הכינוס השנתי של החברה הישראלית לפדיאטריה קלינית - חיפ"ק 2022

Hypercalciuria and Urinary Tract Infection: Incidence and Symptoms in Children over 2 Years Age, in Poria Pade Hospital 2005-2018

ואיל נאסר 1 Mohmad A 1 Boshra N 1 Saied A 2 Ehsan Na 1 Zohar M 2 Avi On 2
1Pediatric Nephrology, Baruch Padeh Medical Center, Poriya, ישראל
2Pediatric Department, Baruch Padeh Medical Center, Poriya, ישראל

Introduction: Urinary tract infections are the most common infection in children, in female 8%, male 2% up to the age of seven years. There are many complications both short-term and long-term, with complications more related to the patient`s young age and recurrence of infections. Include kidney damage, decreased kidney function: delayed kidney development, hypertension, proteinuria complications during pregnancy and even kidney failure. Early diagnosis and treatment in addition to preventing infection are important to maintain renal function.

Resarch methods: In our study we examined the prevalence of idiopathic hypercalcemia In children diagnosed with urinary tract infection, characterizing age, sex, personal and family history of hypercalciuria or urinary tract stones, as well as the ethnic origin and symptoms of hypercalciuria other than recurrent urinary tract infections. The files of 69 patients with urinary tract infection whose age range was two years to five years were examined, of whom 49 female were 18 males and there was a tendency for more hypercalcaemia in the girls.

Results: Ultrasound with hydronephrosis with hypercalciuria ranges from 40 to 60% Children with hypercalciuria have a tendency to reflux between 40-60% to one side and 20% to bilateral reflux. Pathological mapping that included 60% scarring with hypercalciuria. Hence the conclusion that hypercalcaria in the group of patients in our area is an additional risk factor for urinary tract infections in addition to the known risk of causing urinary stones.