1 research outputs found
Π€Π°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΠΈ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ ΠΌΠΎΡΠ΅Π²ΡΠ²ΠΎΠ΄ΡΡΠΈΡ ΠΏΡΡΠ΅ΠΉ Ρ Π΄Π΅ΡΠ΅ΠΉ ΠΏΠ΅ΡΠ²ΠΎΠ³ΠΎ Π³ΠΎΠ΄Π° ΠΆΠΈΠ·Π½ΠΈ
USMF βNicolae TestemiΕ£anuβ, Departamentul PediatrieBackground. Urinary tract infection (UTI) is one of the most common bacterial infections in children; the diagnosis is difficult particularly in young children and infants, because in this age group the clinical presentation of urine
infection is often with non-specific clinical signs. UTI among other infant diseases have a special place because of the
increased risk for sequels and renal scarring.
Aim: To estimate risk factors for urinary tract infections in children and to evaluate clinical and diagnosis features
of these in infants.
Material and methods. The retrospective study included 44 children under 1 year of age diagnosed with UTI,
who were hospitalized to the Nephrology Department of the Institute of Maternal and Child Healthcare in the period
December 2007 to 2010. The studied children were 25 females and 19 males. The following methods were used for the
examination of patients and experimental data processing: clinical β history, onset and clinical symptoms; laboratory
β urinalysis and examination of the urine by Necipurenko method; instrumental β renal ultrasound and scintigraphy;
statistical processing of results.
Results. This paper highlights the contributory factors for the development of ITU in children under 1 year of age.
Of a great importance is the motherβs health, especially during the antenatal period when certain risk factors may affect
the child: heredity, chronic pyelonephritis (50%), gestosis (95,2%), nephropathies (45,3%), risk of abortion (36,3%). In
the postnatal period risk factors include background conditions (52,3%), infectious inflammatory processes (40,9%),
acute respiratory viral infections (22,7%).
Conclusions: Becomes obvious the need to estimate the contribution of risk factors in the development of UTI in infants in order to attribute the child to a βrisk groupβ and also to bring real improvements to early diagnosis, treatment
outcomes and prevention of this disease.ΠΠ²Π΅Π΄Π΅Π½ΠΈΠ΅. ΠΠ½ΡΠ΅ΠΊΡΠΈΡ ΠΌΠΎΡΠ΅Π²ΡΠ²ΠΎΠ΄ΡΡΠΈΡ
ΠΏΡΡΠ΅ΠΉ (ΠΠΠ) ΡΠ²Π»ΡΠ΅ΡΡΡ ΠΎΠ΄Π½ΠΎΠΉ ΠΈΠ· ΡΠ°ΠΌΡΡ
ΡΠ°ΡΠΏΡΠΎΡΡΡΠ°Π½Π΅Π½Π½ΡΡ
Π±Π°ΠΊΡΠ΅ΡΠΈΠ°Π»ΡΠ½ΡΡ
ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΉ Ρ Π΄Π΅ΡΠ΅ΠΉ. ΠΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠ° ΡΡΠΈΡ
ΡΠΎΡΡΠΎΡΠ½ΠΈΠΉ ΡΠ°ΡΡΠΎ Π·Π°ΡΡΡΠ΄Π½Π΅Π½Π°, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ Ρ ΠΌΠ°Π»Π΅Π½ΡΠΊΠΈΡ
Π΄Π΅ΡΠ΅ΠΉ ΠΈ ΠΌΠ»Π°Π΄Π΅Π½ΡΠ΅Π², ΡΠ°ΠΊ ΠΊΠ°ΠΊ Π² ΡΡΠΎΠΉ Π²ΠΎΠ·ΡΠ°ΡΡΠ½ΠΎΠΉ Π³ΡΡΠΏΠΏΠ΅ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΡ ΡΠ°ΡΡΠΎ Ρ
Π°ΡΠ°ΠΊΡΠ΅ΡΠΈΠ·ΡΡΡΡΡ Π½Π΅ΡΠΏΠ΅ΡΠΈΡΠΈΡΠ΅ΡΠΊΠΈΠΌΠΈ
ΠΏΡΠΈΠ·Π½Π°ΠΊΠ°ΠΌΠΈ. Π‘ΡΠ΅Π΄ΠΈ Π΄ΡΡΠ³ΠΈΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ Π΄Π΅ΡΡΠΊΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° ΠΠΠ Π·Π°Π½ΠΈΠΌΠ°ΡΡ ΠΎΡΠΎΠ±ΠΎΠ΅ ΠΌΠ΅ΡΡΠΎ Π² ΡΠ²ΡΠ·ΠΈ Ρ ΠΏΠΎΠ²ΡΡΠ΅Π½Π½ΡΠΌ
ΡΠΈΡΠΊΠΎΠΌ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΡΡΠ±ΡΠΎΠ²ΡΡ
ΠΎΡΠ»ΠΎΠΆΠ½Π΅Π½ΠΈΠΉ.
Π¦Π΅Π»Ρ: ΠΎΡΠ΅Π½ΠΈΡΡ ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΠΌΠΎΡΠ΅Π²ΡΠ²ΠΎΠ΄ΡΡΠΈΡ
ΠΏΡΡΠ΅ΠΉ Ρ Π΄Π΅ΡΠ΅ΠΉ Π½Π° ΠΏΠ΅ΡΠ²ΠΎΠΌ Π³ΠΎΠ΄Ρ ΠΆΠΈΠ·Π½ΠΈ, Π°
ΡΠ°ΠΊΠΆΠ΅ ΠΎΡΠ΅Π½ΠΈΡΡ ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎΡΡΠΈ ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΎΠ³ΠΎ ΡΠ΅ΡΠ΅Π½ΠΈΡ ΠΈ Π΄ΠΈΠ°Π³Π½ΠΎΠ·Π° Ρ Π΄Π΅ΡΠ΅ΠΉ Π³ΡΡΠ΄Π½ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ°.
ΠΠ°ΡΠ΅ΡΠΈΠ°Π»Ρ ΠΈ ΠΌΠ΅ΡΠΎΠ΄Ρ. Π Π΅ΡΡΠΎΡΠΏΠ΅ΠΊΡΠΈΠ²Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ Π²ΠΊΠ»ΡΡΠΈΠ»ΠΎ 44 ΡΠ΅Π±Π΅Π½ΠΊΠ° (25 Π΄Π΅Π²ΠΎΡΠ΅ΠΊ ΠΈ 19 ΠΌΠ°Π»ΡΡΠΈΠΊΠΎΠ²) Π²
Π²ΠΎΠ·ΡΠ°ΡΡΠ΅ Π΄ΠΎ 1 Π³ΠΎΠ΄Π° Ρ Π΄ΠΈΠ°Π³Π½ΠΎΠ·ΠΎΠΌ ΠΠΠ, ΠΊΠΎΡΠΎΡΡΠ΅ Π±ΡΠ»ΠΈ Π³ΠΎΡΠΏΠΈΡΠ°Π»ΠΈΠ·ΠΈΡΠΎΠ²Π°Π½Ρ Π² ΠΎΡΠ΄Π΅Π»Π΅Π½ΠΈΠ΅ Π½Π΅ΡΡΠΎΠ»ΠΎΠ³ΠΈΠΈ ΠΠ½ΡΡΠΈΡΡΡΠ°
ΠΠ°ΡΠ΅ΡΠΈ ΠΈ Π Π΅Π±Π΅Π½ΠΊΠ° Π² ΠΏΠ΅ΡΠΈΠΎΠ΄ Ρ Π΄Π΅ΠΊΠ°Π±ΡΡ 2007 ΠΏΠΎ 2010 Π³ΠΎΠ΄. Π‘Π»Π΅Π΄ΡΡΡΠΈΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ Π±ΡΠ»ΠΈ ΠΈΡΠΏΠΎΠ»ΡΠ·ΠΎΠ²Π°Π½Ρ Π΄Π»Ρ ΠΎΠ±ΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΡ ΠΏΠ°ΡΠΈΠ΅Π½ΡΠΎΠ² ΠΈ ΠΎΠ±ΡΠ°Π±ΠΎΡΠΊΠΈ ΡΠΊΡΠΏΠ΅ΡΠΈΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΡ
Π΄Π°Π½Π½ΡΡ
: ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ β Π°Π½Π°ΠΌΠ½Π΅Π·, ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΡ ΠΈ
ΠΊΠ»ΠΈΠ½ΠΈΡΠ΅ΡΠΊΠΈΠ΅ ΠΏΡΠΎΡΠ²Π»Π΅Π½ΠΈΡ; Π»Π°Π±ΠΎΡΠ°ΡΠΎΡΠ½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ β Π°Π½Π°Π»ΠΈΠ· ΠΌΠΎΡΠΈ ΠΈ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΠΌΠΎΡΠΈ ΠΏΠΎ ΠΌΠ΅ΡΠΎΠ΄Ρ ΠΠ΅ΡΠΈΠΏΡΡΠ΅Π½ΠΊΠΎ; ΠΈΠ½ΡΡΡΡΠΌΠ΅Π½ΡΠ°Π»ΡΠ½ΡΠ΅ ΠΌΠ΅ΡΠΎΠ΄Ρ β Π£ΠΠ ΠΏΠΎΡΠ΅ΠΊ ΠΈ ΡΡΠΈΠ½ΡΠΈΠ³ΡΠ°ΡΠΈΡ; ΡΡΠ°ΡΠΈΡΡΠΈΡΠ΅ΡΠΊΠ°Ρ ΠΎΠ±ΡΠ°Π±ΠΎΡΠΊΠ° ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ².
Π Π΅Π·ΡΠ»ΡΡΠ°ΡΡ. ΠΠ°Π½Π½ΠΎΠ΅ ΠΈΡΡΠ»Π΅Π΄ΠΎΠ²Π°Π½ΠΈΠ΅ ΡΠ°ΡΠΊΡΡΠ²Π°Π΅Ρ ΡΠ°ΠΊΡΠΎΡΡ, ΡΠΏΠΎΡΠΎΠ±ΡΡΠ²ΡΡΡΠΈΠ΅ ΡΠ°Π·Π²ΠΈΡΠΈΡ ΠΠΠ Ρ Π΄Π΅ΡΠ΅ΠΉ Π³ΡΡΠ΄Π½ΠΎΠ³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ°. ΠΠΎΠ»ΡΡΠΎΠ΅ Π·Π½Π°ΡΠ΅Π½ΠΈΠ΅ ΠΈΠΌΠ΅Π΅Ρ Π·Π΄ΠΎΡΠΎΠ²ΡΠ΅ ΠΌΠ°ΡΠ΅ΡΠΈ, ΠΎΡΠΎΠ±Π΅Π½Π½ΠΎ Π² Π΄ΠΎΡΠΎΠ΄ΠΎΠ²ΠΎΠΉ ΠΏΠ΅ΡΠΈΠΎΠ΄, ΠΊΠΎΠ³Π΄Π° ΠΎΠΏΡΠ΅Π΄Π΅Π»Π΅Π½Π½ΡΠ΅ ΡΠ°ΠΊΡΠΎΡΡ ΡΠΈΡΠΊΠ° ΠΌΠΎΠ³ΡΡ Π½Π΅Π³Π°ΡΠΈΠ²Π½ΠΎ Π²Π»ΠΈΡΡΡ Π½Π° ΡΠ°Π·Π²ΠΈΡΠΈΠ΅ ΠΏΠ»ΠΎΠ΄Π°: Π½Π°ΡΠ»Π΅Π΄ΡΡΠ²Π΅Π½Π½ΠΎΡΡΡ, Ρ
ΡΠΎΠ½ΠΈΡΠ΅ΡΠΊΠΈΠΉ ΠΏΠΈΠ΅Π»ΠΎΠ½Π΅ΡΡΠΈΡ (50%),
Π³Π΅ΡΡΠΎΠ· (95,2%), Π½Π΅ΡΡΠΎΠΏΠ°ΡΠΈΠΈ (45,3%), ΡΠΈΡΠΊ ΠΏΡΠ΅ΠΆΠ΄Π΅Π²ΡΠ΅ΠΌΠ΅Π½Π½ΡΡ
ΡΠΎΠ΄ΠΎΠ² (36,3%). Π ΠΏΠΎΡΠ»Π΅ΡΠΎΠ΄ΠΎΠ²ΠΎΠΌ ΠΏΠ΅ΡΠΈΠΎΠ΄Π΅ ΡΠ°ΠΊΡΠΎΡΡ
ΡΠΈΡΠΊΠ° Π²ΠΊΠ»ΡΡΠ°ΡΡ ΠΏΡΠ΅ΠΌΠΎΡΠ±ΠΈΠ΄Π½ΡΠ΅ ΡΠΎΡΡΠΎΡΠ½ΠΈΡ (52,3%), ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΎΠ½Π½ΡΠ΅ Π²ΠΎΡΠΏΠ°Π»ΠΈΡΠ΅Π»ΡΠ½ΡΠ΅ ΠΏΡΠΎΡΠ΅ΡΡΡ (40,9%), ΠΎΡΡΡΡΠ΅
ΡΠ΅ΡΠΏΠΈΡΠ°ΡΠΎΡΠ½ΡΠ΅ Π²ΠΈΡΡΡΠ½ΡΠ΅ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ (22,7%).
ΠΡΠ²ΠΎΠ΄Ρ: Π‘ΡΠ°Π½ΠΎΠ²ΠΈΡΡΡ ΠΎΡΠ΅Π²ΠΈΠ΄Π½ΠΎΠΉ Π½Π΅ΠΎΠ±Ρ
ΠΎΠ΄ΠΈΠΌΠΎΡΡΡ ΠΎΡΠ΅Π½ΠΊΠΈ Π²ΠΊΠ»Π°Π΄Π° ΡΠ°ΠΊΡΠΎΡΠΎΠ² ΡΠΈΡΠΊΠ° Π² ΡΠ°Π·Π²ΠΈΡΠΈΠΈ ΠΈΠ½ΡΠ΅ΠΊΡΠΈΠΈ ΠΌΠΎΡΠ΅Π²ΡΠ²ΠΎΠ΄ΡΡΠΈΡ
ΠΏΡΡΠ΅ΠΉ Ρ Π΄Π΅ΡΠ΅ΠΉ ΡΠ°Π½Π½Π΅Π³ΠΎ Π²ΠΎΠ·ΡΠ°ΡΡΠ° Ρ ΡΠ΅Π»ΡΡ Π²ΡΡΠ²Π»Π΅Π½ΠΈΡ Π³ΡΡΠΏΠΏ Π²ΡΡΠΎΠΊΠΎΠ³ΠΎ ΡΠΈΡΠΊΠ°, Π° ΡΠ°ΠΊΠΆΠ΅ ΡΠ»ΡΡΡΠ΅Π½ΠΈΡ
ΡΠ°Π½Π½Π΅ΠΉ Π΄ΠΈΠ°Π³Π½ΠΎΡΡΠΈΠΊΠΈ, ΡΠ΅Π·ΡΠ»ΡΡΠ°ΡΠΎΠ² Π»Π΅ΡΠ΅Π½ΠΈΡ ΠΈ ΠΏΡΠΎΡΠΈΠ»Π°ΠΊΡΠΈΠΊΠΈ Π΄Π°Π½Π½ΡΡ
Π·Π°Π±ΠΎΠ»Π΅Π²Π°Π½ΠΈΠΉ