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  • Küçük Resim
    Öğe
    Clinical value of late DMSA scan in predicting vesicoureteral reflux in children with febrile urinary tract infection
    (2020) Caglar, Ozgur; Nalcacioglu, Hulya; Yel, Sibel; Celik, Binnaz; Bastug, Funda
    Aim: To assess the usefulness of late dimercaptosuccinic acid (DMSA) renal scans in revealing high-grade vesicoureteral reflux (VUR). Material and Methods: Between July 2015 and December 2016, medical records of 112 patients who were admitted with febrile urinary tract infections (fUTIs) were retrospectively reviewed. The demographic information of the patients, and follow-up imaging [ultrasonography (USG), DMSA renal scans, and voiding cystourethrography] data were reviewed.Results: Of the 112 patients, 82 patients (73.2%) were female, 30 were male (26.8%), and the mean age was 7.04 ± 3.94 years. Recurrent fUTIs were detected in 65 patients (58%). Of the patients, 68 (60.7%) had abnormal urinary system USG, and 74 (66.1%) had abnormal DMSA renal scans. Vesicoureteral reflux (VUR) was detected in 63 patients (56.3%). VUR was present in 49 (66.2%) of 74 patients with scarring in DMSA and detected in 14 (38.8%) of 38 patients with normal DMSA scans. Significant agreement (kappa: 0.274 / p=0.003) was found between DMSA and VUR results. The sensitivity, specificity and positive predictive values of late DMSA renal scan to predict VUR were 77.8 %, 49 % and 63.2% respectively.Conclusion: Abnormal late DMSA scans carry a higher sensitivity and positive predictive value for predicting high-grade VUR in children with recurrent fUTIs. Late DMSA imaging seems a useful option in screening for high-grade VUR in children when the acute interventions are limited.
  • Küçük Resim
    Öğe
    Parental knowledge and attitudes about Meningococcal infections and vaccination
    (2022) Celik, Binnaz; Sahbaz, Melek Nur
    Aim: Neisseria meningitidis is the cause of sepsis and meningitis with high mortality and morbidity. Vaccination is the most effectiveway to prevent infectious diseases. There are 4 different meningococcal vaccines that can be applied in our country and these vaccines are not yet available in routine vaccination program. It was aimed to determine the knowledge level of parents with children under 5 years of age about invasive meningococcal disease and their attitudes towards the administration of meningococcal vaccines, which are not included in the routine immunization program, to their children. Materials and Methods: A questionnaire consisting of 17 questions was applied to parents of children under the age of 5, who applying to pediatric outpatient clinics for any reason. Nine of the questionnaire questions were about sociodemographic characteristics, routine control and vaccination. The remaining 7 questions were about meningococcal infection, transmission routes and vaccines. Results: A survey was conducted with a total of 224 parents, 142 (63.3%) female and 82 (36.7%) male. Two hundred-two of the parents (90.1%) stated that they had all routine vaccinations on time for their children. Eighteen parents (8%), could not have all vaccines on time due to pandemic and health problems. Sixty-two (27.6%) parents reported that they knew about meningococcal disease. Only 56 (25%) of the parents stated that they knew at least one meningococcal vaccine. After brief information about meningococcal infection and vaccines, 114 parents (50.8%) stated that they wanted their children to be vaccinated. Conclusion: When parents are informed about the meningococcal disease and its severity and then recommended vaccination, the vaccination rate will increase significantly. It is important for healthcare professionals to be more aware of this issue and to inform families.