Non‐invasive discrimination of acute focal bacterial nephritis with pyelonephritis

• DOI: 10.1111/ped.13910
• Publication Date: 2019-08-14T07:59:24Z
• Authors: Hideharu Oka; Tsunehisa Nagamori; Shiho Yamamoto; Hiromi Manabe; Genya Taketazu; Tokuo Mukai; Hiroshi Sakata; Junichi Oki
• Keywords: Pyuria; Nephritis

Abstract Background The appropriate antimicrobial treatment period for febrile urinary tract infection ( UTI ) can be changed, depending on whether the patient has acute focal bacterial nephritis AFBN ). aim of this study was to clarify characteristics compared with those pyelonephritis APN and establish a strategy detect . Methods A total 77 patients diagnosed were enrolled. They divided into n = 64) groups 13). clinical data other laboratory biomarkers retrospectively analyzed. Results time required fever resolution after significantly longer in group than (2.77 days vs 1.11 days, respectively, P < 0.001). Also, disappearance pyuria (6.22 2.32 Fever lasting >1.75 had sensitivity 92% specificity 79% detection , while 4 88% 85%. When fulfilled both cut‐offs, 89% 97%. Conclusion Acute associated duration treatment, it took disappear. Children should evaluated if persists ≥48 h initiation lasts days.