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2008, Number 2

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Rev Med Inst Mex Seguro Soc 2008; 46 (2)

Four Years Experience in the Follow up of Nursing 195 Children with Urolithiasis

Medina-Escobedo M, Medina-Escobedo C, Martín-Soberanis G, Villanueva-Jorge S, Hernández-Flota A

Language: Spanish
References: 28
Page: 195-200
PDF size: 110.20 Kb.


ABSTRACT

Objective: to describe clinical data, metabolic profile, treatment and evolution of a nursing children cohort with urolithiasis.
Methods: using a descriptive, prospective and longitudinal design, were registered all patients with urolithiasis, of Pediatric Division at the Hospital General “Agustín O’Horán”, in Yucatan, Mexico. Were included all patients with 36 months old and younger. Were not included children with malformations or associated disease which causes urolithiasis. Clinical and metabolic profiles, evaluation of the applied treatment as well as an evolution by four years period were done.
Results: 63 patients were recruited with ages ranging from 2 to 36 months; 39 (61.9%) were male. The most common clinical signs were crying upon urination (49.2%), urinary retention (31.7%), hematuria (30.2%), and pollakiuria (28.6%). Calculus were most frequently located in the kidney (58.7%). The most common complications were acute urinary tract infection (61.9%), malnutrition (47.6%) and acute renal failure (12.7%). Documented metabolic alterations included hyperuricosuria (57.1%), hypomagnesiuria (11.1%) and hypercalciuria (9.5%).
Conclusions: urolithiasis should be suspected in children with crying upon urination and urinary symptoms; it should be considered among the different causes of renal failure; hyperuricosuria was the most frequent metabolic alteration.


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