Body growth in early diagnosed vesicoureteric reflux |
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Authors: | Cesare Polito A La Manna Luigi Mansi Pier F Rambaldi Maria Rosaria Papale Antonio Marte Rosario Di Toro |
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Institution: | (1) Department of Pediatrics, 3rd Pediatric Clinic, Second University of Naples, Naples, Italy, IT;(2) Department of Radiological Sciences, Nuclear Medicine, Second University of Naples, Naples, Italy, IT;(3) Department of Pediatrics, Pediatric Surgery, Second University of Naples, Naples, Italy, IT;(4) Via S. Andrea delle Dame 4, I-80138 Naples, Italy e-mail: ditoro @unina.it Tel.: +39-81-5665413, Fax: +39-81-5665403, IT |
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Abstract: | Body growth was studied in 32 subjects with vesicoureteric reflux (VUR), diagnosed following the prenatal finding of urinary
tract dilatation, who had normal renal filtration function and who received antibacterial prophylaxis by the first few days
of life. They were followed for 1–5 years (mean 2.3 years). Most had persistent VUR during the 1st year of life. Body growth
performance was compared with that of 94 subjects with VUR diagnosed and treated by us after the neonatal period. During the
follow-up period, none of the patients with prenatally detected VUR had a height Z score below –2, nor a weight-for-height
index below 90%, and 1 had variations in height Z score ≥1. The difference in the percentage of patients with prenatally detected
VUR (1/32) and those with VUR diagnosed and treated after the neonatal period (20/94) who had variations in height Z score
≥1 was significant (P=0.035). Patients with prenatally detected VUR and normal renal filtration function, given antibacterial prophylaxis by the
first few days of life, have normal body growth, although VUR still persists.
Received: 19 March 1998 / Revised: 10 February 1999 / Accepted: 10 February 1999 |
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Keywords: | Height Weight Vesicoureteric reflux Urinary infection Prenatal hydronephrosis |
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