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Culture-positive urinary tract infection following micturating cystourethrogram in children

Asian Journal of Urology 2022年第3期9卷 329-333页

作者： Simeon Ngweso Munyaradzi Nyandoro tatenda nzenza Ting Yi Cheow Fiona Bettenay Andrew Barker Japinder Khosa Naeem Samnakay Fiona Stanley Hospital.Murdoch Western AustraliaAustralia Young Urology Researchers Organisation MelbourneAustralia Austin Hospital HeidelbergVictoriaAustralia Royal Perth Hospital PerthWestern AustraliaAustralia Princess Margaret Hospital SubiacoWestern AustraliaAustralia School of Medicine University of Western AustraliaDalkeithWestern AustraliaAustralia

Objective:To determine the incidence of culture-positive urinary tract infection(UTI)after micturating cystourethrogram(MCUG).We further wanted to identify risk factors for developing a culture-positive UTI following ***:A retrospective review of the available medical records of 500 paediatric patients who underwent MCUG in Perth,Western Australia was ***:Seven(1.4%)patients comprised of four females and three males developed a febrile,culture-positive UTI within 14 days following *** association was found for female patients,patients with neurogenic bladder,and patients with previous culture-positive UTI as developing a culture-positive UTI following *** logistic regression determined that patients were more likely to develop culture-positive UTI within 14 days following MCUG if they had a known history of UTI(odds ratio:5.0,95%confidence interval:1.5-17.3,p=0.010)or had a neurogenic bladder(odds ratio:4.2,95%confidence interval:1.0-17.9,p=0.049).Conclusion:The incidence of patients who developed a febrile,culture-positive UTI following MCUG was low at 1.4%.Statistically significant and independent associations for the development of culture positive UTI were found in patients with neurogenic bladder and patients with previous culture-positive *** prospective studies are necessary to determine necessity of prophylactic antibiotics for high-risk patients,e.g.,patients with neurogenic bladder or previous culture-positive UTI.

关键词： Micturating cystourethrogram Voiding cystourethrogram Paediatric urology Functional urology

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