Gammagrafía con tecnecio-99m-ácido dimercaptosuccínico en el estudio de la primera infección urinaria febril del niño
Technetium-99m-dimercaptosuccinic acid (dmsa) scintigraphy in febrile firsttime urinary tract infection in children
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Matute, F.J. Berchi" "autores" => array:2 [ 0 => array:2 [ "nombre" => "J.A." "apellidos" => "Matute" ] 1 => array:2 [ "nombre" => "F.J." "apellidos" => "Berchi" ] ] ] ] ] "idiomaDefecto" => "es" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S1695403300772857?idApp=UINPBA00005H" "url" => "/16954033/0000005200000001/v1_201307051856/S1695403300772857/v1_201307051856/es/main.assets" ] "es" => array:14 [ "idiomaDefecto" => true "titulo" => "Gammagrafía con tecnecio-99m-ácido dimercaptosuccínico en el estudio de la primera infección urinaria febril del niño" "tieneTextoCompleto" => 0 "paginas" => array:1 [ 0 => array:2 [ "paginaInicial" => "23" "paginaFinal" => "30" ] ] "autores" => array:1 [ 0 => array:4 [ "autoresLista" => "M.J. Martín Aguado, A. Canals Baeza, J. Vioque López, J.L. Tarazona, J. Flores Serrano" "autores" => array:5 [ 0 => array:3 [ "nombre" => "M.J." "apellidos" => "Martín Aguado" "referencia" => array:2 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "cor0005" ] ] ] 1 => array:3 [ "nombre" => "A." "apellidos" => "Canals Baeza" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 2 => array:3 [ "nombre" => "J." "apellidos" => "Vioque López" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] ] 3 => array:3 [ "nombre" => "J.L." "apellidos" => "Tarazona" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] 4 => array:3 [ "nombre" => "J." "apellidos" => "Flores Serrano" "referencia" => array:1 [ 0 => array:2 [ "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] ] ] ] "afiliaciones" => array:2 [ 0 => array:3 [ "entidad" => "Servicio de Pediatría. Hospital General Universitario de Alicante." "etiqueta" => "<span class="elsevierStyleSup">*</span>" "identificador" => "aff0005" ] 1 => array:3 [ "entidad" => "Departamento de Salud Pública. Facultad de Medicina. Universidad Miguel Hernández. Elche. Alicante" "etiqueta" => "<span class="elsevierStyleSup">**</span>" "identificador" => "aff0010" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor0005" "etiqueta" => "*" "correspondencia" => "Hospital General Universitario de Alicante. Servicio de Pediatría. Sección de Escolares. Maestro Alonso, 108. 03010 Alicante." ] ] ] ] "titulosAlternativos" => array:1 [ "en" => array:1 [ "titulo" => "Technetium-99m-dimercaptosuccinic acid (dmsa) scintigraphy in febrile firsttime urinary tract infection in children" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "1999-04-30" "fechaAceptado" => "1999-06-30" "PalabrasClave" => array:2 [ "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec187616" "palabras" => array:5 [ 0 => "Infección urinaria" 1 => "Pielonefritis aguda" 2 => "Gammagrafía con <span class="elsevierStyleSup">99m</span>Tc-DMSA" 3 => "Ecografía renal" 4 => "Reflujo vesicoureteral" ] ] ] "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec187615" "palabras" => array:5 [ 0 => "Urinary tract infection" 1 => "Acute pyelonephritis" 2 => "Renal scintigraphy-DMSA" 3 => "Renal ultrasonography" 4 => "Vesicoureteral reflux" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "es" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p id="spar0005" class="elsevierStyleSimplePara elsevierViewall">Evaluar los hallazgos de la gammagrafía renal (DMSA) en niños con una primera infección del tracto urinario (ITU) febril en relación con diversos parámetros clínico-biológicos y otros estudios de imagen y seguimiento a largo plazo.</p> <span class="elsevierStyleSectionTitle">Material y métodos</span><p id="spar0010" class="elsevierStyleSimplePara elsevierViewall">En un grupo de 103 pacientes (con edades comprendidas entre un mes y 10 años) con una primera ITU febril, se han evaluado parámetros clínicos, analíticos y pruebas de imagen en la fase aguda de la enfermedad. Los pacientes se dividieron en dos grupos de edad, menores (n = 63) y mayores de 2 años (n = 40).</p> <span class="elsevierStyleSectionTitle">Resultados</span><p id="spar0015" class="elsevierStyleSimplePara elsevierViewall">La gammagrafía fue patológica en el 54,5% del grupo total, en el 39,7% en menores de 2 años y en el 79,5% de los mayores de 2 años. En la ecografía con medición del volumen renal se detectó una concordancia simple con la gammagrafía en el 64% de los casos. La cistografía objetivó un reflujo en el 22,3% de los pacientes, sin encontrar diferencias estadísticamente significativas entre los que presentaron un DMSA normal o patológico. Al estudiar los factores que se asociaron de forma independiente a un resultado patológico en el DMSA mediante un análisis multivariante de regresión logística, se observó que la edad del niño, la elevación de la proteína C reactiva (PCR) y la alteración del volumen renal resultaron asociarse de forma estadísticamente significativa a una mayor presencia de DMSA patológico.</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p id="spar0020" class="elsevierStyleSimplePara elsevierViewall">El DMSA combinado con otras pruebas diagnósticas puede mejorar la sensibilidad y especificidad para establecer el grado de afectación renal. Durante el seguimiento, las lesiones agudas desaparecen o mejoran en todos los casos y las crónicas no se modifican.</p>" ] "en" => array:1 [ "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p id="spar0025" class="elsevierStyleSimplePara elsevierViewall">The objective of this study was to evaluate the findings of <span class="elsevierStyleSup">99m</span>Tc-DMSA renal scintigraphy in children with their first acute febrile urinary tract infection in relation with several clinical-biological parameters and other imaging studies and a long-term follow up.</p> <span class="elsevierStyleSectionTitle">Material and methods</span><p id="spar0030" class="elsevierStyleSimplePara elsevierViewall">103 children between 1 month and 10 years old with their first acute febrile urinary tract infection were studied by means of clinical and laboratory assesment, renal ultrasonography and <span class="elsevierStyleSup">99m</span>Tc DMSA renal scintigraphy in the acute illness period. Patients were divided into two groups, those under 2 years old (n = 63) and those over 2 years old (n = 40).</p> <span class="elsevierStyleSectionTitle">Results</span><p id="spar0035" class="elsevierStyleSimplePara elsevierViewall">Cortical scintigraphy showed renal changes in 56 patients (54,5%). Children over 2 years of age had a higher incidence of renal lesions than younger children (39,7% vs 77,5%). Ultrasonography measuring renal volume showed a simple concordance with scintigraphy in 64% of the patients. Reflux was demonstrated in 23 patients (22,3%) without differences between patients with normal or abnormal cortical scintigraphy. After having studied the factors that were associated independently to the pathological results in the scintigraphy through a logistical multivariant regression, it was observed that the child’s age, the elevation of the PCR and the alterations of the renal volume were significant according to statistics and also associated to a larger amount of pathological DMSA scintigraphy.</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p id="spar0040" class="elsevierStyleSimplePara elsevierViewall">DMSA scintigraphy associated with other diagnostic methods can improve the sensitivity and specificity to es tablish renal damage stage. 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| 2024 Octubre | 80 | 68 | 148 |
| 2024 Septiembre | 79 | 48 | 127 |
| 2024 Agosto | 77 | 121 | 198 |
| 2024 Julio | 94 | 69 | 163 |
| 2024 Junio | 73 | 72 | 145 |
| 2024 Mayo | 78 | 61 | 139 |
| 2024 Abril | 74 | 57 | 131 |
| 2024 Marzo | 57 | 87 | 144 |
| 2024 Febrero | 62 | 117 | 179 |
| 2024 Enero | 74 | 87 | 161 |
| 2023 Diciembre | 71 | 59 | 130 |
| 2023 Noviembre | 86 | 71 | 157 |
| 2023 Octubre | 64 | 73 | 137 |
| 2023 Septiembre | 65 | 58 | 123 |
| 2023 Agosto | 51 | 46 | 97 |
| 2023 Julio | 64 | 64 | 128 |
| 2023 Junio | 69 | 65 | 134 |
| 2023 Mayo | 69 | 51 | 120 |
| 2023 Abril | 56 | 38 | 94 |
| 2023 Marzo | 66 | 49 | 115 |
| 2023 Febrero | 33 | 47 | 80 |
| 2023 Enero | 45 | 71 | 116 |
| 2022 Diciembre | 71 | 38 | 109 |
| 2022 Noviembre | 60 | 85 | 145 |
| 2022 Octubre | 45 | 99 | 144 |
| 2022 Septiembre | 49 | 60 | 109 |
| 2022 Agosto | 61 | 73 | 134 |
| 2022 Julio | 51 | 60 | 111 |
| 2022 Junio | 43 | 61 | 104 |
| 2022 Mayo | 70 | 51 | 121 |
| 2022 Abril | 84 | 61 | 145 |
| 2022 Marzo | 87 | 75 | 162 |
| 2022 Febrero | 79 | 58 | 137 |
| 2022 Enero | 63 | 63 | 126 |
| 2021 Diciembre | 45 | 80 | 125 |
| 2021 Noviembre | 69 | 82 | 151 |
| 2021 Octubre | 76 | 88 | 164 |
| 2021 Septiembre | 76 | 68 | 144 |
| 2021 Agosto | 78 | 58 | 136 |
| 2021 Julio | 60 | 53 | 113 |
| 2021 Junio | 64 | 57 | 121 |
| 2021 Mayo | 78 | 66 | 144 |
| 2021 Abril | 112 | 130 | 242 |
| 2021 Marzo | 133 | 118 | 251 |
| 2021 Febrero | 115 | 46 | 161 |
| 2021 Enero | 110 | 45 | 155 |
| 2020 Diciembre | 93 | 48 | 141 |
| 2020 Noviembre | 69 | 27 | 96 |
| 2020 Octubre | 93 | 25 | 118 |
| 2020 Septiembre | 58 | 18 | 76 |
| 2020 Agosto | 93 | 52 | 145 |
| 2020 Julio | 90 | 39 | 129 |
| 2020 Junio | 68 | 27 | 95 |
| 2020 Mayo | 69 | 36 | 105 |
| 2020 Abril | 65 | 17 | 82 |
| 2020 Marzo | 50 | 25 | 75 |
| 2020 Febrero | 84 | 25 | 109 |
| 2020 Enero | 70 | 19 | 89 |
| 2019 Diciembre | 80 | 17 | 97 |
| 2019 Noviembre | 50 | 14 | 64 |
| 2019 Octubre | 31 | 13 | 44 |
| 2019 Septiembre | 24 | 21 | 45 |
| 2019 Agosto | 43 | 25 | 68 |
| 2019 Julio | 34 | 41 | 75 |
| 2019 Junio | 53 | 56 | 109 |
| 2019 Mayo | 106 | 54 | 160 |
| 2019 Abril | 98 | 68 | 166 |
| 2019 Marzo | 68 | 14 | 82 |
| 2019 Febrero | 51 | 23 | 74 |
| 2019 Enero | 42 | 20 | 62 |
| 2018 Diciembre | 44 | 29 | 73 |
| 2018 Noviembre | 58 | 24 | 82 |
| 2018 Octubre | 69 | 23 | 92 |
| 2018 Septiembre | 48 | 10 | 58 |
| 2018 Agosto | 2 | 0 | 2 |
| 2018 Julio | 2 | 0 | 2 |
| 2018 Mayo | 10 | 0 | 10 |
| 2018 Abril | 41 | 0 | 41 |
| 2018 Marzo | 32 | 0 | 32 |
| 2018 Febrero | 22 | 0 | 22 |
| 2018 Enero | 21 | 0 | 21 |
| 2017 Diciembre | 25 | 0 | 25 |
| 2017 Noviembre | 20 | 0 | 20 |
| 2017 Octubre | 31 | 0 | 31 |
| 2017 Septiembre | 35 | 0 | 35 |
| 2017 Agosto | 18 | 0 | 18 |
| 2017 Julio | 21 | 6 | 27 |
| 2017 Junio | 41 | 29 | 70 |
| 2017 Mayo | 31 | 31 | 62 |
| 2017 Abril | 30 | 42 | 72 |
| 2017 Marzo | 37 | 49 | 86 |
| 2017 Febrero | 15 | 18 | 33 |
| 2017 Enero | 39 | 14 | 53 |
| 2016 Diciembre | 32 | 10 | 42 |
| 2016 Noviembre | 52 | 15 | 67 |
| 2016 Octubre | 59 | 22 | 81 |
| 2016 Septiembre | 61 | 10 | 71 |
| 2016 Agosto | 50 | 17 | 67 |
| 2016 Julio | 23 | 12 | 35 |
| 2016 Abril | 4 | 0 | 4 |
| 2015 Diciembre | 2 | 0 | 2 |
| 2015 Julio | 5 | 0 | 5 |
| 2015 Junio | 6 | 0 | 6 |
| 2015 Mayo | 5 | 0 | 5 |
| 2015 Abril | 13 | 0 | 13 |
| 2015 Marzo | 10 | 0 | 10 |
| 2015 Febrero | 2 | 0 | 2 |
| 2015 Enero | 8 | 0 | 8 |
| 2014 Diciembre | 9 | 0 | 9 |
| 2014 Noviembre | 2 | 0 | 2 |
| 2014 Octubre | 6 | 0 | 6 |
| 2014 Septiembre | 2 | 0 | 2 |
| 2014 Agosto | 3 | 0 | 3 |
| 2014 Julio | 4 | 0 | 4 |
| 2014 Junio | 18 | 0 | 18 |
| 2014 Mayo | 17 | 0 | 17 |
| 2014 Abril | 16 | 0 | 16 |
| 2014 Marzo | 6 | 0 | 6 |
| 2014 Febrero | 12 | 0 | 12 |
| 2014 Enero | 10 | 0 | 10 |
| 2013 Diciembre | 15 | 0 | 15 |
| 2013 Noviembre | 12 | 0 | 12 |
| 2013 Octubre | 24 | 0 | 24 |
| 2013 Septiembre | 21 | 0 | 21 |
| 2013 Agosto | 12 | 0 | 12 |
| 2013 Julio | 6 | 0 | 6 |
| 2013 Junio | 2 | 0 | 2 |
| 2013 Abril | 1 | 0 | 1 |
| 2013 Marzo | 2 | 0 | 2 |
| 2013 Febrero | 15 | 0 | 15 |
| 2013 Enero | 17 | 0 | 17 |
| 2012 Diciembre | 16 | 0 | 16 |
| 2012 Noviembre | 4 | 0 | 4 |
| 2012 Octubre | 1 | 0 | 1 |
| 2012 Septiembre | 5 | 0 | 5 |
| 2012 Agosto | 1 | 0 | 1 |
| 2000 Enero | 2811 | 0 | 2811 |
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