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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1986-2-12
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pubmed:abstractText |
Sixty-nine children younger than 13 years of age with urinary tract infection were evaluated to identify risk factors for treatable urologic problems; i.e. those requiring surgery or prolonged antibiotic prophylaxis. All children had a renal ultrasound, intravenous pyelogram and voiding cystogram performed 4 to 6 weeks after the infection. Eleven children with treatable problems were identified, 10 with vesicoureteral reflux and 1 with a ureterocele. For identification of treatable problems the predictive value of a positive test was: (1) fever, 10 of 24 (41.7%); (2) abnormal D-deaminoarginine vasopressin renal concentrating ability, 8 of 24 (33.3%); (3) serum C-reactive protein greater than or equal to 1.0, 8 of 25 (32.0%); (4) Elevated urine N-acetylglucosaminidase, 5 of 16 (31.2%); (5) erythrocyte sedimentation rate greater than or equal to 25, 6 of 21 (28.6%); and (6) age less than 5 years, 10 of 43 (23.3%). Absence of fever denotes a low risk (less than 3%) of finding a treatable problem. Afebrile girls older than 5 years of age can have radiologic evaluation deferred until infection recurs. The presence of fever indicates a high risk of treatable urologic problems (41.7%) and warrants complete radiologic evaluation with the first urinary infection.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
0277-9730
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
656-63
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:3909120-Child,
pubmed-meshheading:3909120-Child, Preschool,
pubmed-meshheading:3909120-Cystitis,
pubmed-meshheading:3909120-Female,
pubmed-meshheading:3909120-Fever,
pubmed-meshheading:3909120-Humans,
pubmed-meshheading:3909120-Infant,
pubmed-meshheading:3909120-Infant, Newborn,
pubmed-meshheading:3909120-Kidney,
pubmed-meshheading:3909120-Male,
pubmed-meshheading:3909120-Prospective Studies,
pubmed-meshheading:3909120-Pyelonephritis,
pubmed-meshheading:3909120-Ureterocele,
pubmed-meshheading:3909120-Urinary Bladder,
pubmed-meshheading:3909120-Urinary Tract Infections,
pubmed-meshheading:3909120-Vesico-Ureteral Reflux,
pubmed-meshheading:3909120-beta 2-Microglobulin
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pubmed:articleTitle |
Identification of children requiring radiologic evaluation for urinary infection.
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pubmed:publicationType |
Journal Article
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