{"id":381,"date":"2015-11-04T00:00:00","date_gmt":"2015-11-03T23:00:00","guid":{"rendered":"http:\/\/semmelweis.hu\/symposium\/voiding-disturbances-in-recurrent-urinary-tract-infections\/"},"modified":"2015-11-06T13:32:49","modified_gmt":"2015-11-06T12:32:49","slug":"voiding-disturbances-in-recurrent-urinary-tract-infections","status":"publish","type":"page","link":"https:\/\/semmelweis.hu\/symposium\/szimpozium-archiv\/symposium2009-semmelweis\/temak\/voiding-disturbances-in-recurrent-urinary-tract-infections\/","title":{"rendered":"Voiding Disturbances in Recurrent Urinary Tract Infections"},"content":{"rendered":"\n<p>L\u00e1szl\u00f3 SZAB\u00d31,5,6, I. BAJUSZ1, K. LOSONCZI1,<br \/> B. LOMBAY2,5, E. BORB\u00c1S2, A. ANGYAL3, Gy. R\u00c9TI4<\/p>\n<p><em>1Department of Nephrology, Hypertension and Urodynamics, Borsod County University Hospital, Miskolc, Hungary<br \/> 2Department of Diagnostic Imaging, Borsod County University Hospital, Miskolc, Hungary<br \/> 3Department of Rehabilitation, Borsod County University Hospital, Miskolc, Hungary<br \/> 4Department of Surgery, Child Health Center, Miskolc, Hungary<br \/> 5Institute Of Health Science, University of Miskolc, Miskolc, Hungary<br \/> 6Postgraduate Institute of Child Health, Institute University of Debrecen, Miskolc, Hungary<\/em><\/p>\n<p><em>Background<\/em>: To reveal the function and morphological anomalies<br \/> together are very important and the videourodynamics (VUD) combined<br \/> with conventional voiding cystourethrography (VCUG) with<br \/> cystomanometry seemed to be the most appropriate method.<\/p>\n<p><em>Materials and methods:<\/em> During a 17-year study period 810 children<br \/> had pyelonephritis, and 50,440 urine cultures were measured.<br \/> Gram negative bacterium was found in 16,800 samples, and E. coli<br \/> in 11,032 samples (66%). 448 children with recurrent urinary tract<br \/> infections prospectively underwent videourodynamic (VUD) to further<br \/> define their urinary tract abnormalities. 184 infants were under<br \/> 1 year of age (Group I), 172 children between 1 and 6 years (Group<br \/> II), 92 patients were between 7 and 12 years (Group III). All children<br \/> had history, clinical examination, urine analysis and culture;<br \/> serum creatinine examination; and ultrasonography before VUD.<br \/> Measurement of CM was registered onto a computer and VUR was<br \/> documented with plain films and later in a PACS system. The first<br \/> choice of treatment was 3rd generation cephalosporin antibiotics.<\/p>\n<p><em>Results<\/em>: The VUD diagnosis was of normal bladder function in 72<br \/> (16%) children (Group I: 22, Group II: 31, Group III: 19), vesicoureteric<br \/> reflux (VUR) alone in 198 (44%) (Group I: 93, Group II: 59,<br \/> Group III: 56), VUR and unstable bladder dysfunction in 101 (23%)<br \/> (Group I: 39, Group II: 48, Group III: 14), and unstable bladder dysfunction<br \/> alone in 77 (17%) (Group I: 30, Group II: 34, Group III: 13).<br \/> Conclusion: Only 33% of the urine culture showed Gram negative<br \/> bacteria, but 66% of them were E. coli. VUD is a useful technique<br \/> for a complex investigation of the lower urinary tract function and<br \/> X-Ray morphology. The advantage of these studies is that they<br \/> combine the objectivity of urodynamics with the visual radiographic<br \/> image which having lower radiation doses, and making for a far<br \/> more logical interpretation of the results.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>L\u00e1szl\u00f3 SZAB\u00d31,5,6, I. BAJUSZ1, K. LOSONCZI1, B. LOMBAY2,5, E. BORB\u00c1S2, A. ANGYAL3, Gy. R\u00c9TI4 1Department of Nephrology, Hypertension and Urodynamics, Borsod County University Hospital, Miskolc, Hungary 2Department of Diagnostic Imaging, Borsod County University Hospital, Miskolc, Hungary 3Department of Rehabilitation, Borsod County University Hospital, Miskolc, Hungary 4Department of Surgery, Child Health Center, Miskolc, Hungary 5Institute Of &hellip;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":323,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"categories":[],"tags":[],"class_list":["post-381","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/381","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/comments?post=381"}],"version-history":[{"count":1,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/381\/revisions"}],"predecessor-version":[{"id":399,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/381\/revisions\/399"}],"up":[{"embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/pages\/323"}],"wp:attachment":[{"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/media?parent=381"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/categories?post=381"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/semmelweis.hu\/symposium\/wp-json\/wp\/v2\/tags?post=381"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}