cicatriz renal: factores de riesgo relacionados con infección urinaria renal scar: risk factors related to urinary infection
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2007
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Abstract
La infección urinaria es una de las infecciones bacterianas más frecuente en la niñez, superada solamente por las infecciones respiratorias. En algunos casos, puede causar cicatrices renales que pueden inducir complicaciones futuras, como la hipertensión arterial y enfermedad renal crónica. Los métodos de diagnóstico por imagen en los niños tienen como objetivo identificar a los pacientes en riesgo de desarrollar cicatrices renales o daño renal permanente, o de prevenir la progresión del daño renal preexistente. Se evaluaron retrospectivamente los datos clínicos de 100 niños con diagnóstico de infección urinaria, a los cuales se les realizó gammagrafía renal con ácido dimercaptosuccínico (DMSA). Se correlacionó la presencia de cicatriz renal con la edad, sexo, número de episodios de infección urinaria y presencia de reflujo vesicoureteral. Se demostró que todo niño con infección urinaria, independientemente del sexo, corre el riesgo de desarrollar cicatriz renal, el cual aumenta con la presencia de reflujo vesicoureteral, infecciones recurrentes y en la medida en que aumenta la edad. Por ello sugerimos estudiar, mediante ultrasonido, cistografía y gammagrafía con DMSA marcado con tecnecio 99 (Tc99m-DMSA), a todo niño con infección urinaria, para detectar oportunamente a quienes están en riesgo de desarrollar cicatriz renal o daño renal permanente.
Urinary infection is one of the most common bacterial infections in childhood after respiratory infections. In some cases, it can cause renal scars that may lead to future complications like blood hypertension and chronic renal disease. The diagnostic imaging methods for children are aimed at identifying those patients at risk of developing renal scars or a permanent renal damage, and preventing the progression of pre-existing renal damage. Clinical data from 100 children diagnosed with urinary infection, who had been performed a renal DMSA scintigraphy, were retrospectively studied. The presence of renal scar was correlated to age, sex, number of urinary infection episodes and vesicourethral reflux. It was proved that every child with urinary infection regardless of sex is at risk of developing renal scar and that this risk increases with age and when vesicourethral reflux and recurrent infections are present. This is the reason why we recommend studying every child with urinary infection using ultrasond, cystography and DMSA 99TC scintigraphy, in order to early detect those children at risk of renal scar or permanent renal damage.
Urinary infection is one of the most common bacterial infections in childhood after respiratory infections. In some cases, it can cause renal scars that may lead to future complications like blood hypertension and chronic renal disease. The diagnostic imaging methods for children are aimed at identifying those patients at risk of developing renal scars or a permanent renal damage, and preventing the progression of pre-existing renal damage. Clinical data from 100 children diagnosed with urinary infection, who had been performed a renal DMSA scintigraphy, were retrospectively studied. The presence of renal scar was correlated to age, sex, number of urinary infection episodes and vesicourethral reflux. It was proved that every child with urinary infection regardless of sex is at risk of developing renal scar and that this risk increases with age and when vesicourethral reflux and recurrent infections are present. This is the reason why we recommend studying every child with urinary infection using ultrasond, cystography and DMSA 99TC scintigraphy, in order to early detect those children at risk of renal scar or permanent renal damage.
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| Authors | ;Lourdes María Pérez Clemente;Diana Patricia Durán Casal;Juan José Marchena Bécquer;Yardelis Pérez del Campo;Yobanys Rodríguez Téllez;José Florín Yrabién |
| Journal | studies in the history of gardens and designed landscapes |
| Year | 2007 |
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