Analysis of Risk Factors of Urinary Tract Infection in Acute Glomerulonephritis Children: A Single-Center Cross-Sectional Study

被引:0
|
作者
Li, Junxia [1 ]
Hua, Chen [2 ]
Hu, Shuyan [1 ]
机构
[1] Yantai City Yantai Mt Hosp, Pediat, Yantai 264003, Shandong, Peoples R China
[2] Yantai City Yantai Mt Hosp, Child Care Dept, Yantai 264003, Shandong, Peoples R China
来源
ARCHIVOS ESPANOLES DE UROLOGIA | 2023年 / 76卷 / 05期
关键词
acute glomerulonephritis (AGN); urinary tract infection (UTI); risk factors; PYELONEPHRITIS;
D O I
10.56434/j.arch.esp.urol.20237605.40
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Objective: This study aimed to explore the risk factors of urinary tract infection (UTI) in acute glomerulonephritis (AGN) chil-dren. Methods: It selected 175 children (86 cases with AGN and 89 cases with AGN and UTI) in Yantai Mountain Hospital from Jan-uary 2021 to January 2022 for clinical research, comparatively analysed the clinical data, such as urine protein, serum protein, cholesterol, immunoglobulin G (IgG), immunoglobulin M (IgM), immunoglobulin A (IgA), low-density lipoprotein (LDL), high-density lipoprotein (HDL) and lipoprotein (a) (Lp (a)), and used logistic regression analysis to screen out the independent risk factors of AGN with UTI.Results: The univariate analysis showed that UTI was not related to gender, use of angiotensin converting enzyme inhibitor, cholesterol, HDL, IgM and immunoglobulin A (p > 0.05) but related to age, dosage of dopamine, urine protein, serum pro-tein, LDL, IgG and Lp (a) (p < 0.05). The multivariate logistic regression analysis indicated that age, dosage of dopamine & GE;3 & mu;g/kg/min, urine protein, serum protein, LDL, IgG and Lp (a) were independent risk factors of UTI in AGN children.Conclusions: Age, dosage of dopamine, urine protein, serum protein, LDL, IgG and Lp (a) were correlated with the occurrence and development of UTI. The use of high-dose dopamine in younger children could lead to higher levels of urinary protein, LDL and Lp (a), resulting in a higher risk of UTI in AGN patients with lower levels of serum protein and IgG. Therefore, attention should be paid to such patients, and intervention measures should be taken promptly in clinic.
引用
收藏
页码:341 / 346
页数:6
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