Journal of the Korean Pediatric Society 1989;32(5):638-643.
Published online May 31, 1989.
Vesicoureteral Reflux Associated with Urinary Tract Infection in Children.
Kee Hyuck Kim1, Hong Kyu Lee1, Soon Il Lee1, Moon Chul Kim2
1Department of Pediatrics, sowha Children ’s Hospital, Seoul, Korea
2Department of Radiology, sowha Children ’s Hospital, Seoul, Korea
소아요로감염증에서 방광요관역류에 대한 임상적 고찰
김기혁1, 이홍규1, 이순일1, 김문철2
1소화아동병원 소아과
2소화아동병원 방사선과
Received: 1 November 1988   • Accepted: 1 November 1988
Abstract
The vesicoureteral reflux(VUR) is frequently found among the patients with urinary tract infection(UTI) and progress to reflux nphropathy and even renal failure. So, early detection and pr er treatment are important to prevent renal damage. The authors studied 221 patients with UTI admitted at Sowha children’s hospital from January, 1985 to June, 1988. Intravenous pyelography and voiding cystourethrography were performed in all patient with UTI. The resulte were as follows: 1) VUR was seen in 35 children among 2~1 patients with UTI and the incidence was 15.8%. 2) In general, there was no significant difference in inciednce by sex and age but under 1 year of age, male had higher incidence of VUR than female. 3) Both sides of ureters were equally affected in general, and bilaterality was en in 17 patients. 4) The most frequent causative organiam in UTI associated with VUR was E. coli. 5) Fever, urinary frequency and dysuria were commonly associated symptom in VUR. 6) Rate of disappearance of VUR in medical treatment was 72.2% during the follow up period of 3 months to 18 months.
Key Words: Urinary tract infection, Vesicoureteral reflux


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