Serum C-reactive protein and the site of urinary tract infections
Elevated serum levels of C-reactive protein have been found regularly in girls with acute clinical pyelonephritis but only infrequently in those with clinical cystitis. Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with...
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Veröffentlicht in: | The Journal of pediatrics 1982, Vol.100 (1), p.21-25 |
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creator | Hellerstein, Stanley Duggan, Eileen Welchert, Eleanor Mansour, Fayzeh |
description | Elevated serum levels of C-reactive protein have been found regularly in girls with acute clinical pyelonephritis but only infrequently in those with clinical cystitis. Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with upper urinary tract infections. In a study in which the bladder washout test was used to localize the site of urinary tract infections, we identified nine girls with renal bacteriuria who did not have clinical findings suggesting acute pyelonephritis; four of these girls had serum CRP concentrations 30 μg/ml. These studies show that an elevated serum CRP concentration is not accurate in localizing the site of a urinary tract infection in girls who do not have clinical signs of acute pyelonephritis. |
doi_str_mv | 10.1016/S0022-3476(82)80229-1 |
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Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with upper urinary tract infections. In a study in which the bladder washout test was used to localize the site of urinary tract infections, we identified nine girls with renal bacteriuria who did not have clinical findings suggesting acute pyelonephritis; four of these girls had serum CRP concentrations <10 μg/ml. Twentyeight girls had bladder washout-proven lower urinary tract infections; three of these had serum CRP values >30 μg/ml. These studies show that an elevated serum CRP concentration is not accurate in localizing the site of a urinary tract infection in girls who do not have clinical signs of acute pyelonephritis.</description><identifier>ISSN: 0022-3476</identifier><identifier>EISSN: 1097-6833</identifier><identifier>DOI: 10.1016/S0022-3476(82)80229-1</identifier><identifier>PMID: 7057312</identifier><language>eng</language><publisher>United States: Mosby, Inc</publisher><subject>Adolescent ; Bacteriuria - diagnosis ; C-Reactive Protein - analysis ; Child ; Child, Preschool ; Cystitis - diagnosis ; Female ; Humans ; Pyelonephritis - diagnosis ; Urinary Tract Infections - diagnosis</subject><ispartof>The Journal of pediatrics, 1982, Vol.100 (1), p.21-25</ispartof><rights>1982 The C. V. 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Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with upper urinary tract infections. In a study in which the bladder washout test was used to localize the site of urinary tract infections, we identified nine girls with renal bacteriuria who did not have clinical findings suggesting acute pyelonephritis; four of these girls had serum CRP concentrations <10 μg/ml. Twentyeight girls had bladder washout-proven lower urinary tract infections; three of these had serum CRP values >30 μg/ml. These studies show that an elevated serum CRP concentration is not accurate in localizing the site of a urinary tract infection in girls who do not have clinical signs of acute pyelonephritis.</description><subject>Adolescent</subject><subject>Bacteriuria - diagnosis</subject><subject>C-Reactive Protein - analysis</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cystitis - diagnosis</subject><subject>Female</subject><subject>Humans</subject><subject>Pyelonephritis - diagnosis</subject><subject>Urinary Tract Infections - diagnosis</subject><issn>0022-3476</issn><issn>1097-6833</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1982</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMtKAzEUhoMotVYfoZCV6GI0l5lJshIp3qDgoroOmeQEI-1MTWYKvr3phW4lixDOd3L-8yE0peSOElrfLwhhrOClqG8ku5X5oQp6gsaUKFHUkvNTND4i5-gipW9CiCoJGaGRIJXglI3R4wLisMKzIoKxfdgAXseuh9Bi0zrcfwFOoQfceTzE0Jr4i_uYQRxaD5nv2nSJzrxZJrg63BP0-fz0MXst5u8vb7PHeWFLyvrCGatILb3yhsraN6YUOZiTpafCy0oQZ5zhRlmoGmDE-5J5BcJCPjU0JZ-g6_2_OeDPAKnXq5AsLJemhW5IWnCVV-JbsNqDNnYpRfB6HcMqR9eU6K06vVOnt160ZHqnTtPcNz0MGJoVuGPXwVWuP-zrkLfcBIg62QCtBRdidqFdF_6Z8Ae6Xn6y</recordid><startdate>1982</startdate><enddate>1982</enddate><creator>Hellerstein, Stanley</creator><creator>Duggan, Eileen</creator><creator>Welchert, Eleanor</creator><creator>Mansour, Fayzeh</creator><general>Mosby, 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>7X8</scope></search><sort><creationdate>1982</creationdate><title>Serum C-reactive protein and the site of urinary tract infections</title><author>Hellerstein, Stanley ; Duggan, Eileen ; Welchert, Eleanor ; Mansour, Fayzeh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c412t-dac9068f9fa186fba47347d84f17f8570dada3a9ce5be20ff42f9e7cecec6eb43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1982</creationdate><topic>Adolescent</topic><topic>Bacteriuria - diagnosis</topic><topic>C-Reactive Protein - analysis</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cystitis - diagnosis</topic><topic>Female</topic><topic>Humans</topic><topic>Pyelonephritis - diagnosis</topic><topic>Urinary Tract Infections - diagnosis</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Hellerstein, Stanley</creatorcontrib><creatorcontrib>Duggan, Eileen</creatorcontrib><creatorcontrib>Welchert, Eleanor</creatorcontrib><creatorcontrib>Mansour, Fayzeh</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Journal of pediatrics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Hellerstein, Stanley</au><au>Duggan, Eileen</au><au>Welchert, Eleanor</au><au>Mansour, Fayzeh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serum C-reactive protein and the site of urinary tract infections</atitle><jtitle>The Journal of pediatrics</jtitle><addtitle>J Pediatr</addtitle><date>1982</date><risdate>1982</risdate><volume>100</volume><issue>1</issue><spage>21</spage><epage>25</epage><pages>21-25</pages><issn>0022-3476</issn><eissn>1097-6833</eissn><abstract>Elevated serum levels of C-reactive protein have been found regularly in girls with acute clinical pyelonephritis but only infrequently in those with clinical cystitis. Based on these data, the suggestion has been made that elevated serum CRP concentrations may be useful in identifying patients with upper urinary tract infections. In a study in which the bladder washout test was used to localize the site of urinary tract infections, we identified nine girls with renal bacteriuria who did not have clinical findings suggesting acute pyelonephritis; four of these girls had serum CRP concentrations <10 μg/ml. Twentyeight girls had bladder washout-proven lower urinary tract infections; three of these had serum CRP values >30 μg/ml. These studies show that an elevated serum CRP concentration is not accurate in localizing the site of a urinary tract infection in girls who do not have clinical signs of acute pyelonephritis.</abstract><cop>United States</cop><pub>Mosby, Inc</pub><pmid>7057312</pmid><doi>10.1016/S0022-3476(82)80229-1</doi><tpages>5</tpages></addata></record> |
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subjects | Adolescent Bacteriuria - diagnosis C-Reactive Protein - analysis Child Child, Preschool Cystitis - diagnosis Female Humans Pyelonephritis - diagnosis Urinary Tract Infections - diagnosis |
title | Serum C-reactive protein and the site of urinary tract infections |
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