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

Skin changes in the neck and selenium content in patients with thyroid diseases

Purpose: Occurrence of skin changes, in the form of discolouration on neck and in form of a so-called ”thyroid shadow”, was observed in patients with: Hashimoto’s disease, Graves´ disease, struma nodosa euthyrotica or hy...

Assessment of pulmonary function of cement industry workers from West Bengal, India

Purpose: To evaluate the basic pulmonary function parameters of cement industry workers from West Bengal. This cross-sectional study was carried out in a cement factory at Durgapur, district Burdwan on male cement indust...

Folate and homocysteine status in children with neurogenic bladder due to meningomyelocele

Introduction: Meningomyelocele (MMC) is the most severe form of spina bifida caused by both genetic and environmental components. It is well known that status of folate plays an important role in the risk of neural tube...

 The incidence of vasospasm after intracerebral haemorrhage

 Purpose: Cerebral vasospasm occurs frequently after aneurismal subarachnoid haemorrhage (SAH) and is a dangerous complication. Only a few cases of cerebral vasospasm after intracerebral haemorrhage (ICH) have been...

Granulocyte colony-stimulating factor potential use in the treatment of children with cerebral palsy

Granulocyte colony-stimulating factor (G-CSF) is a glycoprotein that stimulates the bone marrow to produce granulocytes and stem cells and release them into the blood. Recent studies demonstrated the presence of CSF-rece...

Download PDF file
  • EP ID EP75181
  • DOI -
  • Views 165
  • 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