TY - JOUR AU - Freitas, Ana Cristina AU - Leite, Joana AU - Matos, Paula AU - Rocha, Liliana AU - Costa, Teresa AU - Faria, Maria Sameiro AU - Mota, Conceição PY - 2016/03/16 Y2 - 2024/03/29 TI - Risk factors for renal scarring after first febrile urinary tract infection JF - NASCER E CRESCER - BIRTH AND GROWTH MEDICAL JOURNAL JA - REVNEC VL - 25 IS - 1 SE - Original Articles DO - 10.25753/BirthGrowthMJ.v25.i1.8820 UR - https://revistas.rcaap.pt/nascercrescer/article/view/8820 SP - 11-14 AB - <p align="justify"><strong>Introduction:</strong> The urinary tract infection (UTI) is one of the most common paediatric infectious diseases and it increases the risk for hypertension and end-stage renal disease. Authors’ aim was to identify risk factors for permanent renal injury after a first febrile urinary tract infection.</p><p align="justify"><strong>Methods:</strong> Retrospective analysis of clinical, laboratorial and imaging data of children aged 1 to 36 months hospitalized between January 2010 and December 2012 with the first febrile UTI, comparing with late renal scintigraphy results.</p><p align="justify"><strong>Results:</strong> Seventy seven children were included - 53% female, median age of 5 months, Escherichia coli identified in 95%. Renal scintigraphy, performed after the acute episode, revealed renal scars in 19.5%. Cystourethrography was done in 21 patients and vesicoureteral reflux identified in 3. There was no statistically difference between children with and without renal scarring regarding gender, age, body temperature, C-reactive protein, plasmatic creatinine level, bacteriuria or urine nitrite test, urine bacteria identified, presence of vesicoureteral reflux or recurrence rate of UTI.</p><p align="justify"><strong>Conclusions:</strong> The authors did not detect any clinical, laboratory or imaging data that may predict progression to renal scarring following a first episode of febrile UTI in children between 1 and 36 months.</p> ER -