THE ROLE OF THERAPEUTIC DELAY TIME IN ACUTE SCINTIGRAPHIC LESION AND ULTIMATE SCAR FORMATION IN CHILDREN WITH FIRST FEBRILE UTI; IS THERE DIFFERENCE ACCORDING TO THE PRESENCE OF VESICO-URETERAL REFLUX?
- Authors
- YOON, DUCK KI; MOON DU GEON; Bae Jae Hyun; Kim, Je-Jong; LEE, Jeong Gu
- Issue Date
- 5월-2011
- Publisher
- American Urological Association
- Citation
- THE JOURNAL OF UROLOGY, v.185, no.4S, pp.e230 - e231
- Journal Title
- THE JOURNAL OF UROLOGY
- Volume
- 185
- Number
- 4S
- Start Page
- e230
- End Page
- e231
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/84609
- Abstract
- INTRODUCTION AND OBJECTIVES: We assessed the role of therapeutic delay time (TDT) in
acute renal cortical scintigraphic lesion (ASL) and ultimate scar formation (USF) in children with
first febrile UTI and whether it is affected by the presence of vesico-ureteral reflux (VUR).
METHODS: 230 children, 90 girls and 140 boys with first febrile UTI were included. Radiologic
(USG, DMSA, and VCUG), clinical (age, gender, peak fever, therapeutic delay time) and
laboratory (CBC with differential count, ANC (absolute neutrophil count), BUN, Creatinine, urine
analysis, gram stain, culture, CRP and ESR) variables were analysed. DMSA was performed within
5 days and after six months. VCUG was performed after acute phase of UTI. The differences in
TDT according to the presence of ASL, USF and VUR were assessed. And the correlation between
ASL or USF with the duration of TDT was assessed.
RESULTS:
Of 230 patients enrolled, 142 patients had refluxing UTI and 88 patients had non-refluxing UTI.
TDT was the risk factor associated with ASL and USF along with presence of VUR. TDT was
longer in ASL positive group compared with the ASL negative group. Also USF group showed
longer TDT compared with those without USF in both refluxing UTI and non refluxing UTI. The
TDT was significantly sho
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