Infección de vías urinarias en niños con insuficiencia renal crónica estadios 3, 4 y 5. Prevalencia y diagnóstico

摘要: background: In childhood, the urinary tract infection (UTI) is one of most common infectious diseases. According to characteristics child with chronic renal failure, it possible that presentation and diagnosis UTI have their own peculiarities, which are not routinely identified. Objective: To identify prevalence, risk factors germs involved in children failure (CRF) stages 3, 4 5. Patients methods: Children CRF 4, 5 were included. We registered gender, age, evolution time, cause stage 24-hour urine volume IgA. There performed three urinalysis cultures. Results: Seventy-one patients, 48% female 52% male, studied, 33 them met inclusion criteria. The average age was 12.8 years. unknown (8 children) 3 (55%). Average 4.8 years, prevalence 3%. When considering changes arising from (pH, osmolarity, leukocytes, nitrite sediment), increased 57%. Uropathogens isolated E. coli (three patients), Enterococcus sp (two cases), K. pneumoniae, P. vulgaris C. tropicalis. Conclusions: assume all patients susceptible colonization they do meet diagnostic criteria UTI, can promote early treatment reduce kidney damage. Prevalence 3% CRF, according internationally established standards. This great importance because reflects there underdiagnosis maybe due superimposed UTI.