The Application of External Ureteral Catheters in Children With Acute Kidney Injury Caused by Ceftriaxone-Induced Urolithiasis

Objective: To evaluate our use of external ureteral catheters in children with acute kidney injury (AKI) resulting from ceftriaxone-induced urolithiasis.Methods: From July 2010 to June 2015, a series of 15 children, including 12 males and 3 females, were referred to our department. All of them were...

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Main Authors: Houwei Lin (Author), Hongquan Geng (Author), Guofeng Xu (Author), Xiaoliang Fang (Author), Lei He (Author), Maosheng Xu (Author)
Format: Book
Published: Frontiers Media S.A., 2020-04-01T00:00:00Z.
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042 |a dc 
100 1 0 |a Houwei Lin  |e author 
700 1 0 |a Houwei Lin  |e author 
700 1 0 |a Hongquan Geng  |e author 
700 1 0 |a Hongquan Geng  |e author 
700 1 0 |a Guofeng Xu  |e author 
700 1 0 |a Guofeng Xu  |e author 
700 1 0 |a Xiaoliang Fang  |e author 
700 1 0 |a Xiaoliang Fang  |e author 
700 1 0 |a Lei He  |e author 
700 1 0 |a Lei He  |e author 
700 1 0 |a Maosheng Xu  |e author 
700 1 0 |a Maosheng Xu  |e author 
245 0 0 |a The Application of External Ureteral Catheters in Children With Acute Kidney Injury Caused by Ceftriaxone-Induced Urolithiasis 
260 |b Frontiers Media S.A.,   |c 2020-04-01T00:00:00Z. 
500 |a 2296-2360 
500 |a 10.3389/fped.2020.00200 
520 |a Objective: To evaluate our use of external ureteral catheters in children with acute kidney injury (AKI) resulting from ceftriaxone-induced urolithiasis.Methods: From July 2010 to June 2015, a series of 15 children, including 12 males and 3 females, were referred to our department. All of them were diagnosed of post-renal AKI and underwent emergent hospitalization. Evaluation of serum electrolytes, creatinine (Cr), blood urea nitrogen (BUN), complete blood count, and blood gas analysis were completed in each child both before they were admitted, and again after surgery. Bilateral externalized ureteral catheters were placed cystoscopically in each of these patients. The composition of collected calculi was analyzed by infrared spectrography.Results: Bilateral externalized ureteral catheters were placed successfully in all patients. There were no procedure-related complications. Two days after catheter placement, the levels of serum Cr and BUN had improved in all patients, and these levels were noted to be significantly lower than before catheterization (P < 0.001). Infrared spectrography demonstrated that the primary composition of all calculi collected was ceftriaxone. No recurrent AKI or renal deterioration was detected during the follow-up which ranged from 3 to 8 years.Conclusions: These results show that short-term external ureteral catheters can be effectively utilized in children with AKI caused by ceftriaxone-induced urolithiasis. We recommend this procedure as a viable replacement to indwelling stents in patients with bilateral ureteral stones. 
546 |a EN 
690 |a external ureteral catheter 
690 |a acute kidney injury 
690 |a ceftriaxione 
690 |a urolithiasis 
690 |a children 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Frontiers in Pediatrics, Vol 8 (2020) 
787 0 |n https://www.frontiersin.org/article/10.3389/fped.2020.00200/full 
787 0 |n https://doaj.org/toc/2296-2360 
856 4 1 |u https://doaj.org/article/d3d5145a6c8843bf907f45f948c5b0d7  |z Connect to this object online.