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Đặc điểm lâm sàng, cận lâm sàng của trẻ trào ngược bàng quang niệu quan tiên phát có nhiễm khuẩn tiết niệu

Bài viết Đặc điểm lâm sàng, cận lâm sàng của trẻ trào ngược bàng quang niệu quan tiên phát có nhiễm khuẩn tiết niệu trình bày mô tả đặc điểm lâm sàng, cận lâm sàng của trẻ VUR có nhiễm khuẩn tiết niệu (NKTN) tại Bệnh viện Nhi Trung ương. | Journal of Pediatric Research and Practice Vol. 6 No. 2 2022 66-73 Research Paper Clinical Subclinical Characteristics of Urinary Tract Infections in Children with Vesicoureteral Reflux Dam Thi Thao1 Tong Ngoc Huy2 Truong Manh Tu1 Thai Thien Nam1 Ta Anh Tuan1 Nguyen Thu Huong1 1 Vietnam National Children s Hospital 18 879 La Thanh Dong Da Hanoi Vietnam 2 University of Medicine and Pharmacy No. 144 Xuan Thuy Street Cau Giay District Hanoi Vietnam Received 10 February 2022 Revised 25 February 2022 Accepted 16 March 2022 Abstract Purpose To describe clinical subclinical characteristics of urinary tract infections in children with VUR at the Vietnam National Children s Hospital. Method Across-sectional descriptive study on 61 pediatric patients with VUR and UTIs at the Department of Nephrology and Dialysis of National Children s Hospital from July 2019 to June 2021 Results 63.9 of children had a history of urinary tract infection at least once before. The most common clinical symptom of UTIs in children with vesicoureteral reflux was fever at 38 5oC 86.9 . The percentage of children with blood leukocytes 15 G l and CRP 20 mg l was 65.6 and 83.6 respectively. The rate of normal urinary renal ultrasound was high 45.9 . 100 of children detected VUR by retrograde cystography. 59 of children have VUR grades III IV and V. E.coli was the most common cause of UTIs 51.4 . Conclusion The majority of UTIs in VUR children were upper UTIs and most of the children with VUR and UTIs had a history of previous UTIs. The gold standard for the diagnosis of VUR and the severity of VUR is retrograde cystography. E. coli remains the most common cause of UTIs in children with VUR Keywords urinary tract infection and vesicoureteral reflux Corresponding author. E-mail address bonghongxanh10592@gmail.com https doi.org 10.47973 jprp.v6i2.402 66 D.T. Thao et al. Journal of Pediatric Research and Practice Vol. 6 No. 2 2022 66-73 67 Đặc điểm lâm sàng cận lâm sàng của trẻ trào ngược bàng quang niệu