The clinical course of urolithiasis in children under 3 years of age

Journal Title: Progress in Health Sciences - Year 2014, Vol 4, Issue 1

Abstract

Purpose: Certain risk factors of urolithiasis may be diagnosed in 75% of children with stones. They include genetic, anatomic, metabolic and nutrition causes. The diagnostics' evaluation should determine and rule out anatomic factors and establish metabolic disorders. The treatment is based on an increased fluid intake, and alterations in the nutrition pattern. The aim was to analyze the clinical course of urolithiasis in children below 3, and detect the possible factors affecting the success of therapy. Materials and methods: Between 2009 and 2013, we retrospectively investigated the cases of 68 children (34 boys and 34 girls) under 3 years who were treated in the clinic. Urolithiasis was diagnosed at the mean age of 10 months; the average follow-up lasted 26 months until reaching 3 years. The retrospective analysis was based on medical documentation and direct contact with parents. Results: Among the risk factors, the most common was hyperciuria. The treatment of children was based on an increased daily fluid intake and dietary recommendations. Among the specific treatments, the most common were citrates (51%). In the majority of cases, the therapy lasted over a year after the clinical absence of stones. This therapy was successful in 62% of children. The factors contributing to the success of the treatment were: a negative family history of urolithiasis, unilateral stones, normal urinalysis, decrease of the Ca/Cr index, and compliance of dietary and medical recommendations. Conclusions: The treatment is based on the elimination of risk factors, and alterations in the dietary pattern. High percentage of parents did not respect the medical recommendations.

Authors and Affiliations

A Aaslid, M Tkaczyk

Keywords

Related Articles

Creation and development in the Republic of Belarus State Register of persons exposed to radiation as a result of the Chernobyl accident and other radiological emergencies

Introduction: Creation and development of a national database of persons from Belarus affected by the Chernobyl catastrophe has been an important and actual challenge. Its aim is to help health care professionals make an...

Analysis of biofilm production in Enterococcus faecium strains depending on clinical source

Purpose: Enterococcus faecium strains have been reported worldwide as etiologic factors of many nosocomial infections, which are difficult to manage because of the constantly increasing resistance of these microorganisms...

Patient aggression towards health care professionals

Purpose: To estimate the frequency of aggressive behaviors in health care institutions, and determine their influence on emotional reactions of medical workers. Materials and methods: The study involved 201 health care...

The clinical case differential diagnosis of tertiary syphilis and anthrax

We conducted surveillance manifestations of tertiary syphilis – syphilitic gumma, which flows under the guise of anthrax carbuncle. We presented difficulties in diagnosis and differential diagnosis with a rare form of in...

Protective effect of sweet grass and black berries beverages on ethanol-induced disturbances in brain fatty acids

Purpose: To investigate influence of sweet grass and blackcurrant beverages on the level of free as well as phospholipid fatty acids and MDA - lipid peroxidation product in the brain of rats intoxicated with ethanol (28...

Download PDF file
  • EP ID EP75181
  • DOI -
  • Views 166
  • Downloads 0

How To Cite

A Aaslid, M Tkaczyk (2014). The clinical course of urolithiasis in children under 3 years of age. Progress in Health Sciences, 4(1), 68-74. https://www.europub.co.uk/articles/-A-75181