Naslov
Differences between the First and the Second Renal Scintigraphy in Children with Recurrent UTI

Autori
Poropat, Mirjana ; Batinić, Danica ; Ciglar, Martina ; Dodig, Damir ; Težak, Stanko

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
The Fifteenth Congress of the International Pediatric Nephrology Association : abstracts ; u: Pediatric Nephrology (2010) 25 (9) 1779–2004 / - Heidelberg : Springer, 2010, 1856-1856

Skup
Congress of the International Pediatric Nephrology Association (15 ; 2010)

Mjesto i datum
Sjedinjene Američke Države, 29.08.2010. - 02.09.2010

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
renal scintigraphy

Sažetak
We analyzed DMSA scintigraphy in children with recurrent UTI to find parenchymal damage. We analyzed 117 children (234 kidneys), 80 girls and 37 boys, aged from 3 months to 12 years at the time of the first DMSA. All children underwent US and voiding cystourethrography. VUR was detected in 140 kidneys. Second DMSA was performed one to five years after the first. All children were on the antibiotic uroprophylaxis, and some of them were treated surgically with antireflux procedures. At the time of second DMSA VUR were found in 95 kidneys. DMSA scans were graded as normal, pathologic with scars or equivocal, and compared with presence of VUR and US findings. On the first DMSA out of 234 kidneys 63 were normal, 116 equivocal, and 55 pathologic while on the second DMSA 87 kidneys were normal, 78 were equivocal and 69 pathologic (p<0.01). On second DMSA kidneys with VUR (140 vs 95) and without VUR (94 vs 139) were significantly different (p<0.01). Comparison of DMSA in kidneys without VUR showed significantly increased number of normal (31 vs 53), and pathologic (17 vs 46) findings. 25 kidneys had pathologic US, 19 with pelvic dilatation, and 16 with parenchymal damage. On second DMSA higher pathologic kidneys without VUR could be results pontaneous or surgical disappearance of VUR in damaged kidneys and less equivocal and more normal findings might be the result of antibiotic prophylactic treatment which is obligatory and very important for the prevention of renal damage.

Izvorni jezik
Engleski

Znanstvena područja
Temeljne medicinske znanosti

POVEZANOST RADA