Radiological Characteristic in Children with Urinary Tract Infection in Hasan Sadikin General Hospital Bandung

Ahmedz Widiasta, Pandu Eka Bimantara, Rini Rossanti

Abstract


Neglected urinary tract infection can be a potent contributor to chronic kidney disease later. The aim of this study is to describe the radiological findings in children with urinary tract infection (UTI). We retrospectively analyzed medical records of children with UTI in 2019 – 2021 period at Hasan Sadikin Hospital who performed radiological examination including kidney ultrasound, CT-scan, mictio cystouretrography (MSU), and MRI. Demographic and radiological characteristics of investigations were assessed. Of 74 patients with abnormalities, 45.9% found in 2019. There are 42 patients aged 1 – 3 years, 15 aged 2 – 5 years, and 3 aged 28 days to 1 year. Male patients dominated most of the cases (51.4%) with most of the patient undergo renal ultrasound (RUS) as much as 98.6% followed by MRI. Thickening of the bladder, hydronephrosis, and other abnormalities i.e., duplicating of ureter, vesico-ureteral reflux, and duplicating of collecting system were found in 54, 17, and 6 children respectively. UTI is more common in children aged 1 – 3 years, particularly in boys. Abnormalities finding profoundly in RUS examination. Thickening of the bladder is detected in more than half of the children followed by hydronephrosis and other abnormalities.

Keywords


Characteristic, Children, Radiological Examination, Urinary Tract Infection

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Kaufman J, Temple-Smith M, Sanci L. Urinary tract infections in children: an overview of diagnosis and management. BMJ Paediatr open. 2019;3(1):e000487.

Kher KK, Schnaper HW, Greenbaum LA. Clinical Pediatric Nephrology. Third. 2016.

Aviles-Otero N, Ransom M, Weitkamp J, Charlton JR, Sullivan BA, Kaufman DA, et al. Urinary tract infections in very low birthweight infants: A two-center analysis of microbiology, imaging and heart rate characteristics. J Neonatal Perinatal Med. 2021;14(2):269–76.

Prasad MM, Cheng EY. Radiographic evaluation of children with febrile urinary tract infection: bottom-up, top-down, or none of the above? Adv Urol. 2012;2012:716739.

Abraham SN, Miao Y. The nature of immune responses to urinary tract infections. Nat Rev Immunol. 2015 Oct;15(10):655–63.

Keren R, Shaikh N, Pohl H, Gravens-Mueller L, Ivanova A, Zaoutis L, et al. Risk Factors for Recurrent Urinary Tract Infection and Renal Scarring. Pediatrics. 2015 Jul;136(1):e13-21.

Hillier S, Roberts Z, Dunstan F, Butler C, Howard A, Palmer S. Prior antibiotics and risk of antibiotic-resistant community-acquired urinary tract infection: a case-control study. J Antimicrob Chemother. 2007 Jul;60(1):92–9.

Jiang M, Deng J, Zhou G, Li S, Liu G. Risk Factors for Recurrent Urinary Tract Infection in Children With Neurogenic Bladder Following Clean Intermittent Catheterization. Urology. 2022 Jun;164:224–9.

Pang R, Deng J, Zhou X. Management of Complicated Urinary Tract Infection. Urin Tract Infect - Result Strength Pathog or Weakness Host. 2018 Jun;

Lv G, Qi W, Gao H, Zhou Y, Zhong M, Wang K, et al. Safety and efficacy of extracorporeal shock wave lithotripsy vs. flexible ureteroscopy in the treatment of urinary calculi: A systematic review and meta-analysis. Front Surg. 2022;9.

Maringhini S, Alaygut D, Corrado C. Urinary Tract Infection in Children: An Up-To-Date Study. Biomedicines [Internet]. 2024;12(11). Available from: https://www.mdpi.com/2227-9059/12/11/2582.

Ammenti A, Alberici I, Brugnara M, Chimenz R, Guarino S, La Manna A, et al. Updated Italian recommendations for the diagnosis, treatment and follow-up of the first febrile urinary tract infection in young children. Acta Paediatr. 2020 Feb;109(2):236–47.

Pediatrics AA of. Reaffirmation of AAP Clinical Practice Guideline: The Diagnosis and Management of the Initial Urinary Tract Infection in Febrile Infants and Young Children 2-24 Months of Age. Pediatrics. 2016 Dec;138(6).

Takada T, Yano T, Fujiishi R, Fujii K, Honjo H, Miyajima M, et al. Added value of non-contrast CT for the diagnosis of acute pyelonephritis in older patients with suspected infection with an unknown focus: a retrospective diagnostic study. BMJ Open [Internet]. 2024;14(1). Available from: https://bmjopen.bmj.com/content/14/1/e076678.

Jones RA, Grattan-Smith JD, Little S. Pediatric magnetic resonance urography. J Magn Reson Imaging [Internet]. 2011;33(3):510–26. Available from: https://onlinelibrary.wiley.com/doi/abs/10.1002/jmri.22474.

Yang S, Chua ME, Bauer S, Wright A, Brandström P, Hoebeke P, et al. Diagnosis and management of bladder bowel dysfunction in children with urinary tract infections: a position statement from the International Children’s Continence Society. Pediatr Nephrol. 2018 Dec;33(12):2207–19.

Sitthisarunkul N, Uthairat M, Dissaneewate P, McNeil E, Vachvanichsanong P. Characteristics and Findings of Childhood Urinary Tract Infection in the Last Decade. Urol Int. 2019;102(4):456–61.

Vachvanichsanong P, Dissaneewate P, McNeil E. Childhood recurrent urinary tract infection in southern Thailand. Ren Fail. 2013;35(1):66–71.

Leung AKC, Wong AHC, Leung AAM, Hon KL. Urinary Tract Infection in Children. Recent Pat Inflamm Allergy Drug Discov. 2019;13(1):2–18.

Aj A, De A. Pediatrics & Neonatal Biology Open Access Committed to Create Value for Researchers Prevalence of Urinary Tract Infection and its Related Factors in a Sample of School Age Children from Baghdad/ Iraq. 2022;

Kuitunen I, Artama M, Haapanen M, Renko M. Urinary tract infections decreased in Finnish children during the COVID ‑ 19 pandemic. Eur J Pediatr. 2022;(May 2020):1979–84.

Ransom M, Weitkamp J, Charlton JR, Sullivan BA, Kaufman DA, Fairchild KD. Urinary tract infections in very low birthweight infants: A two-center analysis of microbiology, imaging and heart rate characteristics. 2020;

NICE. Urinary tract infection: antimicrobial prescribing. Natl Inst Heal Care Excell. 2018;(October 2018):35p.

Uwaezuoke S, Ayuk A, Muoneke U. Urinary Tract Infection in Children : A Review of the Established Practice Guidelines. 2020;(June):57–65.

Jung J, Lee JH, Kim KS, Song SH, Moon DH, Yoon HM, et al. Management strategies for congenital isolated hydronephrosis and the natural course of the disease. Child Kidney Dis. 2022;26(1):1–10.




DOI: http://dx.doi.org/10.20527/jbkes.v12i1.18071

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