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Urinary Tumor Necrosis Factor-Alpha a Good Indicator for Inflammatory Response in Pyelonephritis

Author(s):
Masoumeh MohkamMasoumeh Mohkam1,*, Sedigheh Rafiei TabatabaeiSedigheh Rafiei Tabatabaei1, Fahimeh AsgarianFahimeh Asgarian1, Shahnaz ArminShahnaz Armin1, Alireza FahimzadAlireza Fahimzad1, Mostafa SharifianMostafa Sharifian1, Reza DaliraniReza Dalirani1
1Pediatric Infections Research Center, Shahid Beheshti University of Medical sciences, [email protected], IR Iran

Archives of Pediatric Infectious Diseases:Vol. 1, issue 2; 87-91
Published online:Jul 15, 2013
Article type:Research Article
Received:Nov 21, 2012
Accepted:Jan 01, 2013
How to Cite:Masoumeh Mohkam, Sedigheh Rafiei Tabatabaei, Fahimeh Asgarian, Shahnaz Armin, Alireza Fahimzad, et al. Urinary Tumor Necrosis Factor-Alpha a Good Indicator for Inflammatory Response in Pyelonephritis.Arch Pediatr Infect Dis.2013;1(2):87-91.https://doi.org/10.5812/pedinfect.9114.

Abstract

Background:

TNF-? is one of the most potent cytokines in proinflammatory reactions.

Objectives:

This article contributes to evaluate the correlation between urinary TNF-? and inflammatory response markers in children with acute pyelonephritis.

Patients and Methods:

This cross sectional study, was performed on children with acute pyelonephritis. Fresh random urine samples were obtained before treatment of pyelonephritis. Urine samples were tested for TNF-? and creatinine. We also evaluated our patients with routine biochemical studies.

Results:

One hundred and twenty children with acute pyelonephritis were evaluated. Urinary TNF-?/Cr was 0.0051 0.00083 Pg/g creatinine. The authors found out a significant difference in urinary TNF-?/Cr between patients who have normal and abnormal levels of urine leukocytes, urine protein, urine culture, erythrocyte sedimentation rate and C- reactive protein. This study revealed a significant correlation between urinary TNF-alpha and urine WBC (r = 0.36, P value = 0.02), ESR (r = 0.75, P value = 0.03) and CRP (r = 0.58, P value = 0.02).

Conclusions:

We concluded that urinary TNF-?/Cr might be a good indicator for inflammatory response in children with acute pyelonephritis.

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