eISSN: 2345-2781  



First published online: 09 Apr 2016
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J Renal Inj Prev. 2016;5(3).
doi: 10.15171/jrip.2016.30
PMID: 27689111
PMCID: PMC5040001

Original Article

Comparing between results and complications of doing voiding cystourethrogram in the first week following urinary tract infection and in 2-6 weeks after urinary tract infection in children referring to a teaching hospital

Parsa Yousefichaijan 1, Fatemeh Dorreh 1, Someyeh Shahsavari 1, Abdolghader Pakniyat 2 *

1 Amirkabir Hospital, Department of Pediatric, School of Medicine, Arak University of Medical Sciences, Arak, Iran
2 Department of Emergency Medicine, Arak University of Medical Sciences, Arak, Iran
*Corresponding author: Abdolghader Pakniyat, Email: abdolghader.pakniyat@gmail.com

Abstract

Introduction: Urinary tract infection is the most common genitourinary disease in children so about 40% of the children with urinary tract infection suffering from reflux that caused some consequences such as pyelonephritis and kidney parenchymal injury.

Objectives: This research was conducted to compare the timing of voiding cystourethrogram (VCUG) in children with urinary tract infection in first week and after the first week of urinary tract infection.

Patients and Methods: This research is a case-control study that both case and control groups include 208 children from 1 month to 12 years old with the complain of urinary tract infection. In case group, the VCUG was performed at the first week of infection and in control group, the VCUG was performed after the first week of infection.

Results: complication such as dysuria was observed in two-thirds of children who VCUG was performed during first week after urinary tract infection. Parents stress in case group was more than the other (P=0.015). For overall, the incidence of reflux in case and control groups was 49.5% and 50%, respectively. The mean of reflux grading in right kidney in case group was lower than control group resulting in significant differences between two groups.

Conclusion: According to higher grade of stress in parents and complications due to VCUG at the first week of urinary tract infection, it is suggested that VCUG be conducted on selective patients in the hospital at the first week of urinary tract infection and during hospitalization.

Implication for health policy/practice/research/medical education:

Performing VCUG at first week of urinary tract infection will not lead to an increase in the prevalence of reflux in these patients.

Please cite this paper as: Yousefichaijan P, Dorreh F, Shahsavari S, Pakniyat A. Results and complications of voiding cystourethrogram after urinary tract infection in children referring to a teaching hospital. J Renal Inj Prev. 2016;5(3):144-147. DOI: 10.15171/jrip.2016.30

 
 
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