You are here

Home » Content

İLKÖĞRETİM PROGRAMINDAKİ ÇOCUKLARDA SIVI ALIM VE BOŞALTIM DİNAMİĞİNİN İDRAR YANGI BULGULARINA ETKİSİ

THE EFFECT OF THE DYNAMIC OF FLUID INTAKE AND OUTPUT ON URINARY TRACT INFECTION IN PRIMARY SCHOOL CHILDREN

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1998

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Urinary tract infection (UT1) is influenced by daily fluid intake, and there is a positive correlation between UTI and slowing down of urinary flow within the urinary tract. In this study, the dynamic of fluid intake and output during school hours among Turkish primary school children was analysed, and the relation of this dynamic to UTI in accordance with the impact of socioeconomical status of these children on this relation was evaluated. The study was carried out in 17 primary schools, and 1024 children (516 male) were enrolled. A questionnaire related to daily fluid intake and output in school, and daily activities that could effect this fluid dynamic was completed by each student. After that, a clean voided midstream urine specimen was obtained from each child, and evaluated by dipstick and light microscope. Pyuria, bacteriuria and pyuria + bacteriuria were determined in 20.6, 7.8 and 6.2 percents of the children, respectively. When the children were analysed with respect to the mean water intake during school hours, "those drinking water in every two breaks or more frequently" and "those drinking water every three breaks or less frequently or not at all" were 491 (47.2%) and 533 (52.1%) respectively. Decreased water intake during school hours was associated with an increase in the rate of pyuria (p < 0.05). There was a negative correlation between the frequency of urination (FU) in school and the developmental status of the areas in which the schools were found (r: - 0.117, p < 0.05). A significant relation was found between pyuria and FU in school (p < 0.05). The rate of pyuria was 15.2 and 22.2percent in "those urinating in every two breaks or more frequently" and "those urinating every three breaks or less frequently or not at all", respectively. There was not a significant relation between FU in school and neither bacteriuria nor pyuria + bacteriuria (p>0.05).
Bookmark/Search this post with
Abstract (Original Language): 
Günlük sıvı alımının idrar yolu infeksiyonuna katkısı belirlenmiş olup, üriner sistemde sıvı akımının azalması ve idrar birikimi ile idrar yolu infeksiyonu arasında pozitif ilişki bildirilmiştir. Bu çalışmada, Türk ilköğretim programındaki okullarda eğitim gören çocuklarda okul yaşantısındaki sıvı alım ve boşaltım dinamiğini analiz edilerek, bu faktörlerin idrar yolu infeksiyonu ile arasındaki ilişki ve bu ilişkiye çocuğun sosyoekonomik yapısının katkısı araştırılmıştır. Araştırma 17 ilkokulda, toplam 1024 (508 kız, 516 erkek) öğrenci ile gerçekleştirilmiştir. Çocuklara sıvı alım ve boşaltımı ile bunları etkileyebilecek günlük aktiv iteler ini kapsayan soruları içeren bir anket formu uygulanmıştır. Daha sonra çocuklara dağıtılan kaplara analiz için idrar örnekleri alınmıştır, idrar örnekleri önce "dipstick" daldırma yöntemi ile daha sonra da mikroskopta incelemiştir. Tüm çocukların %20.6'sında piyüri, %7.8'inde bakteriüri, %6.2'sinde "piyüri-bakteriüri birlikteliği" saptanmıştır. Olguların "okulda geçirdikleri süre içinde ortalama içtikleri su miktarına " göre dağılım analizi yapıldığında "iki teneffüste bir veya daha sık su içenler " 491 olgu (%47.9), "üç teneffüste bir veya daha seyrek su içen veya okulda su içmeyenler " 533 olgu (%52.1) olarak bulunmuştur. Olguların "okulda geçirdikleri süre içinde ortalama içtikleri su miktarı" azaldıkça piyüri yüzdesinde artma belirlenmiştir (p<0.005). "Okulda idrar yapma sıklığı" açısından "imar bölgeleri" arasında negatif korelasyon saptanmıştır (r=-0.117, p<0.05). İmarsız bölgelere doğru gidildikçe sık tuvalete gitme oranı artmaktadır. "Okulda idrar yapma sıklığı" ile piyüri oranı arasında anlamlı ilişki saptanmıştır (p<0.05). "İki teneffüste bir veya daha sık tuvalete gidenlerde " piyüri görülme oranı %15.2 iken, "üç teneffüste bir tuvalete giden veya okulda tuvalete gitmeyen" grupta bu oran %22.2 olarak hesaplanmıştır. "Okulda idrar yapma sıklığı" ile bakteriüri ve "piyüri ve bakteriüri birlikteliği" arasında anlamlı ilişki saptanmamıştır (p>0.05).
FULL TEXT (PDF): 
PDF icon pdf_tndt_224.pdf
  • 4
184-191
  • Turkish

REFERENCES

References: 

1. Roberts JA. Factors predisposing to urinary tract infections in children. Invited review. Pediatr Nephrol 1996; 10:517-522.
2. Shortliffe LMD. Urinary tract infections in infants and
children, In: Walsh PC, Retik AB, Vaughan ED, Wein
AJ.
(Eds)
, Campbell's Urology (7th Edition), WB.
Saunders Company, Philedelphia, 1998; 1681-1707.
3. Rushton H.G. Genitourinary infections, In: Kelalis PP, King LR, Belman AB. (Eds), Clinical Pediatric Urology (3'd edition), WB. Saunders Company, Philedelphia, 1992; 286-364.
4. Kavukçu S. Recurrent urinary tract infection: Etiology and strategies for the management of recurrent infection. In First Annual Aegean Pediatric Nephrology
Seminars 16-17 May 1997.
5. Linshaw MA, Gruskin AB. The routine urinalysis: To keep or not to keep; that is the question. Pediatrics
1997;100: 1031-1032.
6. Lohr JA, Portilla MG, Geuder TG, Dunn ML. Dudley
SM. Making a presumptive diagnosis of urinary tract infection by using a urinalysis performed in an on-site
laboratory. J Pediatr 1993;122:22-25.
7. Shaw KN, Mcgowan KL. Evaluation of a rapid screening filter test for urinary tract infection in
children. Pediatr Infect Dis J 1997; 16:283-287.
8. Nuutinen M, Huttunen N-P, Uhari M. Type of nappy and nursing habits in acquiring acute urinary tracl
infection. Acta Paediatr 1996;85:1039-1041.
9. Kunin CM. Role of the host defence. In: Kunin CM (Ed), Detection, prevention and management of urinary tract infections (4"' edition), Lea and Febiger,
Philedelphia, 1987;299-323.
190
10. Klarskov OP. Training of patients with residual urine and/or recurrent urinary tract infections. Ugeskr- Laeger 1989;151 (5):293-295.
11. Kunin CM. Diagnostic methods, In: Kunin CM (Ed), Detection, prevention and management of urinary tract infections (4th edition), Lea and Febiger, Philedelphia, 1987;195-234.
12. Eckford SD, Keane DP, Lamond E, Jackson SR, Abrams P. Hydration monitoring in the prevention of recurrent idiopathic urinary tract infections in pre-menopausal women. Br J Urol 1995;76(l):90-93.
13. Kunin CM. The concepts of "significant bacteriuria" and asymptomatic bacteriuria, clinical syndromes and the epidemiology of urinary tract infections, In: Kunin CM (Ed), Detection, prevention and management of
urinary tract infections (4" edition), Lea and Febiger.
Philedelphia, 1987;57-125.
14. Hellerstein S. Urinary tract infections. Old and New Concepts, In:Alon US (Ed), The Pediatric Clinics of North America, Pediatric Nephrology, WB. Saunders Company, Philedelphia, 1995;42:1433-1457.
15. Voss F. Voiding delay and urinary tract infection in girls. 6. Training to modify voiding delay. Kinderarztl-
Prax 1990;58(9):475-480.
16. Foxman B, Frerichs RR. Epidemiology of urinary tract infection:II. Diet, clothing, and urination habits. Am J Publich Health 1985;75:1314-1317.
17. Hooton TM. A simplified approach to urinary tract
infection. Hosp Pract (Off Ed)1995;30(2):23-30.

Thank you for copying data from http://www.arastirmax.com