Ureterocele with duplex collecting systems and febrile urinary tract infection risk
Purpose Ureterocele has been hypothesized to be the risk factor for febrile urinary tract infections (F-UTIs) in patients with duplex collecting systems, but this has not been proved, and our goal was to assess the relation between ureterocele with duplex collecting systems and F-UTIs. Methods We in...
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| Veröffentlicht in: | Pediatric surgery international 2023-05, Vol.39 (1), p.200-200, Article 200 |
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| creator | Wang, Jinbin Zhao, Yining Chen, Zhoutong Geng, Hongquan Fang, Xiaoliang |
| description | Purpose
Ureterocele has been hypothesized to be the risk factor for febrile urinary tract infections (F-UTIs) in patients with duplex collecting systems, but this has not been proved, and our goal was to assess the relation between ureterocele with duplex collecting systems and F-UTIs.
Methods
We included individual-participant data from patients seen for complicated duplex collecting systems from 2010 to 2020 retrospectively followed. Those with using continuous low-dose antibiotic prophylaxis and incompletely duplicated systems were removed from the study. The participants were divided into two cohorts according to patients with or without ureterocele. The primary endpoint of this study was recurrent F-UTIs.
Results
We analyzed medical reports of 300 patients, of which 75% were female. Among the 300 patients, F-UTIs developed in 111/159 (69.8%) patients in the ureterocele group and in 69/141 (48.9%) patients in the no-ureterocele group. Univariate analysis found no discernible difference except in grade of hydronephrosis between ureterocele group and no-ureterocele group. Moreover, Cox proportional regression analysis revealed that patients of duplex system ureterocele might be intrinsically more prone to develop F-UTIs (adjusted hazard ratio 1.894; 95% CI 1.412–2.542;
p
|
| doi_str_mv | 10.1007/s00383-023-05442-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2814527569</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2814154121</sourcerecordid><originalsourceid>FETCH-LOGICAL-c370t-d68e421a1e9edcb322b53b777e44ab6759a06d5ba340d28bff27a36fdcccc69b3</originalsourceid><addsrcrecordid>eNp9kMlOwzAQhi0EoqXwAhyQJS5cAt4SJ0eE2KRKHKBny04mxSVLsROVvj1uUxZxwJJlS_7mH8-H0Ckll5QQeeUJ4SmPCAs7FoJFqz00poLLKEsp3_91H6Ej7xeEkJQn2SEacUkzKrkco-eZgw5cm0MFeGW7V1z0ywo-cN5WFeSdbebYr30Htce6KXAJxtmA9s422q1x53TeYduUG7ZtsLP-7RgdlLrycLI7J2h2d_ty8xBNn-4fb66nUc4l6aIiSUEwqilkUOSGM2ZibqSUIIQ2iYwzTZIiNpoLUrDUlCWTmidlkYeVZIZP0MWQu3Ttew--U7X1YZBKN9D2XrGUipjJOMkCev4HXbS9a8LvthSNBWU0UGygctd676BUS2frMKaiRG2Uq0G5CsrVVrlahaKzXXRvaii-S74cB4APgA9PzRzcT-9_Yj8Br3iN1Q</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2814154121</pqid></control><display><type>article</type><title>Ureterocele with duplex collecting systems and febrile urinary tract infection risk</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Wang, Jinbin ; Zhao, Yining ; Chen, Zhoutong ; Geng, Hongquan ; Fang, Xiaoliang</creator><creatorcontrib>Wang, Jinbin ; Zhao, Yining ; Chen, Zhoutong ; Geng, Hongquan ; Fang, Xiaoliang</creatorcontrib><description>Purpose
Ureterocele has been hypothesized to be the risk factor for febrile urinary tract infections (F-UTIs) in patients with duplex collecting systems, but this has not been proved, and our goal was to assess the relation between ureterocele with duplex collecting systems and F-UTIs.
Methods
We included individual-participant data from patients seen for complicated duplex collecting systems from 2010 to 2020 retrospectively followed. Those with using continuous low-dose antibiotic prophylaxis and incompletely duplicated systems were removed from the study. The participants were divided into two cohorts according to patients with or without ureterocele. The primary endpoint of this study was recurrent F-UTIs.
Results
We analyzed medical reports of 300 patients, of which 75% were female. Among the 300 patients, F-UTIs developed in 111/159 (69.8%) patients in the ureterocele group and in 69/141 (48.9%) patients in the no-ureterocele group. Univariate analysis found no discernible difference except in grade of hydronephrosis between ureterocele group and no-ureterocele group. Moreover, Cox proportional regression analysis revealed that patients of duplex system ureterocele might be intrinsically more prone to develop F-UTIs (adjusted hazard ratio 1.894; 95% CI 1.412–2.542;
p
< 0.001).
Conclusion
Among participants with duplex systems, the risk of recurrent F-UTIs in patients with ureterocele was higher than patients without it, and mini-invasive surgical correction should be considered at young age to reduce F-UTIs.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-023-05442-w</identifier><identifier>PMID: 37191737</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Antibiotic Prophylaxis ; Female ; Humans ; Hydronephrosis - complications ; Infant ; Kidney Diseases - complications ; Male ; Medicine ; Medicine & Public Health ; Original Article ; Pediatric Surgery ; Pediatrics ; Retrospective Studies ; Surgery ; Ureterocele - complications ; Ureterocele - diagnostic imaging ; Ureterocele - surgery ; Urinary tract infections ; Urinary Tract Infections - epidemiology ; Urinary Tract Infections - etiology ; Urogenital system</subject><ispartof>Pediatric surgery international, 2023-05, Vol.39 (1), p.200-200, Article 200</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c370t-d68e421a1e9edcb322b53b777e44ab6759a06d5ba340d28bff27a36fdcccc69b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-023-05442-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-023-05442-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37191737$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Wang, Jinbin</creatorcontrib><creatorcontrib>Zhao, Yining</creatorcontrib><creatorcontrib>Chen, Zhoutong</creatorcontrib><creatorcontrib>Geng, Hongquan</creatorcontrib><creatorcontrib>Fang, Xiaoliang</creatorcontrib><title>Ureterocele with duplex collecting systems and febrile urinary tract infection risk</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
Ureterocele has been hypothesized to be the risk factor for febrile urinary tract infections (F-UTIs) in patients with duplex collecting systems, but this has not been proved, and our goal was to assess the relation between ureterocele with duplex collecting systems and F-UTIs.
Methods
We included individual-participant data from patients seen for complicated duplex collecting systems from 2010 to 2020 retrospectively followed. Those with using continuous low-dose antibiotic prophylaxis and incompletely duplicated systems were removed from the study. The participants were divided into two cohorts according to patients with or without ureterocele. The primary endpoint of this study was recurrent F-UTIs.
Results
We analyzed medical reports of 300 patients, of which 75% were female. Among the 300 patients, F-UTIs developed in 111/159 (69.8%) patients in the ureterocele group and in 69/141 (48.9%) patients in the no-ureterocele group. Univariate analysis found no discernible difference except in grade of hydronephrosis between ureterocele group and no-ureterocele group. Moreover, Cox proportional regression analysis revealed that patients of duplex system ureterocele might be intrinsically more prone to develop F-UTIs (adjusted hazard ratio 1.894; 95% CI 1.412–2.542;
p
< 0.001).
Conclusion
Among participants with duplex systems, the risk of recurrent F-UTIs in patients with ureterocele was higher than patients without it, and mini-invasive surgical correction should be considered at young age to reduce F-UTIs.</description><subject>Antibiotic Prophylaxis</subject><subject>Female</subject><subject>Humans</subject><subject>Hydronephrosis - complications</subject><subject>Infant</subject><subject>Kidney Diseases - complications</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original Article</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Retrospective Studies</subject><subject>Surgery</subject><subject>Ureterocele - complications</subject><subject>Ureterocele - diagnostic imaging</subject><subject>Ureterocele - surgery</subject><subject>Urinary tract infections</subject><subject>Urinary Tract Infections - epidemiology</subject><subject>Urinary Tract Infections - etiology</subject><subject>Urogenital system</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kMlOwzAQhi0EoqXwAhyQJS5cAt4SJ0eE2KRKHKBny04mxSVLsROVvj1uUxZxwJJlS_7mH8-H0Ckll5QQeeUJ4SmPCAs7FoJFqz00poLLKEsp3_91H6Ej7xeEkJQn2SEacUkzKrkco-eZgw5cm0MFeGW7V1z0ywo-cN5WFeSdbebYr30Htce6KXAJxtmA9s422q1x53TeYduUG7ZtsLP-7RgdlLrycLI7J2h2d_ty8xBNn-4fb66nUc4l6aIiSUEwqilkUOSGM2ZibqSUIIQ2iYwzTZIiNpoLUrDUlCWTmidlkYeVZIZP0MWQu3Ttew--U7X1YZBKN9D2XrGUipjJOMkCev4HXbS9a8LvthSNBWU0UGygctd676BUS2frMKaiRG2Uq0G5CsrVVrlahaKzXXRvaii-S74cB4APgA9PzRzcT-9_Yj8Br3iN1Q</recordid><startdate>20230516</startdate><enddate>20230516</enddate><creator>Wang, Jinbin</creator><creator>Zhao, Yining</creator><creator>Chen, Zhoutong</creator><creator>Geng, Hongquan</creator><creator>Fang, Xiaoliang</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</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>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope></search><sort><creationdate>20230516</creationdate><title>Ureterocele with duplex collecting systems and febrile urinary tract infection risk</title><author>Wang, Jinbin ; Zhao, Yining ; Chen, Zhoutong ; Geng, Hongquan ; Fang, Xiaoliang</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c370t-d68e421a1e9edcb322b53b777e44ab6759a06d5ba340d28bff27a36fdcccc69b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Antibiotic Prophylaxis</topic><topic>Female</topic><topic>Humans</topic><topic>Hydronephrosis - complications</topic><topic>Infant</topic><topic>Kidney Diseases - complications</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original Article</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Retrospective Studies</topic><topic>Surgery</topic><topic>Ureterocele - complications</topic><topic>Ureterocele - diagnostic imaging</topic><topic>Ureterocele - surgery</topic><topic>Urinary tract infections</topic><topic>Urinary Tract Infections - epidemiology</topic><topic>Urinary Tract Infections - etiology</topic><topic>Urogenital system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Wang, Jinbin</creatorcontrib><creatorcontrib>Zhao, Yining</creatorcontrib><creatorcontrib>Chen, Zhoutong</creatorcontrib><creatorcontrib>Geng, Hongquan</creatorcontrib><creatorcontrib>Fang, Xiaoliang</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Wang, Jinbin</au><au>Zhao, Yining</au><au>Chen, Zhoutong</au><au>Geng, Hongquan</au><au>Fang, Xiaoliang</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Ureterocele with duplex collecting systems and febrile urinary tract infection risk</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2023-05-16</date><risdate>2023</risdate><volume>39</volume><issue>1</issue><spage>200</spage><epage>200</epage><pages>200-200</pages><artnum>200</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
Ureterocele has been hypothesized to be the risk factor for febrile urinary tract infections (F-UTIs) in patients with duplex collecting systems, but this has not been proved, and our goal was to assess the relation between ureterocele with duplex collecting systems and F-UTIs.
Methods
We included individual-participant data from patients seen for complicated duplex collecting systems from 2010 to 2020 retrospectively followed. Those with using continuous low-dose antibiotic prophylaxis and incompletely duplicated systems were removed from the study. The participants were divided into two cohorts according to patients with or without ureterocele. The primary endpoint of this study was recurrent F-UTIs.
Results
We analyzed medical reports of 300 patients, of which 75% were female. Among the 300 patients, F-UTIs developed in 111/159 (69.8%) patients in the ureterocele group and in 69/141 (48.9%) patients in the no-ureterocele group. Univariate analysis found no discernible difference except in grade of hydronephrosis between ureterocele group and no-ureterocele group. Moreover, Cox proportional regression analysis revealed that patients of duplex system ureterocele might be intrinsically more prone to develop F-UTIs (adjusted hazard ratio 1.894; 95% CI 1.412–2.542;
p
< 0.001).
Conclusion
Among participants with duplex systems, the risk of recurrent F-UTIs in patients with ureterocele was higher than patients without it, and mini-invasive surgical correction should be considered at young age to reduce F-UTIs.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37191737</pmid><doi>10.1007/s00383-023-05442-w</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Antibiotic Prophylaxis Female Humans Hydronephrosis - complications Infant Kidney Diseases - complications Male Medicine Medicine & Public Health Original Article Pediatric Surgery Pediatrics Retrospective Studies Surgery Ureterocele - complications Ureterocele - diagnostic imaging Ureterocele - surgery Urinary tract infections Urinary Tract Infections - epidemiology Urinary Tract Infections - etiology Urogenital system |
| title | Ureterocele with duplex collecting systems and febrile urinary tract infection risk |
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