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  • Title: [Urinary tract infections and urolithiasis].
    Author: Nowakowska K, Gołabek B.
    Journal: Probl Med Wieku Rozwoj; 1983; 12():144-52. PubMed ID: 6425822.
    Abstract:
    100 cases of urolithiasis in children treated in Pediatric Clinic of National Research Institute of Mother and Child in the period of 1976-1979 were analized . In 93 children the cause of urolithiasis was established. The most of them (31%) are cases of infection induced urinary stones. Among other reasons of urolithiasis the most common are: metabolic reasons in 26%, probably metabolic reasons in 13%, idiopathic oxalic lithiasis in 17% and others in 6%. At the moment of urolithiasis diagnosis in 94 children bacteriological investigations were done. In 54 cases, i.e. 57,4% infections of the urinary tract were found. 57,8% of boys and 62,2% of girls had urinary tract infections. The most frequent bacteria was urease producting Proteus sp. During 3 years of observation urinary tract infections in 67 children were found. Among bacteria causing the reinfections the most frequent were: Pseudomonas aeruginosa (25,4%), Klebsiella sp. (22,4%), Proteus sp. (19,9%) and E. coli (15%). In 9 cases the bacteriological analysis of removed stones were done. In 2 cases bacteria causing the infection were isolated from the stones, since they were not present in urine any more.
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