUR. Therefore, VCUG may initially be needed for diagnosis of VUR in children with febrile UTI who were younger than one year of age.
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참고문헌 (10)
참고문헌 신청
Caione P / 2004 / Renal damage in vesico-ureteric reflux / BJU Int 93 : 591 ~ 595
Committee on Quality Improvement. Subcommittee on Urinary Tract Infection / 1999 / Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract i
Downs SM / 1999 / Technical report: urinary tract infections in febrile infants and young children. The Urinary Tract Subcommittee of the American Academy of Pediatrics Committee on Qual
Hitzel A / 2002 / Color and power Doppler sonography versus DMSA scintigraphy in acute pyelonephritis and in prediction of renal scarring / J Nucl Med 43 : 27 ~ 32
Hoberman A / 2003 / Imaging studies after a first febrile urinary tract infection in young children / N Engl J Med 348 : 195 ~ 202
Committee on Quality Improvement. Subcommittee on Urinary Tract Infection / 1999 / Practice parameter: the diagnosis, treatment, and evaluation of the initial urinary tract i
Downs SM / 1999 / Technical report: urinary tract infections in febrile infants and young children. The Urinary Tract Subcommittee of the American Academy of Pediatrics Committee on Qual
Hitzel A / 2002 / Color and power Doppler sonography versus DMSA scintigraphy in acute pyelonephritis and in prediction of renal scarring / J Nucl Med 43 : 27 ~ 32
Hoberman A / 2003 / Imaging studies after a first febrile urinary tract infection in young children / N Engl J Med 348 : 195 ~ 202
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