Abstract
Objective: To study main clinical and laboratory peculiarities of the course of urinary tract disease among children aged from newborns to 3 years old.Methods: Research design is a prospective controlled clinical research. 102 (60.71±3.77 %) children having urinary tract infection without accompanying abnormalities of the urinary system development were included in the first group. 66 (39.29±3.77 %) children having infection of the urinary tract amid congenital kidney defect.Results: Comparative evaluation of the results of complex examination of both groups showed that urinary tract infection is characterized by intoxication, pain and dysuric syndroms. The presence of accompanying kidneys and urinary tract abnormality development defined the latent course of the disease in every second child (59.09%) and supports the early development of renal infection (during first six months after birth).Conclusions: It’s necessary to conduct the search of diagnostics markers and predictors of the infection of the urinary tract among children of the first years of life, especially if there is an abnormality of the organs of urinary system.
Highlights
To study main clinical and laboratory peculiarities of the course of urinary tract disease among children aged from newborns to 3 years old
Research design is a prospective controlled clinical research. 102 (60.71±3.77 %) children having urinary tract infection without accompanying abnormalities of the urinary system development were included in the first group. 66 (39.29±3.77 %) children having infection of the urinary tract amid congenital kidney defect
The presence of accompanying kidneys and urinary tract abnormality development defined the latent course of the disease in every second child (59.09%) and supports the early development of renal infection
Summary
Цель: изучить основные клинические и лабораторные особенности течения ИМВП у детей первых трех лет жизни. В первую группу вошли 102 (60,71±3,77 %) ребенка с инфекцией мочевыводящих путей без сопутствующих аномалий развития органов мочевой системы, а во вторую – 66 (39,29±3,77%) детей с инфекцией мочевыводящих путей на фоне врожденных пороков почек. Сравнительная оценка результатов комплексного обследования обеих групп показала, что для детей грудного и раннего возраста в клинике инфекции мочевыводящих путей характерен интоксикационный, болевой и дизурический синдромы. Наличие сопутствующих врожденных пороков развития почек и мочевыводящих путей определяет латентное течение заболевания у каждого второго ребенка (59,09 %) и способствует раннему развитию ренальной инфекции (первые 6 месяцев жизни). Необходим поиск диагностических маркеров и предикторов инфекции мочевыводящих путей у детей первых лет жизни, особенно при наличии аномалий органов мочевой системы. Клинико–лабораторные особенности течения инфекции мочевыводящих путей у детей первых трех лет жизни на современном этапе.
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