Abstract
The report of clinical overview of UTI in children is rare in Japan. Single center experience with regard to culture-documented UTI in children is analized for searching future diretction of optimal care.
Between Jan. 1995 and Dec. 1999, 427 children with culture-documented UTI are reviewed retrospectively about age, sex, symptoms, causative organisms, and subsequent radiographic studies.
Characteristic findings include nonspecifics synptoms (apnea, grunting, and cyanosis) common in neonates, lack of pyuria in 21%, Eshericia coli as a most common agent (73.8%), vesicoureteric reflux (VUR) in 31%, and distinct correlation inbetween the degree of VUR and renal scarring.
Diagnosis of UTI must be confirmed by the culture of clean-catched urine and radiographic study is to be followed consecutively. A controlled, prospective multicenter study for management of primary VUR is readily needed.
