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No description available.

A research report submitted to the Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, in partial fulfilment of the requirements for the degree of Master of Medicine in the branch of Radiology Johannesburg, 2011 / Management guidelines for urinary tract infections (UTI) invariably include renal ultrasound (RUS). Adequacy of RUS requests and reports is important for clinical practice. Aim To assess the adequacy of paediatric RUS requests and reports, the effects of the former on the latter, the effect of reporter`s rank, determine the yield and correlate adequacy with regard to the frequency of pathology. Materials and Methods Retrospective review of RUS reports of children was performed. A “Request Adequacy Score” (total 3) and a “Report Adequacy Score” (total 21) based on the RSNA reporting template was developed. A UTI subgroup was created. Results Mean “Report Adequacy Score” was 6.67. Residents performed better than consultants. There was no significant factor correlating with report adequacy. Hydronephrosis was the commonest pathology. Conclusion RUS requests and reports are inadequate. To improve reporting a renal ultrasound reporting template was developed.

Research report submitted in partial fulfilment of the requirements for the degree of Master of Medicine in Paediatrics. Johannesburg, 2015. / Urinary tract infections (UTIs) are an important cause of morbidity in children in developing countries and increasing antimicrobial resistance is reported in many countries. This retrospective study describes the performance of urine dipsticks, the aetiology and the antimicrobial susceptibility of paediatric UTIs at Rahima Moosa Mother and Child Hospital, Johannesburg. METHODS: We conducted a retrospective study of results from patients investigated for UTI over a four year period between January 2009 and December 2012 in the Department of Paediatrics & Child Health at Rahima Moosa Mother and Child Hospital. RESULTS: Escherichia coli was the commonest isolated uropathogen. Dipsticks sensitivity to identify UTI was 40% for leucocyte esterase and 34% for nitrites. The specificity was 94.6% for leucocyte esterase and 96% for nitrites. Malnutrition was associated with greater risk of having a UTI, with odds ratio of 2.06 (95% Confidence interval 1.4-2.9). In addition malnourished children tended to present with more resistant uropathogens. Resistance to sulphamethoxasole/trimethoprim and cephalexin has been progressively increasing between 2009 and 2012. From 64% to 79% for sulphamethoxasole/trimethoprim and from 24% to 63% for cephalexin. CONCLUSION: Positive urine dipsticks results allow immediate patient treatment but negative results need to be interpreted within the clinical context due to a high rate of false negatives. Malnourished children are significantly predisposed to urinary tract infections and tend to have more resistant uropathogens. Resistance to cephalexin is rising and studies to assess patient outcomes are needed to determine whether cephalexin still has a role in the treatment of paediatric UTI.

Thesis (M. Nurs.)--University of Hong Kong, 2009. / Includes bibliographical references (p. 61-65).

No description available.

Inauguraldissertation zur Erlangung der Würde einer Doktorin der Philosophie, vorgelegt der Philosophie-Naturwissenschaftlichen Fakultät der Universität Basel. / Literaturverz.

Thesis (M. Med. Sc.)--University of Hong Kong, 2007.

published_or_final_version / Nursing Studies / Master / Master of Nursing

Diss. (sammanfattning) Göteborg : Göteborgs universitet, 2010.