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Journal of the Korean Society of Pediatric Nephrology 2007;11(1): 65-73. doi: https://doi.org/10.3339/jkspn.2007.11.1.65
소아에서 시행한 방광요도 조영술 이후 발생한 합병증에 대한 고찰
김민선, 이승현, 김정화, 장영범, 이대열
1전북대학교 의과대학 소아과학교실
2전북대학교 의과대학 소아과학교실
3전북대학교 의과대학 소아과학교실
4전북대학교 의과대학 소아과학교실
5전북대학교 의과대학 임상연구소
Study of Post Procedural Complications Associated with Voiding Cystourethrography
Min-Sun Kim, Seung-Hyun Lee, Jeong-Hwa Kim, Young-Bum Chang, Dae-Yeol Lee
1Department of Pediatrics, Chonbuk National University Medical School
2Department of Pediatrics, Chonbuk National University Medical School
3Department of Pediatrics, Chonbuk National University Medical School
4Department of Pediatrics, Chonbuk National University Medical School
5Department of Research Institute of Clinical Medicine, Chonbuk National University Medical School
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ABSTRACT
Purpose : Voiding cystourethrography(VCUG) is a commonly performed diagnostic procedure in children with urinary tract infections. Recently, with the widespread use of prenatal ultrasonography, VCUG is performed as part of the postnatal radiological evaluation of asymptomatic infants with prenatally detected hydronephrosis. The procedure is relatively simple but it involves discomfort and some complications. We studied post procedural symptoms and complications in children who underwent VCUG.
Methods : This study reviewed 259 patients who underwent VCUG in our hospital between October 2005 and September 2006. We did a chart review and a telephone interview with the patients' parents about symptoms and complications associated with VCUG.
Results : Among 269 children, 217 patients(80.7%) were under 2 years of age and 5 patients (1.9%) were over 8 years of age. Their mean age was $13.1{pm}22.9$ months. After VCUG, dysuria was found in 49 patients presented with dysuria, and irritability in 36 patients with irritability. Other complications were hematuria, fever, frequency, bladder rupture and urinary tract infection. Mean symptoms duration was $1.4{pm}0.7$ days. There was no significant relationship between prophylactic antibiotics use and complication rate associated with VCUG.
Conclusion : Our study demonstrated that 32.7% of patients showed complications including bladder rupture and urinary tract infection after VCUG. We also found that prophylactic antibiotics use did not prevent urinary tract infection nor decrease the rate of complications associated with VCUG. Therefore, we suggest that the procedure must be done carefully and aseptically, and we should closely observe the children who undergo VCUG for development of possible complications.
Key words: Voiding cystourethrography | Post procedural complication | Prophylactic antibiotics
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