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Journal of the Korean Society of Pediatric Nephrology 2008;12(2): 194-201. doi: https://doi.org/10.3339/jkspn.2008.12.2.194
배뇨 방광 요도 조영술 시행 후 발생하는 요로 감염에 대한 고찰
류정민, 안요한, 이소희, 최현진, 이범희, 강희경, 하일수, 정해일, 최용
1서울대학교 어린이병원 소아청소년과
2서울대학교 어린이병원 소아청소년과
3서울대학교 어린이병원 소아청소년과
4서울대학교 어린이병원 소아청소년과
5서울대학교 어린이병원 소아청소년과
6서울대학교 어린이병원 소아청소년과
7서울대학교 어린이병원 소아청소년과
8서울대학교 어린이병원 소아청소년과
9서울대학교 어린이병원 소아청소년과
Urinary Tract Infection Following Voiding Cystourethrography
Jung-Min Ryu, Yo-Han Ahn, So-Hee Lee, Hyun-Jin Choi, Beom-Hee Lee, Hee-Gyung Kang, Il-Soo Ha, Hae-Il Cheong, Yong Choi
1Department of Pediatrics, Seoul National University Children's Hospital
2Department of Pediatrics, Seoul National University Children's Hospital
3Department of Pediatrics, Seoul National University Children's Hospital
4Department of Pediatrics, Seoul National University Children's Hospital
5Department of Pediatrics, Seoul National University Children's Hospital
6Department of Pediatrics, Seoul National University Children's Hospital
7Department of Pediatrics, Seoul National University Children's Hospital
8Department of Pediatrics, Seoul National University Children's Hospital
9Department of Pediatrics, Seoul National University Children's Hospital
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ABSTRACT
Purpose : Voiding cystourethrography(VCUG) is required to detect vesicoureteral reflux(VUR), which may manifest as urinary tract infection(UTI) in children. It is well known that VCUG can cause UTI(post-VCUG UTI). In this study, risk factors for post-VCUG UTI and the preventive effect of antibiotics against this complication of VCUG were explored.
Methods : Medical records of 284 patients who underwent VCUG at our hospital in 2007 were reviewed retrospectively. The incidence of post-VCUG UTI and risk factors for post-VCUG UTI, and the impact of antibiotic use on prevention of post-VCUG UTI were evaluated. According to antibiotics usage, we divided the enrolled patients into 4 groups of noantibiotics group, prophylactic antibiotics group(prophylactic antibiotics having been used before), antibiotics-for-VCUG group(antibiotics added for VCUG) and antibiotics-for-treatment group(treatment dose of antibiotics).
Results : Seven of 284 children(2.5%) developed UTI after they underwent VCUG. Highgrade(grade$geq$III) VUR was the only statistically significant risk factor(odds ratio[OR] 6.266, P=0.026) for post-VCUG UTI, while sex, age, and other anomalies of urinary system were not significant. Five post-VCUG UTI cases belonged to prophylactic antibiotics group. Antibiotics use (three groups using antibiotics vs. no-antibiotics group) or addition of antibiotics for VCUG (antibiotics-for-VCUG vs. other groups) did not have any effect on prevention of post-VCUG UTI.
Conclusion : The risk factor for post-VCUG UTI was high-grade VUR. Antibiotics use did not prevent post-VCUG UTI in this study.
Key words: Voiding cystourethrography(VCUG) | Post-VCUG urinary tract infection(UTI) | Antibiotics use
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