Background:Urinary tract infection(UTI)is a prevalent bacterial infection affecting adults and pediatric populations,with distinct patterns observed in infants.This bibliometric analysis aims to provide a comprehensiv...Background:Urinary tract infection(UTI)is a prevalent bacterial infection affecting adults and pediatric populations,with distinct patterns observed in infants.This bibliometric analysis aims to provide a comprehensive overview of the research landscape in pediatric UTI from 1990 to 2022,exploring qualitative and quantitative research output,contributing authors,institutions,countries,collaborative links,and hotspot topics.Purpose:This study aims to evaluate the qualitative and quantitative research output and trends in UTI in the pediatric population through a bibliometric analysis.The analysis covers highly cited articles,contributing authors,institutes,countries,collaborative links,and future research prospects.Methods:A bibliometric analysis was conducted using the Web of Science platform with a search string focused on pediatric UTI articles published between January 1990 and December 2022.The analysis employed the Bibliometrix R-package software and VOSviewer for collaborative networks and keyword co-occurrence maps.Results:Out of 1399 published articles,81.7%were research articles.The annual growth rate of publications was 4.46%.The USA led in contributions,with the University of Pennsylvania being the most productive institution.The"Journal of Pediatric Urology"and"Pediatric"were prominent journals.Lorenzo AJ from the University of Toronto was the top author.Collaborative networks highlighted the significance of collaboration in pediatric UTI research.Conclusion:In conclusion,this bibliometric analysis provides a detailed snapshot of the research landscape in pediatric urinary tract infections.With 1399 articles analyzed,the study reveals a sustained interest and growth rate of 4.46%,emphasizing ongoing efforts to address pediatric UTI challenges.The USA dominates contributions,reflecting its pivotal role in advancing knowledge.The top institutions,journals,and authors are identified,with collaborative networks highlighted.Keyword co-occurrence networks unveil critical themes,notably"vesicoureteric reflux展开更多
Objective:This study examines the outcome of augmentation cystoplasty(AC)in children with stages III and IV chronic kidney disease(CKD)secondary to neurogenic bladder in which transplantation was not imminent.Methods:...Objective:This study examines the outcome of augmentation cystoplasty(AC)in children with stages III and IV chronic kidney disease(CKD)secondary to neurogenic bladder in which transplantation was not imminent.Methods:Hospital records of all children with CKD stages III and IV who underwent AC between 2008 and 2017 were retrieved to study outcome and complications including estimated glomerular filtration rate(eGFR,National Kidney Foundation Calculator),somatic growth(percentiles,compared with population data),and febrile urinary tract infections(fUTIs)requiring admission.Statistical analysis was performed using R.Results:AC was performed in 13 children with CKD stages III and IV(10 girls;median 8.0 years)with median follow-up of 51 months.Patients had incontinence(10/13),reflux(7/13),and hydronephrosis(13/13)despite antimuscarinics and intermittent catheterization.Bladder capacity was 74%of expected and median compliance was 5 mL/cm H20(inter-quartile range 4 mL/cm H20).All underwent ileocystoplasty(25 cm bowel).One each had nephrectomy and mitrofanoff conduit.All had resolution of incontinence.One had acute kidney injury that recovered.Initial eGFR at presentation(24 mL/min/1.73 m2)improved with conservative management alone(52 mL/min/1.73 m2,p=0.004).This improved further 1 year following AC(61 mL/min/1.73 m2,p=0.036)with stable function at 7 years.There was improvement in somatic growth,hydronephrosis,and fUTI despite no ureteric re-implantation.Conclusion:AC carries acceptable morbidity in children with CKD stages III and IV secondary to neurogenic bladder.Surgery is effective with improvements in continence,eGFR,somatic growth,and propensity for fUTIs.Ureteric re-implantation might not be necessary.展开更多
文摘Background:Urinary tract infection(UTI)is a prevalent bacterial infection affecting adults and pediatric populations,with distinct patterns observed in infants.This bibliometric analysis aims to provide a comprehensive overview of the research landscape in pediatric UTI from 1990 to 2022,exploring qualitative and quantitative research output,contributing authors,institutions,countries,collaborative links,and hotspot topics.Purpose:This study aims to evaluate the qualitative and quantitative research output and trends in UTI in the pediatric population through a bibliometric analysis.The analysis covers highly cited articles,contributing authors,institutes,countries,collaborative links,and future research prospects.Methods:A bibliometric analysis was conducted using the Web of Science platform with a search string focused on pediatric UTI articles published between January 1990 and December 2022.The analysis employed the Bibliometrix R-package software and VOSviewer for collaborative networks and keyword co-occurrence maps.Results:Out of 1399 published articles,81.7%were research articles.The annual growth rate of publications was 4.46%.The USA led in contributions,with the University of Pennsylvania being the most productive institution.The"Journal of Pediatric Urology"and"Pediatric"were prominent journals.Lorenzo AJ from the University of Toronto was the top author.Collaborative networks highlighted the significance of collaboration in pediatric UTI research.Conclusion:In conclusion,this bibliometric analysis provides a detailed snapshot of the research landscape in pediatric urinary tract infections.With 1399 articles analyzed,the study reveals a sustained interest and growth rate of 4.46%,emphasizing ongoing efforts to address pediatric UTI challenges.The USA dominates contributions,reflecting its pivotal role in advancing knowledge.The top institutions,journals,and authors are identified,with collaborative networks highlighted.Keyword co-occurrence networks unveil critical themes,notably"vesicoureteric reflux
文摘Objective:This study examines the outcome of augmentation cystoplasty(AC)in children with stages III and IV chronic kidney disease(CKD)secondary to neurogenic bladder in which transplantation was not imminent.Methods:Hospital records of all children with CKD stages III and IV who underwent AC between 2008 and 2017 were retrieved to study outcome and complications including estimated glomerular filtration rate(eGFR,National Kidney Foundation Calculator),somatic growth(percentiles,compared with population data),and febrile urinary tract infections(fUTIs)requiring admission.Statistical analysis was performed using R.Results:AC was performed in 13 children with CKD stages III and IV(10 girls;median 8.0 years)with median follow-up of 51 months.Patients had incontinence(10/13),reflux(7/13),and hydronephrosis(13/13)despite antimuscarinics and intermittent catheterization.Bladder capacity was 74%of expected and median compliance was 5 mL/cm H20(inter-quartile range 4 mL/cm H20).All underwent ileocystoplasty(25 cm bowel).One each had nephrectomy and mitrofanoff conduit.All had resolution of incontinence.One had acute kidney injury that recovered.Initial eGFR at presentation(24 mL/min/1.73 m2)improved with conservative management alone(52 mL/min/1.73 m2,p=0.004).This improved further 1 year following AC(61 mL/min/1.73 m2,p=0.036)with stable function at 7 years.There was improvement in somatic growth,hydronephrosis,and fUTI despite no ureteric re-implantation.Conclusion:AC carries acceptable morbidity in children with CKD stages III and IV secondary to neurogenic bladder.Surgery is effective with improvements in continence,eGFR,somatic growth,and propensity for fUTIs.Ureteric re-implantation might not be necessary.
