مطالعه يافته هاي سونوگرافي در عفونتهاي ادراري علامت دار در كودكان بستري در بيمارستان بهرامي

A SURVEY OF SONOGRAPHIC FINDINGS IN SYMPTOMATIC CHILDREN WITH URINARY TRACT INFECTION IN BAHRAMI HOSPITAL

Urinary tract infection is one of the most common infections in childhood that has considerable mortality and morbidity .According to the recommendations of some authorities, sonography is conducted in all children after the diagnosis is established whereas others Limit it to certain special occasions. The goal of this retrospective descriptive study has been to evaluate the results of sonography in children with UTI. For this purpose. we studied children admitted for UTI during 10 years (1988-1998) at Bahrami hospital . In all of them , one radiofogist carried out sonography of urinary tract . 148 cases of UTI were evaluated out of whom in 125 cases UTI was confirmed by positive urine culture. The prevalence of UTI in girls and boys was 78% and 22% respectively . The incidence of UTI decreased as the age advanced and the most common group was found between 6-9 years. Most of them (91%) had [ever on admission occurring mostly between 2-5 years. As age advanced the incidence of fever declined . The most common pathogen was E.Coli . 53% of patients had normal sonography, clinicaf sings of UT! were seen in 35% and in 24% they were associated with anomalies . The most common finding of infection was thickening of the bfadder and the most common anomaly was hydronephrosis.