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Dexamethasone to prevent kidney scarring in acute pyelonephritis : a randomized clinical trial

N. Rius-Gordillo, Núria Ferré i Suana, Juan David González-Rodríguez, Zaira Ibars, Ester Parada, Gloria Maria Fraga Rodriguez, Sara Chocron, Manuel Samper, Carmen Vicente, Jordi Fuertes, Joaquín Escribano

Research output: Contribution to journal › Article › Research › peer-review

Abstract

Urinary tract infection (UTI) is one of the most common bacterial infections in childhood and is associated with long-term complications. We aimed to assess the effect of adjuvant dexamethasone treatment on reducing kidney scarring after acute pyelonephritis (APN) in children. Multicenter, prospective, double-blind, placebo-controlled, randomized clinical trial (RCT) where children from 1 month to 14 years of age with proven APN were randomly assigned to receive a 3-day course of either an intravenous corticosteroid (dexamethasone 0.30 mg per kg/day) twice daily or placebo. The late technetium 99 m-dimercaptosuric acid scintigraphy (.
Original languageEnglish
Pages (from-to)2109-2118
Number of pages10
JournalPediatric Nephrology
Volume37
Issue number9
DOIs
Publication statusPublished - 2022

Keywords

  • Acute pyelonephritis
  • Children
  • Corticosteroids
  • Kidney scar

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