Comparison of Primary and Recurrent Urinary Tract Infections in Children
Aim We aimed to compare the demographic and ultrasound data regarding first-episode urinary tract infections with recurrent infections in children. Methods A total of 509 children aged 0-16 years who were diagnosed to have a urinary tract infection (UTI) as confirmed with positive urinary culture te...
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Veröffentlicht in: | Curēus (Palo Alto, CA) CA), 2020-02, Vol.12 (2), p.e7019-e7019 |
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description | Aim We aimed to compare the demographic and ultrasound data regarding first-episode urinary tract infections with recurrent infections in children. Methods A total of 509 children aged 0-16 years who were diagnosed to have a urinary tract infection (UTI) as confirmed with positive urinary culture tests were retrospectively investigated. A comparison of baseline parameters, responsible pathogen incidences, and ultrasound findings was made between children who had a single episode of UTI (n=418, 82.1%) with those having second or more recurrent episodes of urinary tract infection (n=91, 17.9%). Results The mean age of children with a single episode of urinary tract infection was significantly lower than those who had recurrent urinary tract infection (5.33±4.38 vs. 7.01±4.83 years, p=0.003). Incidences of Escherichia coli and Enterococcus faecalis was significantly higher in patients with recurrent urinary tract infection than those who had single episode (n=315, 75.4% vs. n=80, 87.9%, p=0.009 and n=8, 1.9% vs. n=9, 9.9%, p |
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fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_7081742</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2383510773</sourcerecordid><originalsourceid>FETCH-LOGICAL-c297t-e53638a972e7187e15cae064d47d69c64a5456cf0f3c02e5de432c2bc76fed723</originalsourceid><addsrcrecordid>eNpdkc1Lw0AQxRdRbKk9eZeAF0Fa9zObXAQpagsFRdrzst1M7JZ0t-4mgv-9Ca1SPc0w8-PxZh5ClwSPpRT5nWkCNHEsMclPUJ-SNBtlJOOnR30PDWPcYIwJlhRLfI56jFJCqBB9NJ347U4HG71LfJm8BrvV4SvRrkjeoBUP4OpkGazrpougTZ3MXAmmtt7FxLpksrZV0VIX6KzUVYThoQ7Q8ulxMZmO5i_Ps8nDfGRoLusRCJayTOeSgiSZBCKMBpzygssizU3KteAiNSUumcEURAGcUUNXRqYlFJKyAbrf6-6a1RYK0_oLulK7vXHltVV_N86u1bv_VBJnRPJO4OYgEPxHA7FWWxsNVJV24JuoKMuYaF8lWYte_0M3vgmuPa-jeJpnIuctdbunTPAxBih_zRCsupDUPiTVhdTSV8f-f9mfSNg3Z_WOZA</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2384698594</pqid></control><display><type>article</type><title>Comparison of Primary and Recurrent Urinary Tract Infections in Children</title><source>PubMed Central Free</source><source>PubMed Central Open Access</source><creator>Doğan, Gül ; İpek, Hülya</creator><creatorcontrib>Doğan, Gül ; İpek, Hülya</creatorcontrib><description>Aim We aimed to compare the demographic and ultrasound data regarding first-episode urinary tract infections with recurrent infections in children. Methods A total of 509 children aged 0-16 years who were diagnosed to have a urinary tract infection (UTI) as confirmed with positive urinary culture tests were retrospectively investigated. A comparison of baseline parameters, responsible pathogen incidences, and ultrasound findings was made between children who had a single episode of UTI (n=418, 82.1%) with those having second or more recurrent episodes of urinary tract infection (n=91, 17.9%). Results The mean age of children with a single episode of urinary tract infection was significantly lower than those who had recurrent urinary tract infection (5.33±4.38 vs. 7.01±4.83 years, p=0.003). Incidences of Escherichia coli and Enterococcus faecalis was significantly higher in patients with recurrent urinary tract infection than those who had single episode (n=315, 75.4% vs. n=80, 87.9%, p=0.009 and n=8, 1.9% vs. n=9, 9.9%, p<0.001, respectively). An abnormal ultrasound was significantly more common in patients with recurrent urinary tract infection than those who had a single episode (n=41, 54.6% vs. n=59, 22.7%). Increased renal parenchymal echogenicity (p=0.002), bladder cystitis (p=0.01) and hydronephrosis (p<0.001) were significantly more common in patients with recurrent urinary tract infection than those who had a single episode of urinary tract infection. Conclusion Escherichia coli and Enterococcus faecalis were the most common responsible pathogens in recurrent urinary tract infections. Structural changes, such as hydronephrosis and bladder cystitis, are likely to have an important role in the etiology of children with recurrent urinary tract infection.</description><identifier>ISSN: 2168-8184</identifier><identifier>EISSN: 2168-8184</identifier><identifier>DOI: 10.7759/cureus.7019</identifier><identifier>PMID: 32211255</identifier><language>eng</language><publisher>United States: Cureus Inc</publisher><subject>Archives & records ; Bladder ; E coli ; Pathogens ; Pediatric Surgery ; Pediatrics ; Pneumonia ; Primary care ; Standard deviation ; Ultrasonic imaging ; Urinary tract diseases ; Urinary tract infections ; Urine ; Urogenital system ; Urology ; Variables</subject><ispartof>Curēus (Palo Alto, CA), 2020-02, Vol.12 (2), p.e7019-e7019</ispartof><rights>Copyright © 2020, Doğan et al.</rights><rights>Copyright © 2020, Doğan et al. This work is published under http://creativecommons.org/licenses/by/3.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Copyright © 2020, Doğan et al. 2020 Doğan et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081742/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081742/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32211255$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Doğan, Gül</creatorcontrib><creatorcontrib>İpek, Hülya</creatorcontrib><title>Comparison of Primary and Recurrent Urinary Tract Infections in Children</title><title>Curēus (Palo Alto, CA)</title><addtitle>Cureus</addtitle><description>Aim We aimed to compare the demographic and ultrasound data regarding first-episode urinary tract infections with recurrent infections in children. Methods A total of 509 children aged 0-16 years who were diagnosed to have a urinary tract infection (UTI) as confirmed with positive urinary culture tests were retrospectively investigated. A comparison of baseline parameters, responsible pathogen incidences, and ultrasound findings was made between children who had a single episode of UTI (n=418, 82.1%) with those having second or more recurrent episodes of urinary tract infection (n=91, 17.9%). Results The mean age of children with a single episode of urinary tract infection was significantly lower than those who had recurrent urinary tract infection (5.33±4.38 vs. 7.01±4.83 years, p=0.003). Incidences of Escherichia coli and Enterococcus faecalis was significantly higher in patients with recurrent urinary tract infection than those who had single episode (n=315, 75.4% vs. n=80, 87.9%, p=0.009 and n=8, 1.9% vs. n=9, 9.9%, p<0.001, respectively). An abnormal ultrasound was significantly more common in patients with recurrent urinary tract infection than those who had a single episode (n=41, 54.6% vs. n=59, 22.7%). Increased renal parenchymal echogenicity (p=0.002), bladder cystitis (p=0.01) and hydronephrosis (p<0.001) were significantly more common in patients with recurrent urinary tract infection than those who had a single episode of urinary tract infection. Conclusion Escherichia coli and Enterococcus faecalis were the most common responsible pathogens in recurrent urinary tract infections. Structural changes, such as hydronephrosis and bladder cystitis, are likely to have an important role in the etiology of children with recurrent urinary tract infection.</description><subject>Archives & records</subject><subject>Bladder</subject><subject>E coli</subject><subject>Pathogens</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Pneumonia</subject><subject>Primary care</subject><subject>Standard deviation</subject><subject>Ultrasonic imaging</subject><subject>Urinary tract diseases</subject><subject>Urinary tract infections</subject><subject>Urine</subject><subject>Urogenital system</subject><subject>Urology</subject><subject>Variables</subject><issn>2168-8184</issn><issn>2168-8184</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><recordid>eNpdkc1Lw0AQxRdRbKk9eZeAF0Fa9zObXAQpagsFRdrzst1M7JZ0t-4mgv-9Ca1SPc0w8-PxZh5ClwSPpRT5nWkCNHEsMclPUJ-SNBtlJOOnR30PDWPcYIwJlhRLfI56jFJCqBB9NJ347U4HG71LfJm8BrvV4SvRrkjeoBUP4OpkGazrpougTZ3MXAmmtt7FxLpksrZV0VIX6KzUVYThoQ7Q8ulxMZmO5i_Ps8nDfGRoLusRCJayTOeSgiSZBCKMBpzygssizU3KteAiNSUumcEURAGcUUNXRqYlFJKyAbrf6-6a1RYK0_oLulK7vXHltVV_N86u1bv_VBJnRPJO4OYgEPxHA7FWWxsNVJV24JuoKMuYaF8lWYte_0M3vgmuPa-jeJpnIuctdbunTPAxBih_zRCsupDUPiTVhdTSV8f-f9mfSNg3Z_WOZA</recordid><startdate>20200217</startdate><enddate>20200217</enddate><creator>Doğan, Gül</creator><creator>İpek, Hülya</creator><general>Cureus Inc</general><general>Cureus</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</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>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200217</creationdate><title>Comparison of Primary and Recurrent Urinary Tract Infections in Children</title><author>Doğan, Gül ; İpek, Hülya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c297t-e53638a972e7187e15cae064d47d69c64a5456cf0f3c02e5de432c2bc76fed723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Archives & records</topic><topic>Bladder</topic><topic>E coli</topic><topic>Pathogens</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Pneumonia</topic><topic>Primary care</topic><topic>Standard deviation</topic><topic>Ultrasonic imaging</topic><topic>Urinary tract diseases</topic><topic>Urinary tract infections</topic><topic>Urine</topic><topic>Urogenital system</topic><topic>Urology</topic><topic>Variables</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Doğan, Gül</creatorcontrib><creatorcontrib>İpek, Hülya</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</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)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Curēus (Palo Alto, CA)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Doğan, Gül</au><au>İpek, Hülya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Primary and Recurrent Urinary Tract Infections in Children</atitle><jtitle>Curēus (Palo Alto, CA)</jtitle><addtitle>Cureus</addtitle><date>2020-02-17</date><risdate>2020</risdate><volume>12</volume><issue>2</issue><spage>e7019</spage><epage>e7019</epage><pages>e7019-e7019</pages><issn>2168-8184</issn><eissn>2168-8184</eissn><abstract>Aim We aimed to compare the demographic and ultrasound data regarding first-episode urinary tract infections with recurrent infections in children. Methods A total of 509 children aged 0-16 years who were diagnosed to have a urinary tract infection (UTI) as confirmed with positive urinary culture tests were retrospectively investigated. A comparison of baseline parameters, responsible pathogen incidences, and ultrasound findings was made between children who had a single episode of UTI (n=418, 82.1%) with those having second or more recurrent episodes of urinary tract infection (n=91, 17.9%). Results The mean age of children with a single episode of urinary tract infection was significantly lower than those who had recurrent urinary tract infection (5.33±4.38 vs. 7.01±4.83 years, p=0.003). Incidences of Escherichia coli and Enterococcus faecalis was significantly higher in patients with recurrent urinary tract infection than those who had single episode (n=315, 75.4% vs. n=80, 87.9%, p=0.009 and n=8, 1.9% vs. n=9, 9.9%, p<0.001, respectively). An abnormal ultrasound was significantly more common in patients with recurrent urinary tract infection than those who had a single episode (n=41, 54.6% vs. n=59, 22.7%). Increased renal parenchymal echogenicity (p=0.002), bladder cystitis (p=0.01) and hydronephrosis (p<0.001) were significantly more common in patients with recurrent urinary tract infection than those who had a single episode of urinary tract infection. Conclusion Escherichia coli and Enterococcus faecalis were the most common responsible pathogens in recurrent urinary tract infections. Structural changes, such as hydronephrosis and bladder cystitis, are likely to have an important role in the etiology of children with recurrent urinary tract infection.</abstract><cop>United States</cop><pub>Cureus Inc</pub><pmid>32211255</pmid><doi>10.7759/cureus.7019</doi><oa>free_for_read</oa></addata></record> |
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subjects | Archives & records Bladder E coli Pathogens Pediatric Surgery Pediatrics Pneumonia Primary care Standard deviation Ultrasonic imaging Urinary tract diseases Urinary tract infections Urine Urogenital system Urology Variables |
title | Comparison of Primary and Recurrent Urinary Tract Infections in Children |
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