Infants with prenatally diagnosed kidney anomalies have an increased risk of urinary tract infections
Aim This study estimated the urinary tract infection (UTI) risk in a nationwide cohort of infants prenatally diagnosed with parenchymal kidney anomalies compared with a comparison cohort. Methods A Danish population‐based nationwide cohort of foetuses diagnosed with parenchymal kidney anomalies betw...
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| Veröffentlicht in: | Acta Paediatrica 2017-11, Vol.106 (11), p.1875-1881 |
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| container_title | Acta Paediatrica |
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| creator | Rasmussen, Maria Sunde, Lone Andersen, René F. Petersen, Olav B. Olsen, Morten S. Tabor, Ann Shalmi, Anne‐Cathrine Jensen, Hanne Vase, Laura Sperling, Lene Vang, Marianne Hessellund, Annette Brendstrup, Lene Bendsen, Eske Sommer, Steffen Kamper, Christina Zingenberg, Helle Krebs, Lone Thisted, Dorte Skibsted, Lillian Olesen, Annette Sørensen, Anne Størup, Birgitte |
| description | Aim
This study estimated the urinary tract infection (UTI) risk in a nationwide cohort of infants prenatally diagnosed with parenchymal kidney anomalies compared with a comparison cohort.
Methods
A Danish population‐based nationwide cohort of foetuses diagnosed with parenchymal kidney anomalies between 2007 and 2012 had previously been identified. These were compared with foetuses without kidney anomalies who were prenatally scanned the same year. Live born infants were followed from birth until the diagnosis of UTI, emigration, death or two years of age. Cumulative incidences of UTIs were computed. Mortality was estimated using the Kaplan–Meier method.
Results
We identified 412 foetuses with parenchymal kidney anomalies out of 362 069 who underwent ultrasound scans and 277 were born alive. The overall risk of a UTI before the age of two years was 19%, and it was 14% among infants without prenatally diagnosed co‐occurring urinary tract malformations. The corresponding risk in the 4074 controls was 1%. After two years, mortality was 2.2% in infants with prenatally diagnosed parenchymal kidney anomalies and 0.2% in the controls.
Conclusion
Infants prenatally diagnosed with parenchymal kidney anomalies had a substantially increased risk of UTI. Awareness of this increased risk may facilitate earlier diagnosis of UTIs in this population. |
| doi_str_mv | 10.1111/apa.14014 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1927832694</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1949414208</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3534-328b7ce7118ee603a73aaf5ded612146ea87da8d70c3f88aea1396bc128c834c3</originalsourceid><addsrcrecordid>eNp10MtKxDAUBuAgijOOLnwBCbjRRTW3NulyEG8woAtdlzPpqRPtpGPSKvP2RkddCGYTQj5-zvkJOeTsjKdzDis444pxtUXGvMh5JoTQ22TMDJNZLnI5InsxPjMmZKmKXTISRpeSaz0meOsb8H2k765f0FVADz207ZrWDp58F7GmL672uKbguyW0DiNdwBumJ3XeBoRPElx8oV1Dh-A8hDXtA9g-_Tdoe9f5uE92GmgjHnzfE_J4dflwcZPN7q5vL6azzMpcqkwKM9cWNecGsWAStARo8hrrgguuCgSjazC1ZlY2xgACl2Uxt1wYa6SyckJONrmr0L0OGPtq6aLFtgWP3RArXgptpChKlejxH_rcDcGn6ZJSpeJKMJPU6UbZ0MUYsKlWwS3TihVn1Wf3Veq--uo-2aPvxGG-xPpX_pSdwPkGvLsW1_8nVdP76SbyA_kCjiU</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1949414208</pqid></control><display><type>article</type><title>Infants with prenatally diagnosed kidney anomalies have an increased risk of urinary tract infections</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><source>Alma/SFX Local Collection</source><creator>Rasmussen, Maria ; Sunde, Lone ; Andersen, René F. ; Petersen, Olav B. ; Olsen, Morten S. ; Tabor, Ann ; Shalmi, Anne‐Cathrine ; Jensen, Hanne ; Vase, Laura ; Sperling, Lene ; Vang, Marianne ; Hessellund, Annette ; Brendstrup, Lene ; Bendsen, Eske ; Sommer, Steffen ; Kamper, Christina ; Zingenberg, Helle ; Krebs, Lone ; Thisted, Dorte ; Skibsted, Lillian ; Olesen, Annette ; Sørensen, Anne ; Størup, Birgitte</creator><creatorcontrib>Rasmussen, Maria ; Sunde, Lone ; Andersen, René F. ; Petersen, Olav B. ; Olsen, Morten S. ; Tabor, Ann ; Shalmi, Anne‐Cathrine ; Jensen, Hanne ; Vase, Laura ; Sperling, Lene ; Vang, Marianne ; Hessellund, Annette ; Brendstrup, Lene ; Bendsen, Eske ; Sommer, Steffen ; Kamper, Christina ; Zingenberg, Helle ; Krebs, Lone ; Thisted, Dorte ; Skibsted, Lillian ; Olesen, Annette ; Sørensen, Anne ; Størup, Birgitte ; Danish Fetal Medicine Research Group</creatorcontrib><description>Aim
This study estimated the urinary tract infection (UTI) risk in a nationwide cohort of infants prenatally diagnosed with parenchymal kidney anomalies compared with a comparison cohort.
Methods
A Danish population‐based nationwide cohort of foetuses diagnosed with parenchymal kidney anomalies between 2007 and 2012 had previously been identified. These were compared with foetuses without kidney anomalies who were prenatally scanned the same year. Live born infants were followed from birth until the diagnosis of UTI, emigration, death or two years of age. Cumulative incidences of UTIs were computed. Mortality was estimated using the Kaplan–Meier method.
Results
We identified 412 foetuses with parenchymal kidney anomalies out of 362 069 who underwent ultrasound scans and 277 were born alive. The overall risk of a UTI before the age of two years was 19%, and it was 14% among infants without prenatally diagnosed co‐occurring urinary tract malformations. The corresponding risk in the 4074 controls was 1%. After two years, mortality was 2.2% in infants with prenatally diagnosed parenchymal kidney anomalies and 0.2% in the controls.
Conclusion
Infants prenatally diagnosed with parenchymal kidney anomalies had a substantially increased risk of UTI. Awareness of this increased risk may facilitate earlier diagnosis of UTIs in this population.</description><identifier>ISSN: 0803-5253</identifier><identifier>EISSN: 1651-2227</identifier><identifier>DOI: 10.1111/apa.14014</identifier><identifier>PMID: 28793177</identifier><language>eng</language><publisher>Norway: Wiley Subscription Services, Inc</publisher><subject>Cohort Studies ; Denmark - epidemiology ; Emigration ; Female ; Health risk assessment ; Health risks ; Humans ; Infant ; Infants ; Infections ; Kidney - abnormalities ; Kidney dysplasia ; Kidneys ; Male ; Mortality ; Parenchymal kidney anomalies ; Prenatal screening ; Risk Assessment ; Ultrasonography, Prenatal ; Ultrasound ; Urinary tract ; Urinary tract infections ; Urinary Tract Infections - etiology ; Urogenital Abnormalities - complications ; Urogenital Abnormalities - diagnostic imaging ; Urogenital Abnormalities - mortality ; Urogenital system</subject><ispartof>Acta Paediatrica, 2017-11, Vol.106 (11), p.1875-1881</ispartof><rights>2017 Foundation Acta Pædiatrica. Published by John Wiley & Sons Ltd</rights><rights>2017 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.</rights><rights>Copyright © 2017 Foundation Acta Pædiatrica</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3534-328b7ce7118ee603a73aaf5ded612146ea87da8d70c3f88aea1396bc128c834c3</citedby><cites>FETCH-LOGICAL-c3534-328b7ce7118ee603a73aaf5ded612146ea87da8d70c3f88aea1396bc128c834c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fapa.14014$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fapa.14014$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28793177$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Rasmussen, Maria</creatorcontrib><creatorcontrib>Sunde, Lone</creatorcontrib><creatorcontrib>Andersen, René F.</creatorcontrib><creatorcontrib>Petersen, Olav B.</creatorcontrib><creatorcontrib>Olsen, Morten S.</creatorcontrib><creatorcontrib>Tabor, Ann</creatorcontrib><creatorcontrib>Shalmi, Anne‐Cathrine</creatorcontrib><creatorcontrib>Jensen, Hanne</creatorcontrib><creatorcontrib>Vase, Laura</creatorcontrib><creatorcontrib>Sperling, Lene</creatorcontrib><creatorcontrib>Vang, Marianne</creatorcontrib><creatorcontrib>Hessellund, Annette</creatorcontrib><creatorcontrib>Brendstrup, Lene</creatorcontrib><creatorcontrib>Bendsen, Eske</creatorcontrib><creatorcontrib>Sommer, Steffen</creatorcontrib><creatorcontrib>Kamper, Christina</creatorcontrib><creatorcontrib>Zingenberg, Helle</creatorcontrib><creatorcontrib>Krebs, Lone</creatorcontrib><creatorcontrib>Thisted, Dorte</creatorcontrib><creatorcontrib>Skibsted, Lillian</creatorcontrib><creatorcontrib>Olesen, Annette</creatorcontrib><creatorcontrib>Sørensen, Anne</creatorcontrib><creatorcontrib>Størup, Birgitte</creatorcontrib><creatorcontrib>Danish Fetal Medicine Research Group</creatorcontrib><title>Infants with prenatally diagnosed kidney anomalies have an increased risk of urinary tract infections</title><title>Acta Paediatrica</title><addtitle>Acta Paediatr</addtitle><description>Aim
This study estimated the urinary tract infection (UTI) risk in a nationwide cohort of infants prenatally diagnosed with parenchymal kidney anomalies compared with a comparison cohort.
Methods
A Danish population‐based nationwide cohort of foetuses diagnosed with parenchymal kidney anomalies between 2007 and 2012 had previously been identified. These were compared with foetuses without kidney anomalies who were prenatally scanned the same year. Live born infants were followed from birth until the diagnosis of UTI, emigration, death or two years of age. Cumulative incidences of UTIs were computed. Mortality was estimated using the Kaplan–Meier method.
Results
We identified 412 foetuses with parenchymal kidney anomalies out of 362 069 who underwent ultrasound scans and 277 were born alive. The overall risk of a UTI before the age of two years was 19%, and it was 14% among infants without prenatally diagnosed co‐occurring urinary tract malformations. The corresponding risk in the 4074 controls was 1%. After two years, mortality was 2.2% in infants with prenatally diagnosed parenchymal kidney anomalies and 0.2% in the controls.
Conclusion
Infants prenatally diagnosed with parenchymal kidney anomalies had a substantially increased risk of UTI. Awareness of this increased risk may facilitate earlier diagnosis of UTIs in this population.</description><subject>Cohort Studies</subject><subject>Denmark - epidemiology</subject><subject>Emigration</subject><subject>Female</subject><subject>Health risk assessment</subject><subject>Health risks</subject><subject>Humans</subject><subject>Infant</subject><subject>Infants</subject><subject>Infections</subject><subject>Kidney - abnormalities</subject><subject>Kidney dysplasia</subject><subject>Kidneys</subject><subject>Male</subject><subject>Mortality</subject><subject>Parenchymal kidney anomalies</subject><subject>Prenatal screening</subject><subject>Risk Assessment</subject><subject>Ultrasonography, Prenatal</subject><subject>Ultrasound</subject><subject>Urinary tract</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urogenital Abnormalities - complications</subject><subject>Urogenital Abnormalities - diagnostic imaging</subject><subject>Urogenital Abnormalities - mortality</subject><subject>Urogenital system</subject><issn>0803-5253</issn><issn>1651-2227</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp10MtKxDAUBuAgijOOLnwBCbjRRTW3NulyEG8woAtdlzPpqRPtpGPSKvP2RkddCGYTQj5-zvkJOeTsjKdzDis444pxtUXGvMh5JoTQ22TMDJNZLnI5InsxPjMmZKmKXTISRpeSaz0meOsb8H2k765f0FVADz207ZrWDp58F7GmL672uKbguyW0DiNdwBumJ3XeBoRPElx8oV1Dh-A8hDXtA9g-_Tdoe9f5uE92GmgjHnzfE_J4dflwcZPN7q5vL6azzMpcqkwKM9cWNecGsWAStARo8hrrgguuCgSjazC1ZlY2xgACl2Uxt1wYa6SyckJONrmr0L0OGPtq6aLFtgWP3RArXgptpChKlejxH_rcDcGn6ZJSpeJKMJPU6UbZ0MUYsKlWwS3TihVn1Wf3Veq--uo-2aPvxGG-xPpX_pSdwPkGvLsW1_8nVdP76SbyA_kCjiU</recordid><startdate>201711</startdate><enddate>201711</enddate><creator>Rasmussen, Maria</creator><creator>Sunde, Lone</creator><creator>Andersen, René F.</creator><creator>Petersen, Olav B.</creator><creator>Olsen, Morten S.</creator><creator>Tabor, Ann</creator><creator>Shalmi, Anne‐Cathrine</creator><creator>Jensen, Hanne</creator><creator>Vase, Laura</creator><creator>Sperling, Lene</creator><creator>Vang, Marianne</creator><creator>Hessellund, Annette</creator><creator>Brendstrup, Lene</creator><creator>Bendsen, Eske</creator><creator>Sommer, Steffen</creator><creator>Kamper, Christina</creator><creator>Zingenberg, Helle</creator><creator>Krebs, Lone</creator><creator>Thisted, Dorte</creator><creator>Skibsted, Lillian</creator><creator>Olesen, Annette</creator><creator>Sørensen, Anne</creator><creator>Størup, Birgitte</creator><general>Wiley Subscription Services, Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>7X8</scope></search><sort><creationdate>201711</creationdate><title>Infants with prenatally diagnosed kidney anomalies have an increased risk of urinary tract infections</title><author>Rasmussen, Maria ; Sunde, Lone ; Andersen, René F. ; Petersen, Olav B. ; Olsen, Morten S. ; Tabor, Ann ; Shalmi, Anne‐Cathrine ; Jensen, Hanne ; Vase, Laura ; Sperling, Lene ; Vang, Marianne ; Hessellund, Annette ; Brendstrup, Lene ; Bendsen, Eske ; Sommer, Steffen ; Kamper, Christina ; Zingenberg, Helle ; Krebs, Lone ; Thisted, Dorte ; Skibsted, Lillian ; Olesen, Annette ; Sørensen, Anne ; Størup, Birgitte</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3534-328b7ce7118ee603a73aaf5ded612146ea87da8d70c3f88aea1396bc128c834c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Cohort Studies</topic><topic>Denmark - epidemiology</topic><topic>Emigration</topic><topic>Female</topic><topic>Health risk assessment</topic><topic>Health risks</topic><topic>Humans</topic><topic>Infant</topic><topic>Infants</topic><topic>Infections</topic><topic>Kidney - abnormalities</topic><topic>Kidney dysplasia</topic><topic>Kidneys</topic><topic>Male</topic><topic>Mortality</topic><topic>Parenchymal kidney anomalies</topic><topic>Prenatal screening</topic><topic>Risk Assessment</topic><topic>Ultrasonography, Prenatal</topic><topic>Ultrasound</topic><topic>Urinary tract</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urogenital Abnormalities - complications</topic><topic>Urogenital Abnormalities - diagnostic imaging</topic><topic>Urogenital Abnormalities - mortality</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Rasmussen, Maria</creatorcontrib><creatorcontrib>Sunde, Lone</creatorcontrib><creatorcontrib>Andersen, René F.</creatorcontrib><creatorcontrib>Petersen, Olav B.</creatorcontrib><creatorcontrib>Olsen, Morten S.</creatorcontrib><creatorcontrib>Tabor, Ann</creatorcontrib><creatorcontrib>Shalmi, Anne‐Cathrine</creatorcontrib><creatorcontrib>Jensen, Hanne</creatorcontrib><creatorcontrib>Vase, Laura</creatorcontrib><creatorcontrib>Sperling, Lene</creatorcontrib><creatorcontrib>Vang, Marianne</creatorcontrib><creatorcontrib>Hessellund, Annette</creatorcontrib><creatorcontrib>Brendstrup, Lene</creatorcontrib><creatorcontrib>Bendsen, Eske</creatorcontrib><creatorcontrib>Sommer, Steffen</creatorcontrib><creatorcontrib>Kamper, Christina</creatorcontrib><creatorcontrib>Zingenberg, Helle</creatorcontrib><creatorcontrib>Krebs, Lone</creatorcontrib><creatorcontrib>Thisted, Dorte</creatorcontrib><creatorcontrib>Skibsted, Lillian</creatorcontrib><creatorcontrib>Olesen, Annette</creatorcontrib><creatorcontrib>Sørensen, Anne</creatorcontrib><creatorcontrib>Størup, Birgitte</creatorcontrib><creatorcontrib>Danish Fetal Medicine Research Group</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>MEDLINE - Academic</collection><jtitle>Acta Paediatrica</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Rasmussen, Maria</au><au>Sunde, Lone</au><au>Andersen, René F.</au><au>Petersen, Olav B.</au><au>Olsen, Morten S.</au><au>Tabor, Ann</au><au>Shalmi, Anne‐Cathrine</au><au>Jensen, Hanne</au><au>Vase, Laura</au><au>Sperling, Lene</au><au>Vang, Marianne</au><au>Hessellund, Annette</au><au>Brendstrup, Lene</au><au>Bendsen, Eske</au><au>Sommer, Steffen</au><au>Kamper, Christina</au><au>Zingenberg, Helle</au><au>Krebs, Lone</au><au>Thisted, Dorte</au><au>Skibsted, Lillian</au><au>Olesen, Annette</au><au>Sørensen, Anne</au><au>Størup, Birgitte</au><aucorp>Danish Fetal Medicine Research Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Infants with prenatally diagnosed kidney anomalies have an increased risk of urinary tract infections</atitle><jtitle>Acta Paediatrica</jtitle><addtitle>Acta Paediatr</addtitle><date>2017-11</date><risdate>2017</risdate><volume>106</volume><issue>11</issue><spage>1875</spage><epage>1881</epage><pages>1875-1881</pages><issn>0803-5253</issn><eissn>1651-2227</eissn><abstract>Aim
This study estimated the urinary tract infection (UTI) risk in a nationwide cohort of infants prenatally diagnosed with parenchymal kidney anomalies compared with a comparison cohort.
Methods
A Danish population‐based nationwide cohort of foetuses diagnosed with parenchymal kidney anomalies between 2007 and 2012 had previously been identified. These were compared with foetuses without kidney anomalies who were prenatally scanned the same year. Live born infants were followed from birth until the diagnosis of UTI, emigration, death or two years of age. Cumulative incidences of UTIs were computed. Mortality was estimated using the Kaplan–Meier method.
Results
We identified 412 foetuses with parenchymal kidney anomalies out of 362 069 who underwent ultrasound scans and 277 were born alive. The overall risk of a UTI before the age of two years was 19%, and it was 14% among infants without prenatally diagnosed co‐occurring urinary tract malformations. The corresponding risk in the 4074 controls was 1%. After two years, mortality was 2.2% in infants with prenatally diagnosed parenchymal kidney anomalies and 0.2% in the controls.
Conclusion
Infants prenatally diagnosed with parenchymal kidney anomalies had a substantially increased risk of UTI. Awareness of this increased risk may facilitate earlier diagnosis of UTIs in this population.</abstract><cop>Norway</cop><pub>Wiley Subscription Services, Inc</pub><pmid>28793177</pmid><doi>10.1111/apa.14014</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0803-5253 |
| ispartof | Acta Paediatrica, 2017-11, Vol.106 (11), p.1875-1881 |
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| language | eng |
| recordid | cdi_proquest_miscellaneous_1927832694 |
| source | MEDLINE; Wiley Online Library Journals Frontfile Complete; Alma/SFX Local Collection |
| subjects | Cohort Studies Denmark - epidemiology Emigration Female Health risk assessment Health risks Humans Infant Infants Infections Kidney - abnormalities Kidney dysplasia Kidneys Male Mortality Parenchymal kidney anomalies Prenatal screening Risk Assessment Ultrasonography, Prenatal Ultrasound Urinary tract Urinary tract infections Urinary Tract Infections - etiology Urogenital Abnormalities - complications Urogenital Abnormalities - diagnostic imaging Urogenital Abnormalities - mortality Urogenital system |
| title | Infants with prenatally diagnosed kidney anomalies have an increased risk of urinary tract infections |
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