Experience of rehabilitation in children with chronic pyelonephritis living in industrial city

The consistently high frequency of pathology of urinary system in children dictates the need to find new methods for the treatment and prevention of pyelonephritis.

Goal. To study clinical and laboratory indicators of health status in children with chronic pyelonephritis living in the industrial city of Tomsk and evaluate the effectiveness of various rehabilitation treatment regimens.

Material and Methods. The kidney and urology examinations were performed in 58 children with a diagnosis of chronic pyelonephritis aged 7 to 12 years. Two treatment schemes including administration of mineral water and physiotherapy were used.

Results and Discussion. The following symptoms were detected before treatment: oxaluria in 22.41% of children, microhematuria in 17.24% of children, significant increase in serum and morning urine nitrate/nitrite levels, and microalbuminuria suggesting the instability of cell membranes and inflammatory process in renal tissue.

Conclusion. The administration of low-mineralized magnesium-sodium chloride-sulfate water in combination with physical therapy, manual massage, sapropel applications, interference therapy, and enteric oxygen therapy lead to normalization of clinical and laboratory health status indicators in the main group of patients.

1. Shvedunova L.N., Kaysinova A.S., Efimenko N.V., Dyomina S.V., Pachin S.A., Gaydamaka I.I. SPA treatment of children with environmental- burdened pyelonephritis associated with disorders of purine exchange. Avicenna Bulletin. 2019;21(2):269–273 (In Russ.). DOI: 10.25005/2074-0581-2019-21-2-269-273.

2. Pukhova T.G., Spivak E.M., Leontyev I.A. Epidemiology of urinary tract diseases in children living in a large industrial city. Russian Bulletin of Perinatology and Pediatrics. 2016;61(6):89–91 (In Russ.). DOI: 10.21508/1027-4065-2016-61-6-89-91.

3. Polikarpov A.В., Aleksandrova G.A., Golubev N.A., Tyurina E.M., Oskov Y.I., Shelepova E.A. General morbidity of children population of Russia (0–14 years) in 2017: Statistical materials. Moscow; 2018:145 (In Russ.).

4. Styazhkina S.N., Vinokhodova E.M., Chernenkova M.L., Karimova K.А., Khametshina Al.N. Influence of maternal kidney diseases on the fetus. Bulletin of Science and Education. 2015;2(4):103–104 (In Russ.).

5. Popovich Yu.G. Мonitoring of the incidence of children with an imbalance of heavy metals. Science and Health. 2014;(5):62–64 (In Russ.).

6. Neymark A.I., Davydov A.V., Neymark B.A., Kablova I.V. Rehabilitation of patients with chronic pyelonephritis with the use of mineral waters. Urology Reports. 2019;9(4):31–36 (In Russ.). DOI: 10.17816/uroved9431-36.

7. Oborin M.S., Averyanova N.I. The effectiveness of the inclusion of mineral water in the treatment of gastroduodenitis and pyelonephritis with crystalluria in children. Bulletin of Physiotherapy and Balneology. 2018;24(4):56–61 (In Russ.).

8. Tiktinsky O.L., Aleksandrov V.P. Urolithiasis. St. Petersburg: Peter; 2000:384 (In Russ.).

9. Slobodyan E.I. Sanatorium-resort therapy potential in the treatment of patients at different stages of chronic kidney disease. Clinical Pediatrics. 2014;52(1):110–114 (In Russ.).

10. Guidelines 2.1.7.730-99. Hygienic assessment of soil quality in populated areas. Date of introduction: 1999-04-05 (In Russ.).

11. Yaziikov E.G., Talovskaya A.V., Zhornyak L.V. Assessment of the ecological and geochemical state of the territory of Tomsk according to the study of dust aerosols and soils. Tomsk: Publishing House of Tomsk Polytechnic University; 2010:264 (In Russ.).

12. Zhornyak L.V. Microelements in the soils of urbanized territories (on the example of Tomsk). Ecology of southern Siberia and adjacent territories: Proceedings of the VIII International Scientific Schools-Conference Students

13. and Young Scientists. November 24–26, 2004, Abakan; ed. V.V. Anyushin. In 2 v., v. 2. Abakan: Publishing House of Кhakass State University after named N.F. Katanov; 2004:12–13 (In Russ.).

14. Kvasnikova Z.N., Evseeva N.S. The ecological and geochemical assessment of the anthropogenic landscape soils in the South-East of the Tomsk region. Bulletin оf KrasGAU. 2015;(3):7–13 (In Russ.).

15. Declaration of LLC “Tomskvodokanal” on the quality of drinking water supplied to centralized drinking water supply systems in Tomsk from January 01 to December 31, 2019 (In Russ.).

16. Seversk vodokanal. Quality of water (In Russ.). URL: https://seversk-vodokanal.ru/about/water-quality/

17. vanova I.S., Slepokurova O.E. Chemical composition of underground drinking waters of the South-Western part of Tomsk region. Proceedings of Tomsk Polytechnic University. Engineering of Georesources. 2011;318(1):145–149 (In Russ.).

18. Сlinical guidelines. Urinary tract infection in children. Moscow; 2018:24 (In Russ.).

19. Popova E.V., Khramova E.B., Lebedeva K.A., Zhuravleva T.D. Risk factors and markers of tubulointerstitial nephritis development in children with oxalate-calcium crystalluria. Russian Bulletin of Perinatology and Pediatrics. 2017;62(4):25–31 (In Russ.). DOI: 10.21508/1027-4065-2017-62-4-25-31.

20. Shtina I.E. Features of the formation and treatment of chronic non-obstructive pyelonephritis in children living under the influence of heavy metals. Perm Мedical Journal. 2012;29(1):32–37 (In Russ.).

21. Yegorova I.R., Kondratieva E.I., Terentyeva A.A., Sukhanova G.A. Characteristics of proteolytic vasoactive systems in children of early age with infectious diseases of the urinary tract. Сurrent Pediatrics. 2008;7(4):52–56 (In Russ.).