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İLKÖĞRETİM PROGRAMINDAKİ ÇOCUKLARDA SIVI ALIM VE BOŞALTIM DİNAMİĞİNİN İDRAR YANGI BULGULARINA ETKİSİ

THE EFFECT OF THE DYNAMIC OF FLUID INTAKE AND OUTPUT ON URINARY TRACT INFECTION IN PRIMARY SCHOOL CHILDREN

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 1998

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Urinary tract infection (UT1) is influenced by daily fluid intake, and there is a positive correlation between UTI and slowing down of urinary flow within the urinary tract. In this study, the dynamic of fluid intake and output during school hours among Turkish primary school children was analysed, and the relation of this dynamic to UTI in accordance with the impact of socioeconomical status of these children on this relation was evaluated. The study was carried out in 17 primary schools, and 1024 children (516 male) were enrolled. A questionnaire related to daily fluid intake and output in school, and daily activities that could effect this fluid dynamic was completed by each student. After that, a clean voided midstream urine specimen was obtained from each child, and evaluated by dipstick and light microscope. Pyuria, bacteriuria and pyuria + bacteriuria were determined in 20.6, 7.8 and 6.2 percents of the children, respectively. When the children were analysed with respect to the mean water intake during school hours, "those drinking water in every two breaks or more frequently" and "those drinking water every three breaks or less frequently or not at all" were 491 (47.2%) and 533 (52.1%) respectively. Decreased water intake during school hours was associated with an increase in the rate of pyuria (p < 0.05). There was a negative correlation between the frequency of urination (FU) in school and the developmental status of the areas in which the schools were found (r: - 0.117, p < 0.05). A significant relation was found between pyuria and FU in school (p < 0.05). The rate of pyuria was 15.2 and 22.2percent in "those urinating in every two breaks or more frequently" and "those urinating every three breaks or less frequently or not at all", respectively. There was not a significant relation between FU in school and neither bacteriuria nor pyuria + bacteriuria (p>0.05).
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Abstract (Original Language): 
Günlük sıvı alımının idrar yolu infeksiyonuna katkısı belirlenmiş olup, üriner sistemde sıvı akımının azalması ve idrar birikimi ile idrar yolu infeksiyonu arasında pozitif ilişki bildirilmiştir. Bu çalışmada, Türk ilköğretim programındaki okullarda eğitim gören çocuklarda okul yaşantısındaki sıvı alım ve boşaltım dinamiğini analiz edilerek, bu faktörlerin idrar yolu infeksiyonu ile arasındaki ilişki ve bu ilişkiye çocuğun sosyoekonomik yapısının katkısı araştırılmıştır. Araştırma 17 ilkokulda, toplam 1024 (508 kız, 516 erkek) öğrenci ile gerçekleştirilmiştir. Çocuklara sıvı alım ve boşaltımı ile bunları etkileyebilecek günlük aktiv iteler ini kapsayan soruları içeren bir anket formu uygulanmıştır. Daha sonra çocuklara dağıtılan kaplara analiz için idrar örnekleri alınmıştır, idrar örnekleri önce "dipstick" daldırma yöntemi ile daha sonra da mikroskopta incelemiştir. Tüm çocukların %20.6'sında piyüri, %7.8'inde bakteriüri, %6.2'sinde "piyüri-bakteriüri birlikteliği" saptanmıştır. Olguların "okulda geçirdikleri süre içinde ortalama içtikleri su miktarına " göre dağılım analizi yapıldığında "iki teneffüste bir veya daha sık su içenler " 491 olgu (%47.9), "üç teneffüste bir veya daha seyrek su içen veya okulda su içmeyenler " 533 olgu (%52.1) olarak bulunmuştur. Olguların "okulda geçirdikleri süre içinde ortalama içtikleri su miktarı" azaldıkça piyüri yüzdesinde artma belirlenmiştir (p<0.005). "Okulda idrar yapma sıklığı" açısından "imar bölgeleri" arasında negatif korelasyon saptanmıştır (r=-0.117, p<0.05). İmarsız bölgelere doğru gidildikçe sık tuvalete gitme oranı artmaktadır. "Okulda idrar yapma sıklığı" ile piyüri oranı arasında anlamlı ilişki saptanmıştır (p<0.05). "İki teneffüste bir veya daha sık tuvalete gidenlerde " piyüri görülme oranı %15.2 iken, "üç teneffüste bir tuvalete giden veya okulda tuvalete gitmeyen" grupta bu oran %22.2 olarak hesaplanmıştır. "Okulda idrar yapma sıklığı" ile bakteriüri ve "piyüri ve bakteriüri birlikteliği" arasında anlamlı ilişki saptanmamıştır (p>0.05).
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  • 4
184-191
  • Turkish

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