[Pyelonephritis in patients with congenital malformations of the urinary tract after corrective operation and under antibiotic therapy (author's transl)].
398 (otherwise unselected) children with certain types of congenital urinary tract malformation were followed up for a period of not less than three years for evaluation of the infection rate after surgical correction (the latter performed in 1968 to 1972). During a six month course post op., all patients received appropriate antibacterial drugs, thereafter cessation of medical treatment depending upon normal findings in urinalysis. The over-all cure rate was 77% after six months, 85% after twelve months, 95% after two years and 97% after three years. No recurrence of urinary tract infection was observed three years after surgery of in frapelvic ureteral stenosis/hydronephrosis (n=86; Anderson-Hynes procedure) in 100%; of distal ureteral stenosis/megaureter (n=76; Politano-Leadbetter or occasionally Boari approach) in 92%; and of primary reflux (n=236; Lich-Grégoir technique) in 98%. The incidence of infectious relapse following any normal cytological and bacteriological control was 1% resp. 7% resp. 2%, with an average of 3% for all three groups.
D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D005500:Follow-Up Studies; D006801:Humans; D006869:Hydronephrosis / Q000150:complications; D007223:Infant; D011183:Postoperative Complications; D011704:Pyelonephritis / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D012008:Recurrence; D013997:Time Factors; D014517:Ureteral Obstruction / Q000150:complications; D014547:Urinary Diversion; D014551:Urinary Tract / Q000002:abnormalities*; D014552:Urinary Tract Infections; D014718:Vesico-Ureteral Reflux / Q000150:complications
"Urologisch bedingte" Pyelonephritis: Verlauf unter medikamentöser Therapie nach operativer Behandlung der kongenitalen Harnwegsfehlbildung. Langzeitbeobachtungen an 398 kinderurologischen Fällen aus fünf Jahrgängen